Diagnosticreport-examples-general.xml

Various reports gathered from v2 messages (id = "72ac8493-52ac-41bd-8d5d-7258c289b5ea")

<Bundle xmlns="http://hl7.org/fhir">
  <id value="72ac8493-52ac-41bd-8d5d-7258c289b5ea"/>
  <meta>
    <lastUpdated value="2012-04-14T10:35:23Z"/>
  </meta>
  <type value="collection"/>
  <entry>
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/3"/>
    <resource>
      <DiagnosticReport>
        <id value="3"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
            <table>
              <tr>
                <td>Sodium</td>
                <td>140</td>
                <td>mmol/L</td>
                <td>137-147</td>
              </tr>
              <tr>
                <td>Serum Potassium</td>
                <td>4.2</td>
                <td>mmol/L</td>
                <td>3.5-5.0</td>
              </tr>
              <tr>
                <td>Chloride</td>
                <td>105</td>
                <td>mmol/L</td>
                <td>96-109</td>
              </tr>
              <tr>
                <td>Bicarbonate</td>
                <td>26</td>
                <td>mmol/L</td>
                <td>25-33</td>
              </tr>
              <tr>
                <td>Other Anions</td>
                <td>13</td>
                <td>mmol/L</td>
                <td>4-17</td>
              </tr>
              <tr>
                <td>Glucose</td>
                <td>7.4</td>
                <td>mmol/L</td>
                <td>3.0-7.7</td>
              </tr>
              <tr>
                <td>Urea</td>
                <td>4.7</td>
                <td>mmol/L</td>
                <td>2.0-7.0</td>
              </tr>
              <tr>
                <td>Serum Creatinine</td>
                <td>0.09</td>
                <td>mmol/L</td>
                <td>0.04-0.11</td>
              </tr>
              <tr>
                <td>Serum Uric Acid</td>
                <td>0.39</td>
                <td>mmol/L</td>
                <td>0.14-0.35</td>
                <td>
                  <b>+</b>
                </td>
              </tr>
              <tr>
                <td>Total Bilirubin</td>
                <td>7</td>
                <td>umol/L</td>
                <td>2-20</td>
              </tr>
              <tr>
                <td>Direct Bilirubin</td>
                <td>3</td>
                <td>umol/L</td>
                <td>0-8</td>
              </tr>
              <tr>
                <td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td>
                <td>108</td>
                <td>U/L</td>
                <td>30-115</td>
              </tr>
              <tr>
                <td>Gamma G.T.</td>
                <td>35</td>
                <td>U/L</td>
                <td>0-45</td>
              </tr>
              <tr>
                <td>ALT</td>
                <td>54</td>
                <td>U/L</td>
                <td>0-45</td>
                <td>
                  <b>+</b>
                </td>
              </tr>
              <tr>
                <td>AST</td>
                <td>30</td>
                <td>U/L</td>
                <td>0-41</td>
              </tr>
              <tr>
                <td>LD</td>
                <td>131</td>
                <td>U/L</td>
                <td>80-250</td>
              </tr>
              <tr>
                <td>Serum Calcium</td>
                <td>2.38</td>
                <td>mmol/L</td>
                <td>2.25-2.65</td>
              </tr>
              <tr>
                <td>Corrected Calcium</td>
                <td>2.39</td>
                <td>mmol/L</td>
                <td>2.25-2.65</td>
              </tr>
              <tr>
                <td>Serum Phosphate</td>
                <td>1.5</td>
                <td>mmol/L</td>
                <td>0.8-1.5</td>
              </tr>
              <tr>
                <td>Total Protein</td>
                <td>67</td>
                <td>g/L</td>
                <td>60-82</td>
              </tr>
              <tr>
                <td>Serum Albumin</td>
                <td>42</td>
                <td>g/L</td>
                <td>35-50</td>
              </tr>
              <tr>
                <td>Globulins</td>
                <td>25</td>
                <td>g/L</td>
                <td>20-40</td>
              </tr>
              <tr>
                <td>Iron</td>
                <td>5</td>
                <td>umol/L</td>
                <td>10-33</td>
                <td>
                  <b>--</b>
                </td>
              </tr>
              <tr>
                <td>Cholesterol</td>
                <td>3.8</td>
                <td>mmol/L</td>
                <td>3.6-6.7</td>
              </tr>
              <tr>
                <td> </td>
                <td colspan="4">Revised NHF cholesterol guidelines (Nov.,2001): Target below 4.0 mmol/L if high risk patient.
                   Consider lipid lowering treatment if cholesterol above 6.0 mmol/L, and no other risk factor
                   of CHD.</td>
              </tr>
              <tr>
                <td>Triglycerides</td>
                <td>0.9</td>
                <td>mmol/L</td>
                <td>0.3-4.0</td>
              </tr>
              <tr>
                <td>HDL Cholesterol</td>
                <td>1.2</td>
                <td>mmol/L</td>
                <td>1.0-2.0</td>
              </tr>
            </table>
          </div>
        </text>
        <contained>
          <Observation>
            <id value="o1"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2951-2"/>
                <display value="Sodium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104934005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="140"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="137"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2823-3"/>
                <display value="Potassium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="59573005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4.2"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.5"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2075-0"/>
                <display value="Chloride [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="46511006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="105"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="96"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1963-8"/>
                <display value="Bicarbonate [Moles/volume] in Serum"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88645003"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="26"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="25"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1863-0"/>
                <display value="Anion gap 4 in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="271057005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="13"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="4"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14749-6"/>
                <display value="Glucose [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="36048009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="7.4"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.0"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="7.7"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14937-7"/>
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="273967009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4.7"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="2.0"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="7.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o8"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14682-9"/>
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="70901006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.09"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0.04"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="0.11"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14933-6"/>
                <display value="Urate [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="86228006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.39"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0.14"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="0.35"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14631-6"/>
                <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="27171005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="7"/>
              <unit value="umol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="2"/>
                <unit value="umol/L"/>
              </low>
              <high>
                <value value="20"/>
                <unit value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o11"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14629-0"/>
                <display value="Bilirubin.direct [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="39748002"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="3"/>
              <unit value="umol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="umol/L"/>
              </low>
              <high>
                <value value="8"/>
                <unit value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="6768-6"/>
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88810008"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="108"/>
              <unit value="U/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="30"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="115"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2324-2"/>
                <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="69480007"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="35"/>
              <unit value="U/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1742-6"/>
                <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="34608000"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="54"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1920-8"/>
                <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="45896001"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="30"/>
              <unit value="U/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="41"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o16"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2532-0"/>
                <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="11274001"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </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/1"/>
            </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"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="166708003"/>
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            <subject>
              <reference value="Patient/1"/>
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            <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>
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                <unit value="mmol/L"/>
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              <high>
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        </contained>
        <contained>
          <Observation>
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            <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/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
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              <unit value="mmol/L"/>
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                <unit value="mmol/L"/>
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              <high>
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                <unit value="mmol/L"/>
              </high>
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          </Observation>
        </contained>
        <contained>
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            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2885-2"/>
                <display value="Protein [Mass/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="74040009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
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            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
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              <unit value="g/L"/>
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            <referenceRange>
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                <unit value="g/L"/>
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              <high>
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        <contained>
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            <status value="final"/>
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                <system value="http://loinc.org"/>
                <code value="1751-7"/>
                <display value="Albumin [Mass/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104485008"/>
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            <subject>
              <reference value="Patient/1"/>
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            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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              <unit value="g/L"/>
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                <unit value="g/L"/>
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              <high>
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                <unit value="g/L"/>
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        <contained>
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            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="10834-0"/>
                <display value="Globulin [Mass/volume] in Serum by calculation"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104979009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
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            <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>
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                <unit value="g/L"/>
              </low>
              <high>
                <value value="40"/>
                <unit value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o23"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42950004"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
              <value value="5"/>
              <unit value="umol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="LL"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="10"/>
                <unit value="umol/L"/>
              </low>
              <high>
                <value value="33"/>
                <unit value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o24"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="77068002"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="3.8"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.6"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="6.7"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o25"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14927-8"/>
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104784006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.9"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0.3"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="4.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o26"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2085-9"/>
                <display value="Cholesterol in HDL [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="17888004"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="1.0"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="1.0"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="2.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://acme.com/labs/reports"/>
            <code value="25T"/>
            <display value="E/LFT (MASTER)"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/1"/>
        </subject>
        <effectiveDateTime value="2005-01-27T06:40:17Z"/>
        <issued value="2005-01-27T06:40:01Z"/>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <result>
          <reference value="#o1"/>
        </result>
        <result>
          <reference value="#o2"/>
        </result>
        <result>
          <reference value="#o3"/>
        </result>
        <result>
          <reference value="#o4"/>
        </result>
        <result>
          <reference value="#o5"/>
        </result>
        <result>
          <reference value="#o6"/>
        </result>
        <result>
          <reference value="#o7"/>
        </result>
        <result>
          <reference value="#o8"/>
        </result>
        <result>
          <reference value="#o9"/>
        </result>
        <result>
          <reference value="#o10"/>
        </result>
        <result>
          <reference value="#o11"/>
        </result>
        <result>
          <reference value="#o12"/>
        </result>
        <result>
          <reference value="#o13"/>
        </result>
        <result>
          <reference value="#o14"/>
        </result>
        <result>
          <reference value="#o15"/>
        </result>
        <result>
          <reference value="#o16"/>
        </result>
        <result>
          <reference value="#o17"/>
        </result>
        <result>
          <reference value="#o18"/>
        </result>
        <result>
          <reference value="#o19"/>
        </result>
        <result>
          <reference value="#o20"/>
        </result>
        <result>
          <reference value="#o21"/>
        </result>
        <result>
          <reference value="#o22"/>
        </result>
        <result>
          <reference value="#o23"/>
        </result>
        <result>
          <reference value="#o24"/>
        </result>
        <result>
          <reference value="#o25"/>
        </result>
        <result>
          <reference value="#o26"/>
        </result>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/4"/>
    <resource>
      <DiagnosticReport>
        <id value="4"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </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>: 4</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/2</a></p><p><b>effective</b>: 08/12/2004 6:45:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 138 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.1 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 103 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement (procedure))</span>; ????; Acme Laboratory, Inc; 27 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement (procedure))</span>; ????; Acme Laboratory, Inc; 12 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 6.8 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea measurement (procedure))</span>; ????; Acme Laboratory, Inc; 8.2 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 0.07 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 0.42 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis (procedure))</span>; ????; Acme Laboratory, Inc; 16 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002'
                   = 'Bilirubin, direct measurement (procedure))</span>; ????; Acme Laboratory, Inc; 8 umol/L</li><li>id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 369 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 438 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 263 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 87 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 179 U/L</li><li>id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement (procedure))</span>; ????; Acme Laboratory, Inc; 2.42 mmol/L</li><li>id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 1.3 mmol/L</li><li>id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 67 g/L</li><li>id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 39 g/L</li><li>id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement (procedure))</span>; ????; Acme Laboratory, Inc; 28 g/L</li><li>id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 8 umol/L; Low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'L' = 'Low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.8 mmol/L</li><li>id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement (procedure))</span>; ????; Acme Laboratory, Inc; 2.2 mmol/L</li></ul></div></text><contained>
          <Observation>
            <id value="o1"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2951-2"/>
                <display value="Sodium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104934005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/2"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="138"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="137"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2823-3"/>
                <display value="Potassium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="59573005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/2"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
              <value value="4.1"/>
              <unit value="mmol/L"/>
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                <value value="3.5"/>
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              <high>
                <value value="5.0"/>
                <unit value="mmol/L"/>
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            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <status value="final"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="2075-0"/>
                <display value="Chloride [Moles/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="46511006"/>
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            <subject>
              <reference value="Patient/2"/>
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
              <value value="103"/>
              <unit value="mmol/L"/>
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              <low>
                <value value="96"/>
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              <high>
                <value value="109"/>
                <unit value="mmol/L"/>
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          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
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            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1963-8"/>
                <display value="Bicarbonate [Moles/volume] in Serum"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88645003"/>
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            </code>
            <subject>
              <reference value="Patient/2"/>
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            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
              <value value="27"/>
              <unit value="mmol/L"/>
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              <low>
                <value value="25"/>
                <unit value="mmol/L"/>
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              <high>
                <value value="33"/>
                <unit value="mmol/L"/>
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          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <status value="final"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="1863-0"/>
                <display value="Anion gap 4 in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="271057005"/>
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            </code>
            <subject>
              <reference value="Patient/2"/>
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            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
              <value value="12"/>
              <unit value="mmol/L"/>
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              <low>
                <value value="4"/>
                <unit value="mmol/L"/>
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              <high>
                <value value="17"/>
                <unit value="mmol/L"/>
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          </Observation>
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        <contained>
          <Observation>
            <id value="o6"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="14749-6"/>
                <display value="Glucose [Moles/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="36048009"/>
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            <subject>
              <reference value="Patient/2"/>
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
              <value value="6.8"/>
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              <low>
                <value value="3.0"/>
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              <high>
                <value value="7.7"/>
                <unit value="mmol/L"/>
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        <contained>
          <Observation>
            <id value="o7"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="14937-7"/>
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="273967009"/>
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            <subject>
              <reference value="Patient/2"/>
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
              <value value="8.2"/>
              <unit value="mmol/L"/>
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              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
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                <value value="2.0"/>
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              <high>
                <value value="7.0"/>
                <unit value="mmol/L"/>
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        <contained>
          <Observation>
            <id value="o8"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="14682-9"/>
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="70901006"/>
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            <subject>
              <reference value="Patient/2"/>
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
              <value value="0.07"/>
              <unit value="mmol/L"/>
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            <referenceRange>
              <low>
                <value value="0.04"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="0.11"/>
                <unit value="mmol/L"/>
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        <contained>
          <Observation>
            <id value="o9"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="14933-6"/>
                <display value="Urate [Moles/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="86228006"/>
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            <subject>
              <reference value="Patient/2"/>
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
              <value value="0.42"/>
              <unit value="mmol/L"/>
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              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
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              <low>
                <value value="0.14"/>
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              <high>
                <value value="0.35"/>
                <unit value="mmol/L"/>
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        <contained>
          <Observation>
            <id value="o10"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="14631-6"/>
                <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
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                <system value="http://snomed.info/sct"/>
                <code value="27171005"/>
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            <subject>
              <reference value="Patient/2"/>
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              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
              <value value="16"/>
              <unit value="umol/L"/>
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            <referenceRange>
              <low>
                <value value="2"/>
                <unit value="umol/L"/>
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              <high>
                <value value="20"/>
                <unit value="umol/L"/>
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        <contained>
          <Observation>
            <id value="o11"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="14629-0"/>
                <display value="Bilirubin.direct [Moles/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="39748002"/>
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              <reference value="Patient/2"/>
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
              <value value="8"/>
              <unit value="umol/L"/>
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            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="umol/L"/>
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              <high>
                <value value="8"/>
                <unit value="umol/L"/>
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        <contained>
          <Observation>
            <id value="o12"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="6768-6"/>
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88810008"/>
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            <subject>
              <reference value="Patient/2"/>
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
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                <value value="30"/>
                <unit value="U/L"/>
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              <high>
                <value value="115"/>
                <unit value="U/L"/>
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        <contained>
          <Observation>
            <id value="o13"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="2324-2"/>
                <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="69480007"/>
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              <reference value="Patient/2"/>
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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              <unit value="U/L"/>
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              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
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                <value value="0"/>
                <unit value="U/L"/>
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              <high>
                <value value="45"/>
                <unit value="U/L"/>
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        <contained>
          <Observation>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="1742-6"/>
                <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="34608000"/>
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            <subject>
              <reference value="Patient/2"/>
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
              <value value="263"/>
              <unit value="U/L"/>
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              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
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                <value value="0"/>
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                <value value="45"/>
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        <contained>
          <Observation>
            <id value="o15"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="1920-8"/>
                <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="45896001"/>
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            <subject>
              <reference value="Patient/2"/>
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
              <value value="87"/>
              <unit value="U/L"/>
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              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
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                <value value="0"/>
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                <value value="41"/>
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        <contained>
          <Observation>
            <id value="o16"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="2532-0"/>
                <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="11274001"/>
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            <subject>
              <reference value="Patient/2"/>
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              <display value="Acme Laboratory, Inc"/>
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              <high>
                <value value="250"/>
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        <contained>
          <Observation>
            <id value="o17"/>
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                <system value="http://loinc.org"/>
                <code value="2000-8"/>
                <display value="Calcium [Moles/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="71878006"/>
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            <subject>
              <reference value="Patient/2"/>
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              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
              <value value="2.32"/>
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                <value value="2.25"/>
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              <high>
                <value value="2.65"/>
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        <contained>
          <Observation>
            <id value="o18"/>
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            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="13959-2"/>
                <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="166708003"/>
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            <subject>
              <reference value="Patient/2"/>
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              <display value="Acme Laboratory, Inc"/>
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        <contained>
          <Observation>
            <id value="o19"/>
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                <system value="http://loinc.org"/>
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                <display value="Phosphate [Moles/volume] in Serum or Plasma"/>
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              <coding>
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                <code value="104866001"/>
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            <subject>
              <reference value="Patient/2"/>
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                <value value="1.5"/>
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        <contained>
          <Observation>
            <id value="o20"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="2885-2"/>
                <display value="Protein [Mass/volume] in Serum or Plasma"/>
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              <coding>
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                <code value="74040009"/>
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            <subject>
              <reference value="Patient/2"/>
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            <valueQuantity>
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                <value value="60"/>
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        <contained>
          <Observation>
            <id value="o21"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="1751-7"/>
                <display value="Albumin [Mass/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104485008"/>
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            <subject>
              <reference value="Patient/2"/>
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            <valueQuantity>
              <value value="39"/>
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                <value value="35"/>
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              <high>
                <value value="50"/>
                <unit value="g/L"/>
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        </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"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104979009"/>
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            <subject>
              <reference value="Patient/2"/>
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            <valueQuantity>
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                <value value="20"/>
                <unit value="g/L"/>
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              <high>
                <value value="40"/>
                <unit value="g/L"/>
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            </referenceRange>
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        </contained>
        <contained>
          <Observation>
            <id value="o23"/>
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            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42950004"/>
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            <subject>
              <reference value="Patient/2"/>
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            <valueQuantity>
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              <unit value="umol/L"/>
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                <value value="10"/>
                <unit value="umol/L"/>
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              <high>
                <value value="33"/>
                <unit value="umol/L"/>
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            </referenceRange>
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        </contained>
        <contained>
          <Observation>
            <id value="o24"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="77068002"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/2"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4.8"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.6"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="6.7"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o25"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14927-8"/>
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104784006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/2"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="2.2"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0.3"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="4.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <status value="final"/>
        <code>
          <text value="SERUM CHEMISTRY"/>
        </code>
        <subject>
          <reference value="Patient/2"/>
        </subject>
        <effectiveDateTime value="2004-12-08T07:45:17Z"/>
        <issued value="2005-02-23T10:04:01Z"/>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <result>
          <reference value="#o1"/>
        </result>
        <result>
          <reference value="#o2"/>
        </result>
        <result>
          <reference value="#o3"/>
        </result>
        <result>
          <reference value="#o4"/>
        </result>
        <result>
          <reference value="#o5"/>
        </result>
        <result>
          <reference value="#o6"/>
        </result>
        <result>
          <reference value="#o7"/>
        </result>
        <result>
          <reference value="#o8"/>
        </result>
        <result>
          <reference value="#o9"/>
        </result>
        <result>
          <reference value="#o10"/>
        </result>
        <result>
          <reference value="#o11"/>
        </result>
        <result>
          <reference value="#o12"/>
        </result>
        <result>
          <reference value="#o13"/>
        </result>
        <result>
          <reference value="#o14"/>
        </result>
        <result>
          <reference value="#o15"/>
        </result>
        <result>
          <reference value="#o16"/>
        </result>
        <result>
          <reference value="#o17"/>
        </result>
        <result>
          <reference value="#o18"/>
        </result>
        <result>
          <reference value="#o19"/>
        </result>
        <result>
          <reference value="#o20"/>
        </result>
        <result>
          <reference value="#o21"/>
        </result>
        <result>
          <reference value="#o22"/>
        </result>
        <result>
          <reference value="#o23"/>
        </result>
        <result>
          <reference value="#o24"/>
        </result>
        <result>
          <reference value="#o25"/>
        </result>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/5"/>
    <resource>
      <DiagnosticReport>
        <id value="5"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </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>: 5</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/3</a></p><p><b>effective</b>: 15/12/2004 6:20:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 142 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.0 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 105 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement (procedure))</span>; ????; Acme Laboratory, Inc; 28 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement (procedure))</span>; ????; Acme Laboratory, Inc; 13 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 5.2 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea measurement (procedure))</span>; ????; Acme Laboratory, Inc; 6.4 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 0.09 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 0.46 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis (procedure))</span>; ????; Acme Laboratory, Inc; 13 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002'
                   = 'Bilirubin, direct measurement (procedure))</span>; ????; Acme Laboratory, Inc; 6 umol/L</li><li>id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 204 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 192 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 70 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 26 U/L</li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 150 U/L</li><li>id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 2.37 mmol/L</li><li>id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement (procedure))</span>; ????; Acme Laboratory, Inc; 2.47 mmol/L</li><li>id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 1.4 mmol/L</li><li>id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 67 g/L</li><li>id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 39 g/L</li><li>id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement (procedure))</span>; ????; Acme Laboratory, Inc; 28 g/L</li><li>id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 5 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.4 mmol/L</li><li>id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement (procedure))</span>; ????; Acme Laboratory, Inc; 1.1 mmol/L</li></ul></div></text><contained>
          <Observation>
            <id value="o1"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2951-2"/>
                <display value="Sodium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104934005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="142"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="137"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2823-3"/>
                <display value="Potassium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="59573005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4.0"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.5"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2075-0"/>
                <display value="Chloride [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="46511006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="105"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="96"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1963-8"/>
                <display value="Bicarbonate [Moles/volume] in Serum"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88645003"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="28"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="25"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1863-0"/>
                <display value="Anion gap 4 in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="271057005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="13"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="4"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14749-6"/>
                <display value="Glucose [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="36048009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="5.2"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.0"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="7.7"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14937-7"/>
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="273967009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="6.4"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="2.0"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="7.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o8"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14682-9"/>
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="70901006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.09"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0.04"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="0.11"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14933-6"/>
                <display value="Urate [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="86228006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.46"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0.14"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="0.35"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
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<!--        OBX|28|FT|TXT^^AUSPDI||                                Units  Ref Range\.br\ \.br\
     SERUM CHEMISTRY\.br\ Sodium                 142      mmol/L 137-147\.br\ Serum Potassium
          4.0      mmol/L 3.5-5.0\.br\ Chloride               105      mmol/L 96-109\.br\
   Bicarbonate            28       mmol/L 25-33\.br\ Other Anions           13       mmol/L
   4-17\.br\ Glucose                5.2      mmol/L 3.0-7.7\.br\ Urea                   6.4
        mmol/L 2.0-7.0\.br\ Serum Creatinine       0.09     mmol/L 0.04-0.11\.br\ Serum Uric
   Acid        0.46 +++ mmol/L 0.14-0.35\.br\ Total Bilirubin        13       umol/L 2-20\.br\
   Direct Bilirubin       6        umol/L 0-8\.br\ Alkaline phosphatase [Enzymatic activity/volume]
   in Serum or Plasma 204 +++  U/L    30-115\.br\ Gamma G.T.             192 +++  U/L   
   0-45\.br\ ALT                    70 +     U/L    0-45\.br\ AST                    26 
        U/L    0-41\.br\ LD                     150      U/L    80-250\.br\ Serum Calcium
            2.37     mmol/L 2.25-2.65\.br\ Corrected Calcium      2.47     mmol/L 2.25-2.65\.br\
   Serum Phosphate        1.4      mmol/L 0.8-1.5\.br\ Total Protein          67       g/L
      60-82\.br\ Serum Albumin          39       g/L    35-50\.br\ Globulins            
    28       g/L    20-40\.br\ Iron                   5 - -     umol/L 10-33\.br\ Cholesterol
              4.4      mmol/L 3.6-6.7\.br\ \.br\ Revised NHF cholesterol guidelines (Nov.,2001):\.br\
     Target below 4.0 mmol/L if high risk patient.\.br\   Consider lipid lowering treatment
   if cholesterol above 6.0 mmol/L\.br\   and no other risk factor of CHD.\.br\ \.br\ Triglycerides
            1.1      mmol/L 0.3-4.0\.br\||        -->
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        <id value="6"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </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>: 6</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/4</a></p><p><b>effective</b>: 22/12/2004 6:45:17 PM</p><p><b>issued</b>: 21/12/2004 11:00:01 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 142 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.0 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 107 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement (procedure))</span>; ????; Acme Laboratory, Inc; 26 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement (procedure))</span>; ????; Acme Laboratory, Inc; 13 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 6.3 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea measurement (procedure))</span>; ????; Acme Laboratory, Inc; 6.7 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 0.08 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 0.40 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis (procedure))</span>; ????; Acme Laboratory, Inc; 9 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002'
                   = 'Bilirubin, direct measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4 umol/L</li><li>id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 144 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 106 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 30 U/L</li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 18 U/L</li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 143 U/L</li><li>id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 2.28 mmol/L</li><li>id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement (procedure))</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 1.3 mmol/L</li><li>id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 66 g/L</li><li>id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 41 g/L</li><li>id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement (procedure))</span>; ????; Acme Laboratory, Inc; 25 g/L</li><li>id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 3 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.0 mmol/L</li><li>id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement (procedure))</span>; ????; Acme Laboratory, Inc; 1.0 mmol/L</li></ul></div></text><contained>
          <Observation>
            <id value="o1"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2951-2"/>
                <display value="Sodium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104934005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="142"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="137"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2823-3"/>
                <display value="Potassium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="59573005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4.0"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.5"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2075-0"/>
                <display value="Chloride [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="46511006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="107"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="96"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1963-8"/>
                <display value="Bicarbonate [Moles/volume] in Serum"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88645003"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="26"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="25"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1863-0"/>
                <display value="Anion gap 4 in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="271057005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="13"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="4"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14749-6"/>
                <display value="Glucose [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="36048009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="6.3"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.0"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="7.7"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14937-7"/>
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="273967009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="6.7"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="2.0"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="7.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o8"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14682-9"/>
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="70901006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.08"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0.04"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="0.11"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14933-6"/>
                <display value="Urate [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="86228006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.40"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0.14"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="0.35"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14631-6"/>
                <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="27171005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="9"/>
              <unit value="umol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="2"/>
                <unit value="umol/L"/>
              </low>
              <high>
                <value value="20"/>
                <unit value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o11"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14629-0"/>
                <display value="Bilirubin.direct [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="39748002"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4"/>
              <unit value="umol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="umol/L"/>
              </low>
              <high>
                <value value="8"/>
                <unit value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="6768-6"/>
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88810008"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="144"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="30"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="115"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2324-2"/>
                <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="69480007"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="106"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1742-6"/>
                <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="34608000"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="30"/>
              <unit value="U/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1920-8"/>
                <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="45896001"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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                <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"/>
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            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
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            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2000-8"/>
                <display value="Calcium [Moles/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="71878006"/>
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            <subject>
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              <display value="Acme Laboratory, Inc"/>
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              <unit value="mmol/L"/>
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              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
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            <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"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="166708003"/>
              </coding>
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              <value value="2.32"/>
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              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
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            <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>
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                <system value="http://loinc.org"/>
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                <code value="74040009"/>
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              <reference value="Patient/4"/>
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              <display value="Acme Laboratory, Inc"/>
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            <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"/>
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            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
              <value value="41"/>
              <unit value="g/L"/>
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            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="10834-0"/>
                <display value="Globulin [Mass/volume] in Serum by calculation"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104979009"/>
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              <reference value="Patient/4"/>
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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              <value value="25"/>
              <unit value="g/L"/>
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              <high>
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                <unit value="g/L"/>
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            </referenceRange>
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        <contained>
          <Observation>
            <id value="o23"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42950004"/>
              </coding>
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              <reference value="Patient/4"/>
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="3"/>
              <unit value="umol/L"/>
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            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="LL"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="10"/>
                <unit value="umol/L"/>
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              <high>
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                <unit value="umol/L"/>
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            <id value="o24"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
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              <coding>
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                <code value="77068002"/>
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
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              <unit value="mmol/L"/>
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              <high>
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            <id value="o25"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14927-8"/>
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
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              <coding>
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                <code value="104784006"/>
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        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
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        <status value="final"/>
        <code>
          <text value="SERUM CHEMISTRY"/>
        </code>
        <subject>
          <reference value="Patient/4"/>
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        <effectiveDateTime value="2004-12-22T07:45:17Z"/>
        <issued value="2004-12-21T00:00:01Z"/>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
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        <result>
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        <result>
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        <result>
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        <result>
          <reference value="#o17"/>
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        <result>
          <reference value="#o18"/>
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        <result>
          <reference value="#o19"/>
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        <result>
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        <result>
          <reference value="#o21"/>
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  </entry>
<!--        OBX|28|FT|PIT^^AUSPDI||001 Medical-Objects                                    
          07 01/07/1996\.br\002   \.br\003 Report Run Number: 1    Created:   19/04/2005
       at    22:58:15\.br\004 Surgery: XXX    Reports: 23/02/2005 10:04:00  to  23/02/2005
   10:04:00       \.br\009 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
   - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
   -\.br\010 ANDERSON,DR. THOMAS                          0191322W\.br\019 - - - - - - -
   - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
   - - - - - - - - - - - - - - - - - - - - - - - - -\.br\020 Your Ref.   Patient Name   
                  Lab Ref.       Test\.br\021             JONES,June                    
    04-4154148     E/LFT (MASTER)\.br\029 - - - - - - - - - - - - - - - - - - - - - - - -
   - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
   - - - - - - - -\.br\100 Start Patient  :      JONES,June                      \.br\101
                         24 Sutherland Street, BUDERIM QLD 4556               \.br\104  
                       Birthdate: 08/01/1976     Age: Y29     Sex:F\.br\105             
            Telephone: 07              \.br\109   \.br\110 Your Reference :      \.br\111
   MO  Reference  :      04-4154148-25T-0\.br\112 Medicare Number:                \.br\115
   Phone Enquiries:       (DR MARCUS WELBY)                           \.br\119   \.br\121
   Referred by    :      WHITE,DR. WILSON                \.br\122 Copy to        :      ANDERSON,DR.
   THOMAS             \.br\123 Addressee      :      ANDERSON,DR. THOMAS               0191322W\.br\129
     \.br\200 Start of Result:\.br\201 Specimen       :\.br\203 Requested      :      21/12/2004\.br\20
  4 Collected      :      22/12/2004  07:45\.br\205 Name of Test   :      E/LFT (MASTER)
                                         \.br\206 Reported       :      23/02/2005  10:04\.br\207
   Confidential   :      N\.br\208 Test Category  :      N\.br\209   \.br\210 Normal Result
    :      N\.br\299   \.br\301                               Units  Ref Range\.br\301 \.br\301
     SERUM CHEMISTRY\.br\301 Sodium                 142     mmol/L 137-147\.br\301 Serum
   Potassium        4.0     mmol/L 3.5-5.0\.br\301 Chloride               107     mmol/L
   96-109\.br\301 Bicarbonate            26      mmol/L 25-33\.br\301 Other Anions      
       13      mmol/L 4-17\.br\301 Glucose                6.3     mmol/L 3.0-7.7\.br\301
   Urea                   6.7     mmol/L 2.0-7.0\.br\301 Serum Creatinine       0.08    mmol/L
   0.04-0.11\.br\301 \R\FG04\R\Serum Uric Acid        0.40 ++ mmol/L 0.14-0.35\R\FG99\R\\.br\301
   Total Bilirubin        9       umol/L 2-20\.br\301 Direct Bilirubin       4       umol/L
   0-8\.br\301 \R\FG04\R\Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
   144 +   U/L    30-115\R\FG99\R\\.br\301 \R\FG04\R\Gamma G.T.             106 +++ U/L 
     0-45\R\FG99\R\\.br\301 ALT                    30      U/L    0-45\.br\301 AST      
                18      U/L    0-41\.br\301 LD                     143     U/L    80-250\.br\301
   Serum Calcium          2.28    mmol/L 2.25-2.65\.br\301 Corrected Calcium      2.32  
    mmol/L 2.25-2.65\.br\301 Serum Phosphate        1.3     mmol/L 0.8-1.5\.br\301 Total
   Protein          66      g/L    60-82\.br\301 Serum Albumin          41      g/L    35-50\.br\301
   Globulins              25      g/L    20-40\.br\301 \R\FG04\R\Iron                   3
   - - -   umol/L 10-33\R\FG99\R\\.br\301 Cholesterol            4.0     mmol/L 3.6-6.7\.br\301
   \.br\301 Revised NHF cholesterol guidelines (Nov.,2001):\.br\301   Target below 4.0 mmol/L
   if high risk patient.\.br\301   Consider lipid lowering treatment if cholesterol above
   6.0 mmol/L\.br\301   and no other risk factor of CHD.\.br\301 \.br\301 Triglycerides 
           1.0     mmol/L 0.3-4.0\.br\309   \.br\319   \.br\390 End of Report  :\.br\399
   - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
   - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\.br\999 END OF LISTING
   - Run Number:1     19/04/2005  22:58:15\.br\||        -->
  <entry>
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/7"/>
    <resource>
      <DiagnosticReport>
        <id value="7"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </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>: 7</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/5</a></p><p><b>effective</b>: 03/12/2004 8:45:17 PM</p><p><b>issued</b>: 03/12/2004 11:00:01 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 141 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.2 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 106 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement (procedure))</span>; ????; Acme Laboratory, Inc; 29 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement (procedure))</span>; ????; Acme Laboratory, Inc; 10 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 7.0 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.7 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 0.05 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 0.32 mmol/L</li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis (procedure))</span>; ????; Acme Laboratory, Inc; 43 umol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 708 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 1131 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 475 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 176 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 324 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement (procedure))</span>; ????; Acme Laboratory, Inc; 2.45 mmol/L</li><li>id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li><li>id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 71 g/L</li><li>id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 38 g/L</li><li>id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement (procedure))</span>; ????; Acme Laboratory, Inc; 33 g/L</li><li>id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 17 umol/L</li><li>id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 7.0 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement (procedure))</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li></ul></div></text><contained>
          <Observation>
            <id value="o1"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2951-2"/>
                <display value="Sodium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104934005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="141"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="137"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2823-3"/>
                <display value="Potassium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="59573005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4.2"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.5"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2075-0"/>
                <display value="Chloride [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="46511006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="106"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="96"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1963-8"/>
                <display value="Bicarbonate [Moles/volume] in Serum"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88645003"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="29"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="25"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1863-0"/>
                <display value="Anion gap 4 in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="271057005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="10"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="4"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14749-6"/>
                <display value="Glucose [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="36048009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="7.0"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.0"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="7.7"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14937-7"/>
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="273967009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4.7"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="2.0"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="7.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o8"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14682-9"/>
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="70901006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.05"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0.04"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="0.11"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14933-6"/>
                <display value="Urate [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="86228006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.32"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0.14"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="0.35"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14631-6"/>
                <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="27171005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="43"/>
              <unit value="umol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="2"/>
                <unit value="umol/L"/>
              </low>
              <high>
                <value value="20"/>
                <unit value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o11"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="6768-6"/>
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88810008"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="708"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="30"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="115"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2324-2"/>
                <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="69480007"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="1131"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1742-6"/>
                <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="34608000"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="475"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1920-8"/>
                <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="45896001"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="176"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="41"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2532-0"/>
                <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="11274001"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="324"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="80"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="250"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o16"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2000-8"/>
                <display value="Calcium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="71878006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="2.32"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o17"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="13959-2"/>
                <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="166708003"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="2.45"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o18"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14879-1"/>
                <display value="Phosphate [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104866001"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.9"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
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                <unit value="mmol/L"/>
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            </referenceRange>
          </Observation>
        </contained>
        <contained>
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            <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/5"/>
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            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
              <value value="71"/>
              <unit value="g/L"/>
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            <referenceRange>
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                <unit value="g/L"/>
              </low>
              <high>
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                <unit value="g/L"/>
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          </Observation>
        </contained>
        <contained>
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            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1751-7"/>
                <display value="Albumin [Mass/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104485008"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="38"/>
              <unit value="g/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="35"/>
                <unit value="g/L"/>
              </low>
              <high>
                <value value="50"/>
                <unit value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o21"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="10834-0"/>
                <display value="Globulin [Mass/volume] in Serum by calculation"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104979009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="33"/>
              <unit value="g/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="20"/>
                <unit value="g/L"/>
              </low>
              <high>
                <value value="40"/>
                <unit value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o22"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42950004"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="17"/>
              <unit value="umol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="10"/>
                <unit value="umol/L"/>
              </low>
              <high>
                <value value="33"/>
                <unit value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o23"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="77068002"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="7.0"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="3.6"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="6.7"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o24"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14927-8"/>
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104784006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.9"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0.3"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="4.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <status value="final"/>
        <code>
          <text value="SERUM CHEMISTRY"/>
        </code>
        <subject>
          <reference value="Patient/5"/>
        </subject>
        <effectiveDateTime value="2004-12-03T09:45:17Z"/>
        <issued value="2004-12-03T00:00:01Z"/>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <result>
          <reference value="#o1"/>
        </result>
        <result>
          <reference value="#o2"/>
        </result>
        <result>
          <reference value="#o3"/>
        </result>
        <result>
          <reference value="#o4"/>
        </result>
        <result>
          <reference value="#o5"/>
        </result>
        <result>
          <reference value="#o6"/>
        </result>
        <result>
          <reference value="#o7"/>
        </result>
        <result>
          <reference value="#o8"/>
        </result>
        <result>
          <reference value="#o9"/>
        </result>
        <result>
          <reference value="#o10"/>
        </result>
        <result>
          <reference value="#o11"/>
        </result>
        <result>
          <reference value="#o12"/>
        </result>
        <result>
          <reference value="#o13"/>
        </result>
        <result>
          <reference value="#o14"/>
        </result>
        <result>
          <reference value="#o15"/>
        </result>
        <result>
          <reference value="#o16"/>
        </result>
        <result>
          <reference value="#o17"/>
        </result>
        <result>
          <reference value="#o18"/>
        </result>
        <result>
          <reference value="#o19"/>
        </result>
        <result>
          <reference value="#o20"/>
        </result>
        <result>
          <reference value="#o21"/>
        </result>
        <result>
          <reference value="#o22"/>
        </result>
        <result>
          <reference value="#o23"/>
        </result>
        <result>
          <reference value="#o24"/>
        </result>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/8"/>
    <resource>
      <DiagnosticReport>
        <id value="8"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </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>: 8</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/6</a></p><p><b>effective</b>: 04/12/2004 7:30:17 AM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 142 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 3.6 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 104 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement (procedure))</span>; ????; Acme Laboratory, Inc; 30 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement (procedure))</span>; ????; Acme Laboratory, Inc; 12 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 6.2 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.5 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 0.06 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 0.37 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis (procedure))</span>; ????; Acme Laboratory, Inc; 50 umol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 684 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 1105 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 466 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 198 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 323 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement (procedure))</span>; ????; Acme Laboratory, Inc; 2.45 mmol/L</li><li>id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li><li>id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 70 g/L</li><li>id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 38 g/L</li><li>id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement (procedure))</span>; ????; Acme Laboratory, Inc; 32 g/L</li><li>id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 11 umol/L</li><li>id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 6.9 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement (procedure))</span>; ????; Acme Laboratory, Inc; 1.9 mmol/L</li></ul></div></text><contained>
          <Observation>
            <id value="o1"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2951-2"/>
                <display value="Sodium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104934005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/6"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="142"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="137"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2823-3"/>
                <display value="Potassium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="59573005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/6"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="3.6"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.5"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2075-0"/>
                <display value="Chloride [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="46511006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/6"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="104"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="96"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1963-8"/>
                <display value="Bicarbonate [Moles/volume] in Serum"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88645003"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/6"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="30"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="25"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1863-0"/>
                <display value="Anion gap 4 in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="271057005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/6"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
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          <lastUpdated value="2012-04-14T10:35:23Z"/>
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        <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 9</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/7</a></p><p><b>effective</b>: 05/12/2004 6:15:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 143 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.3 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 108 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement (procedure))</span>; ????; Acme Laboratory, Inc; 25 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement (procedure))</span>; ????; Acme Laboratory, Inc; 14 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.3 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.6 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 0.06 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 0.41 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis (procedure))</span>; ????; Acme Laboratory, Inc; 27 umol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 631 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 956 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 398 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 120 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 243 U/L</li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 2.33 mmol/L</li><li>id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement (procedure))</span>; ????; Acme Laboratory, Inc; 2.52 mmol/L</li><li>id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 1.2 mmol/L</li><li>id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 71 g/L</li><li>id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 36 g/L</li><li>id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement (procedure))</span>; ????; Acme Laboratory, Inc; 35 g/L</li><li>id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 39 umol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 6.8 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement (procedure))</span>; ????; Acme Laboratory, Inc; 1.5 mmol/L</li></ul></div></text><contained>
          <Observation>
            <id value="o1"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2951-2"/>
                <display value="Sodium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104934005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="143"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="137"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2823-3"/>
                <display value="Potassium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="59573005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4.3"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.5"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2075-0"/>
                <display value="Chloride [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="46511006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="108"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="96"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1963-8"/>
                <display value="Bicarbonate [Moles/volume] in Serum"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88645003"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="25"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="25"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1863-0"/>
                <display value="Anion gap 4 in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="271057005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="14"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="4"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14749-6"/>
                <display value="Glucose [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="36048009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4.3"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.0"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="7.7"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14937-7"/>
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="273967009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4.6"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="2.0"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="7.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o8"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14682-9"/>
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="70901006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.06"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0.04"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="0.11"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14933-6"/>
                <display value="Urate [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="86228006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.41"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0.14"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="0.35"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14631-6"/>
                <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="27171005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="27"/>
              <unit value="umol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="2"/>
                <unit value="umol/L"/>
              </low>
              <high>
                <value value="20"/>
                <unit value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o11"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="6768-6"/>
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88810008"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="631"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="30"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="115"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2324-2"/>
                <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="69480007"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="956"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1742-6"/>
                <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="34608000"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="398"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
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                <unit value="U/L"/>
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            <status value="final"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="1920-8"/>
                <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
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              <coding>
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                <code value="45896001"/>
              </coding>
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            <subject>
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            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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              <unit value="U/L"/>
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            <interpretation>
              <coding>
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                <code value="HH"/>
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                <unit value="U/L"/>
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              <high>
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                <unit value="U/L"/>
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        <contained>
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            <status value="final"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="2532-0"/>
                <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="11274001"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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              <high>
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                <unit value="U/L"/>
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        </contained>
        <contained>
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            <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/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="2.33"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
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                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o17"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="13959-2"/>
                <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="166708003"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="2.52"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
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                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o18"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14879-1"/>
                <display value="Phosphate [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104866001"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="1.2"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
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                <unit value="mmol/L"/>
              </low>
              <high>
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                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
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            <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/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="71"/>
              <unit value="g/L"/>
            </valueQuantity>
            <referenceRange>
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                <unit value="g/L"/>
              </low>
              <high>
                <value value="82"/>
                <unit value="g/L"/>
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            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
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            <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/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="36"/>
              <unit value="g/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
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                <unit value="g/L"/>
              </low>
              <high>
                <value value="50"/>
                <unit value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o21"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="10834-0"/>
                <display value="Globulin [Mass/volume] in Serum by calculation"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104979009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="35"/>
              <unit value="g/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="20"/>
                <unit value="g/L"/>
              </low>
              <high>
                <value value="40"/>
                <unit value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o22"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42950004"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="39"/>
              <unit value="umol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="10"/>
                <unit value="umol/L"/>
              </low>
              <high>
                <value value="33"/>
                <unit value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o23"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="77068002"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="6.8"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="3.6"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="6.7"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o24"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14927-8"/>
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104784006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/7"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="1.5"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0.3"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="4.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <status value="final"/>
        <code>
          <text value="SERUM CHEMISTRY"/>
        </code>
        <subject>
          <reference value="Patient/7"/>
        </subject>
        <effectiveDateTime value="2004-12-05T07:15:17Z"/>
        <issued value="2005-02-23T10:04:01Z"/>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <result>
          <reference value="#o1"/>
        </result>
        <result>
          <reference value="#o2"/>
        </result>
        <result>
          <reference value="#o3"/>
        </result>
        <result>
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        </result>
        <result>
          <reference value="#o5"/>
        </result>
        <result>
          <reference value="#o6"/>
        </result>
        <result>
          <reference value="#o7"/>
        </result>
        <result>
          <reference value="#o8"/>
        </result>
        <result>
          <reference value="#o9"/>
        </result>
        <result>
          <reference value="#o10"/>
        </result>
        <result>
          <reference value="#o11"/>
        </result>
        <result>
          <reference value="#o12"/>
        </result>
        <result>
          <reference value="#o13"/>
        </result>
        <result>
          <reference value="#o14"/>
        </result>
        <result>
          <reference value="#o15"/>
        </result>
        <result>
          <reference value="#o16"/>
        </result>
        <result>
          <reference value="#o17"/>
        </result>
        <result>
          <reference value="#o18"/>
        </result>
        <result>
          <reference value="#o19"/>
        </result>
        <result>
          <reference value="#o20"/>
        </result>
        <result>
          <reference value="#o21"/>
        </result>
        <result>
          <reference value="#o22"/>
        </result>
        <result>
          <reference value="#o23"/>
        </result>
        <result>
          <reference value="#o24"/>
        </result>
      </DiagnosticReport>
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  </entry>
  <entry>
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/15"/>
    <resource>
      <DiagnosticReport>
        <id value="15"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </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>: 15</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/8</a></p><p><b>effective</b>: 27/01/2005 5:40:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 140 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.2 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 105 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement (procedure))</span>; ????; Acme Laboratory, Inc; 26 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement (procedure))</span>; ????; Acme Laboratory, Inc; 13 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 7.4 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.7 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 0.09 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 0.39 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis (procedure))</span>; ????; Acme Laboratory, Inc; 7 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002'
                   = 'Bilirubin, direct measurement (procedure))</span>; ????; Acme Laboratory, Inc; 3 umol/L</li><li>id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 108 U/L</li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 35 U/L</li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 54 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 30 U/L</li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 131 U/L</li><li>id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 2.38 mmol/L</li><li>id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement (procedure))</span>; ????; Acme Laboratory, Inc; 2.39 mmol/L</li><li>id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 1.5 mmol/L</li><li>id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 67 g/L</li><li>id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 42 g/L</li><li>id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement (procedure))</span>; ????; Acme Laboratory, Inc; 25 g/L</li><li>id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {[not stated] code '42950004' = '??)</span>; ????; Acme Laboratory, Inc; 5 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 3.8 mmol/L</li><li>id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement (procedure))</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li></ul></div></text><contained>
          <Observation>
            <id value="o1"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2951-2"/>
                <display value="Sodium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104934005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/8"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="140"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="137"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2823-3"/>
                <display value="Potassium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="59573005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/8"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4.2"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.5"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2075-0"/>
                <display value="Chloride [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="46511006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/8"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="105"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="96"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1963-8"/>
                <display value="Bicarbonate [Moles/volume] in Serum"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88645003"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/8"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="26"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="25"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1863-0"/>
                <display value="Anion gap 4 in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="271057005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/8"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="13"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="4"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14749-6"/>
                <display value="Glucose [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="36048009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/8"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="7.4"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.0"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="7.7"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14937-7"/>
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="273967009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/8"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4.7"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="2.0"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="7.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o8"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14682-9"/>
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="70901006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/8"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.09"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0.04"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="0.11"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14933-6"/>
                <display value="Urate [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="86228006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/8"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.39"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0.14"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="0.35"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14631-6"/>
                <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="27171005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/8"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="7"/>
              <unit value="umol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="2"/>
                <unit value="umol/L"/>
              </low>
              <high>
                <value value="20"/>
                <unit value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o11"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14629-0"/>
                <display value="Bilirubin.direct [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="39748002"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/8"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="3"/>
              <unit value="umol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="umol/L"/>
              </low>
              <high>
                <value value="8"/>
                <unit value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="6768-6"/>
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88810008"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/8"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="108"/>
              <unit value="U/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="30"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="115"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2324-2"/>
                <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="69480007"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/8"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="35"/>
              <unit value="U/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1742-6"/>
                <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="34608000"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/8"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="54"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1920-8"/>
                <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="45896001"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/8"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="30"/>
              <unit value="U/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="41"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o16"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2532-0"/>
                <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="11274001"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/8"/>
            </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/8"/>
            </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/8"/>
            </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/8"/>
            </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/8"/>
            </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/8"/>
            </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/8"/>
            </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="o23"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <code value="42950004"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/8"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="5"/>
              <unit value="umol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="LL"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="10"/>
                <unit value="umol/L"/>
              </low>
              <high>
                <value value="33"/>
                <unit value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o24"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="77068002"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/8"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="3.8"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.6"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="6.7"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o25"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14927-8"/>
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104784006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/8"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.9"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0.3"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="4.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <status value="final"/>
        <code>
          <text value="SERUM CHEMISTRY"/>
        </code>
        <subject>
          <reference value="Patient/8"/>
        </subject>
        <effectiveDateTime value="2005-01-27T06:40:17Z"/>
        <issued value="2005-02-23T10:04:01Z"/>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <result>
          <reference value="#o1"/>
        </result>
        <result>
          <reference value="#o2"/>
        </result>
        <result>
          <reference value="#o3"/>
        </result>
        <result>
          <reference value="#o4"/>
        </result>
        <result>
          <reference value="#o5"/>
        </result>
        <result>
          <reference value="#o6"/>
        </result>
        <result>
          <reference value="#o7"/>
        </result>
        <result>
          <reference value="#o8"/>
        </result>
        <result>
          <reference value="#o9"/>
        </result>
        <result>
          <reference value="#o10"/>
        </result>
        <result>
          <reference value="#o11"/>
        </result>
        <result>
          <reference value="#o12"/>
        </result>
        <result>
          <reference value="#o13"/>
        </result>
        <result>
          <reference value="#o14"/>
        </result>
        <result>
          <reference value="#o15"/>
        </result>
        <result>
          <reference value="#o16"/>
        </result>
        <result>
          <reference value="#o17"/>
        </result>
        <result>
          <reference value="#o18"/>
        </result>
        <result>
          <reference value="#o19"/>
        </result>
        <result>
          <reference value="#o20"/>
        </result>
        <result>
          <reference value="#o21"/>
        </result>
        <result>
          <reference value="#o22"/>
        </result>
        <result>
          <reference value="#o23"/>
        </result>
        <result>
          <reference value="#o24"/>
        </result>
        <result>
          <reference value="#o25"/>
        </result>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/16"/>
    <resource>
      <DiagnosticReport>
        <id value="16"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </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>: 16</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/9</a></p><p><b>effective</b>: 08/12/2004 6:45:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 138 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.1 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 103 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement (procedure))</span>; ????; Acme Laboratory, Inc; 27 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement (procedure))</span>; ????; Acme Laboratory, Inc; 12 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 6.8 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea measurement (procedure))</span>; ????; Acme Laboratory, Inc; 8.2 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 0.07 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 0.42 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis (procedure))</span>; ????; Acme Laboratory, Inc; 16 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002'
                   = 'Bilirubin, direct measurement (procedure))</span>; ????; Acme Laboratory, Inc; 8 umol/L</li><li>id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 369 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 438 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 263 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 87 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 179 U/L</li><li>id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement (procedure))</span>; ????; Acme Laboratory, Inc; 2.42 mmol/L</li><li>id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 1.3 mmol/L</li><li>id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 67 g/L</li><li>id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 39 g/L</li><li>id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement (procedure))</span>; ????; Acme Laboratory, Inc; 28 g/L</li><li>id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 8 umol/L; Low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'L' = 'Low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.8 mmol/L</li><li>id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement (procedure))</span>; ????; Acme Laboratory, Inc; 2.2 mmol/L</li></ul></div></text><contained>
          <Observation>
            <id value="o1"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2951-2"/>
                <display value="Sodium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104934005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/9"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="138"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="137"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2823-3"/>
                <display value="Potassium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="59573005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/9"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4.1"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.5"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2075-0"/>
                <display value="Chloride [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="46511006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/9"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="103"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="96"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1963-8"/>
                <display value="Bicarbonate [Moles/volume] in Serum"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88645003"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/9"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="27"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="25"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1863-0"/>
                <display value="Anion gap 4 in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="271057005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/9"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="12"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="4"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14749-6"/>
                <display value="Glucose [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="36048009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/9"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="6.8"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.0"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="7.7"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14937-7"/>
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="273967009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/9"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="8.2"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="2.0"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="7.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
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              <coding>
                <system value="http://loinc.org"/>
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                <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
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                <code value="70901006"/>
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              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
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              <unit value="mmol/L"/>
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              <high>
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            </referenceRange>
          </Observation>
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        <contained>
          <Observation>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="14933-6"/>
                <display value="Urate [Moles/volume] in Serum or Plasma"/>
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              <coding>
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                <code value="86228006"/>
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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                <code value="HH"/>
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                <code value="27171005"/>
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              <reference value="Patient/9"/>
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              <display value="Acme Laboratory, Inc"/>
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        <contained>
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            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14629-0"/>
                <display value="Bilirubin.direct [Moles/volume] in Serum or Plasma"/>
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            <performer>
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              <display value="Acme Laboratory, Inc"/>
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              <high>
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        <contained>
          <Observation>
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            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="6768-6"/>
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
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              <coding>
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                <code value="88810008"/>
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            <subject>
              <reference value="Patient/9"/>
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            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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            <interpretation>
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                <code value="HH"/>
              </coding>
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                <unit value="U/L"/>
              </low>
              <high>
                <value value="115"/>
                <unit value="U/L"/>
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        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2324-2"/>
                <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
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              <coding>
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                <code value="69480007"/>
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            </code>
            <subject>
              <reference value="Patient/9"/>
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            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="438"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
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                <unit value="U/L"/>
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              <high>
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        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1742-6"/>
                <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="34608000"/>
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            <subject>
              <reference value="Patient/9"/>
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            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
              <value value="263"/>
              <unit value="U/L"/>
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            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
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              <high>
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        <contained>
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              <coding>
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                <code value="1920-8"/>
                <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
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              <coding>
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                <code value="45896001"/>
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              <display value="Acme Laboratory, Inc"/>
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              <high>
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                <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
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              <reference value="Patient/9"/>
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            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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        </contained>
        <contained>
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              <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/9"/>
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            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
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              <unit value="mmol/L"/>
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              <high>
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                <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"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="166708003"/>
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            <subject>
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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        </contained>
        <contained>
          <Observation>
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            <status value="final"/>
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              <coding>
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            <subject>
              <reference value="Patient/9"/>
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="1751-7"/>
                <display value="Albumin [Mass/volume] in Serum or Plasma"/>
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              <high>
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        <contained>
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              <coding>
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                <code value="10834-0"/>
                <display value="Globulin [Mass/volume] in Serum by calculation"/>
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        <contained>
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                <display value="Iron [Moles/volume] in Serum or Plasma"/>
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              <coding>
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              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
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              <unit value="umol/L"/>
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                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="L"/>
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                <value value="10"/>
                <unit value="umol/L"/>
              </low>
              <high>
                <value value="33"/>
                <unit value="umol/L"/>
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            </referenceRange>
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        <contained>
          <Observation>
            <id value="o24"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
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              <coding>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="14927-8"/>
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104784006"/>
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            <subject>
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              <display value="Acme Laboratory, Inc"/>
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          <value value="5234342"/>
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        <status value="final"/>
        <code>
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        <subject>
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        <performer>
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        <result>
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        <result>
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        <result>
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        <result>
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        <result>
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        <result>
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        <result>
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        <result>
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        <result>
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        <result>
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  <entry>
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    <resource>
      <DiagnosticReport>
        <id value="17"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </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>: 17</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/10</a></p><p><b>effective</b>: 15/12/2004 6:20:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 142 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.0 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 105 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement (procedure))</span>; ????; Acme Laboratory, Inc; 28 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement (procedure))</span>; ????; Acme Laboratory, Inc; 13 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 5.2 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea measurement (procedure))</span>; ????; Acme Laboratory, Inc; 6.4 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 0.09 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 0.46 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis (procedure))</span>; ????; Acme Laboratory, Inc; 13 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002'
                   = 'Bilirubin, direct measurement (procedure))</span>; ????; Acme Laboratory, Inc; 6 umol/L</li><li>id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 204 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 192 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 70 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 26 U/L</li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 150 U/L</li><li>id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 2.37 mmol/L</li><li>id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement (procedure))</span>; ????; Acme Laboratory, Inc; 2.47 mmol/L</li><li>id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 1.4 mmol/L</li><li>id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 67 g/L</li><li>id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 39 g/L</li><li>id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement (procedure))</span>; ????; Acme Laboratory, Inc; 28 g/L</li><li>id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 5 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.4 mmol/L</li><li>id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement (procedure))</span>; ????; Acme Laboratory, Inc; 1.1 mmol/L</li></ul></div></text><contained>
          <Observation>
            <id value="o1"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2951-2"/>
                <display value="Sodium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104934005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/10"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="142"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="137"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2823-3"/>
                <display value="Potassium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="59573005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/10"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4.0"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.5"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2075-0"/>
                <display value="Chloride [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="46511006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/10"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="105"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="96"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1963-8"/>
                <display value="Bicarbonate [Moles/volume] in Serum"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88645003"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/10"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="28"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="25"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1863-0"/>
                <display value="Anion gap 4 in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="271057005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/10"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="13"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="4"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14749-6"/>
                <display value="Glucose [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="36048009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/10"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="5.2"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.0"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="7.7"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14937-7"/>
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="273967009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/10"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="6.4"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="2.0"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="7.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o8"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14682-9"/>
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="70901006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/10"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.09"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0.04"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="0.11"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14933-6"/>
                <display value="Urate [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="86228006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/10"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.46"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0.14"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="0.35"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14631-6"/>
                <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="27171005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/10"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="13"/>
              <unit value="umol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="2"/>
                <unit value="umol/L"/>
              </low>
              <high>
                <value value="20"/>
                <unit value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o11"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14629-0"/>
                <display value="Bilirubin.direct [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="39748002"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/10"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="6"/>
              <unit value="umol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="umol/L"/>
              </low>
              <high>
                <value value="8"/>
                <unit value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="6768-6"/>
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88810008"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/10"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="204"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="30"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="115"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2324-2"/>
                <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="69480007"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/10"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="192"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1742-6"/>
                <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="34608000"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/10"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="70"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
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              <coding>
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              <coding>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42950004"/>
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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              <unit value="umol/L"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
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              <coding>
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                <code value="77068002"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="14927-8"/>
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104784006"/>
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
              <value value="1.1"/>
              <unit value="mmol/L"/>
            </valueQuantity>
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                <unit value="mmol/L"/>
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              <high>
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                <unit value="mmol/L"/>
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        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
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        <status value="final"/>
        <code>
          <text value="SERUM CHEMISTRY"/>
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        <subject>
          <reference value="Patient/10"/>
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        <effectiveDateTime value="2004-12-15T07:20:17Z"/>
        <issued value="2005-02-23T10:04:01Z"/>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
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<!--        OBX|28|FT|TXT^^AUSPDI||                                Units  Ref Range\.br\ \.br\
     SERUM CHEMISTRY\.br\ Sodium                 142      mmol/L 137-147\.br\ Serum Potassium
          4.0      mmol/L 3.5-5.0\.br\ Chloride               105      mmol/L 96-109\.br\
   Bicarbonate            28       mmol/L 25-33\.br\ Other Anions           13       mmol/L
   4-17\.br\ Glucose                5.2      mmol/L 3.0-7.7\.br\ Urea                   6.4
        mmol/L 2.0-7.0\.br\ Serum Creatinine       0.09     mmol/L 0.04-0.11\.br\ Serum Uric
   Acid        0.46 +++ mmol/L 0.14-0.35\.br\ Total Bilirubin        13       umol/L 2-20\.br\
   Direct Bilirubin       6        umol/L 0-8\.br\ Alkaline phosphatase [Enzymatic activity/volume]
   in Serum or Plasma 204 +++  U/L    30-115\.br\ Gamma G.T.             192 +++  U/L   
   0-45\.br\ ALT                    70 +     U/L    0-45\.br\ AST                    26 
        U/L    0-41\.br\ LD                     150      U/L    80-250\.br\ Serum Calcium
            2.37     mmol/L 2.25-2.65\.br\ Corrected Calcium      2.47     mmol/L 2.25-2.65\.br\
   Serum Phosphate        1.4      mmol/L 0.8-1.5\.br\ Total Protein          67       g/L
      60-82\.br\ Serum Albumin          39       g/L    35-50\.br\ Globulins            
    28       g/L    20-40\.br\ Iron                   5 - -     umol/L 10-33\.br\ Cholesterol
              4.4      mmol/L 3.6-6.7\.br\ \.br\ Revised NHF cholesterol guidelines (Nov.,2001):\.br\
     Target below 4.0 mmol/L if high risk patient.\.br\   Consider lipid lowering treatment
   if cholesterol above 6.0 mmol/L\.br\   and no other risk factor of CHD.\.br\ \.br\ Triglycerides
            1.1      mmol/L 0.3-4.0\.br\||        -->
  <entry>
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/18"/>
    <resource>
      <DiagnosticReport>
        <id value="18"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </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>: 18</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/1</a></p><p><b>effective</b>: 22/12/2004 6:45:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 142 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.0 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 107 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement (procedure))</span>; ????; Acme Laboratory, Inc; 26 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement (procedure))</span>; ????; Acme Laboratory, Inc; 13 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 6.3 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea measurement (procedure))</span>; ????; Acme Laboratory, Inc; 6.7 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 0.08 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 0.40 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis (procedure))</span>; ????; Acme Laboratory, Inc; 9 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002'
                   = 'Bilirubin, direct measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4 umol/L</li><li>id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 144 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 106 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 30 U/L</li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 18 U/L</li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 143 U/L</li><li>id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 2.28 mmol/L</li><li>id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement (procedure))</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 1.3 mmol/L</li><li>id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 66 g/L</li><li>id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 41 g/L</li><li>id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement (procedure))</span>; ????; Acme Laboratory, Inc; 25 g/L</li><li>id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 3 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.0 mmol/L</li><li>id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement (procedure))</span>; ????; Acme Laboratory, Inc; 1.0 mmol/L</li></ul></div></text><contained>
          <Observation>
            <id value="o1"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2951-2"/>
                <display value="Sodium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104934005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="142"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="137"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2823-3"/>
                <display value="Potassium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="59573005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4.0"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.5"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2075-0"/>
                <display value="Chloride [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="46511006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="107"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="96"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1963-8"/>
                <display value="Bicarbonate [Moles/volume] in Serum"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88645003"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="26"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="25"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1863-0"/>
                <display value="Anion gap 4 in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="271057005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="13"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="4"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14749-6"/>
                <display value="Glucose [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="36048009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="6.3"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.0"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="7.7"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14937-7"/>
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="273967009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="6.7"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="2.0"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="7.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o8"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14682-9"/>
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="70901006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.08"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0.04"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="0.11"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14933-6"/>
                <display value="Urate [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="86228006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.40"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0.14"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="0.35"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14631-6"/>
                <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="27171005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="9"/>
              <unit value="umol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="2"/>
                <unit value="umol/L"/>
              </low>
              <high>
                <value value="20"/>
                <unit value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o11"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14629-0"/>
                <display value="Bilirubin.direct [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="39748002"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4"/>
              <unit value="umol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="umol/L"/>
              </low>
              <high>
                <value value="8"/>
                <unit value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="6768-6"/>
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88810008"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="144"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="30"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="115"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2324-2"/>
                <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="69480007"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="106"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1742-6"/>
                <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="34608000"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="30"/>
              <unit value="U/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1920-8"/>
                <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="45896001"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="18"/>
              <unit value="U/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="41"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o16"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2532-0"/>
                <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="11274001"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="143"/>
              <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/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="2.28"/>
              <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/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="2.32"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="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/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="1.3"/>
              <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/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="66"/>
              <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"/>
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        <contained>
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              <coding>
                <system value="http://loinc.org"/>
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                <display value="Iron [Moles/volume] in Serum or Plasma"/>
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              <coding>
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                <code value="42950004"/>
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              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
              <value value="3"/>
              <unit value="umol/L"/>
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                <code value="LL"/>
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            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
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            <code>
              <coding>
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                <code value="14927-8"/>
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
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        <identifier>
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          <value value="5234342"/>
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        <code>
          <text value="SERUM CHEMISTRY"/>
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        <subject>
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        <effectiveDateTime value="2004-12-22T07:45:17Z"/>
        <issued value="2005-02-23T10:04:01Z"/>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
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<!--        OBX|28|FT|PIT^^AUSPDI||001 Medical-Objects                                    
          07 01/07/1996\.br\002   \.br\003 Report Run Number: 1    Created:   19/04/2005
       at    22:58:15\.br\004 Surgery: XXX    Reports: 23/02/2005 10:04:00  to  23/02/2005
   10:04:00       \.br\009 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
   - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
   -\.br\010 ANDERSON,DR. THOMAS                          0191322W\.br\019 - - - - - - -
   - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
   - - - - - - - - - - - - - - - - - - - - - - - - -\.br\020 Your Ref.   Patient Name   
                  Lab Ref.       Test\.br\021             JONES,June                    
    04-4154148     E/LFT (MASTER)\.br\029 - - - - - - - - - - - - - - - - - - - - - - - -
   - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
   - - - - - - - -\.br\100 Start Patient  :      JONES,June                      \.br\101
                         24 Sutherland Street, BUDERIM QLD 4556               \.br\104  
                       Birthdate: 08/01/1976     Age: Y29     Sex:F\.br\105             
            Telephone: 07              \.br\109   \.br\110 Your Reference :      \.br\111
   MO  Reference  :      04-4154148-25T-0\.br\112 Medicare Number:                \.br\115
   Phone Enquiries:       (DR MARCUS WELBY)                           \.br\119   \.br\121
   Referred by    :      WHITE,DR. WILSON                \.br\122 Copy to        :      ANDERSON,DR.
   THOMAS             \.br\123 Addressee      :      ANDERSON,DR. THOMAS               0191322W\.br\129
     \.br\200 Start of Result:\.br\201 Specimen       :\.br\203 Requested      :      21/12/2004\.br\20
  4 Collected      :      22/12/2004  07:45\.br\205 Name of Test   :      E/LFT (MASTER)
                                         \.br\206 Reported       :      23/02/2005  10:04\.br\207
   Confidential   :      N\.br\208 Test Category  :      N\.br\209   \.br\210 Normal Result
    :      N\.br\299   \.br\301                               Units  Ref Range\.br\301 \.br\301
     SERUM CHEMISTRY\.br\301 Sodium                 142     mmol/L 137-147\.br\301 Serum
   Potassium        4.0     mmol/L 3.5-5.0\.br\301 Chloride               107     mmol/L
   96-109\.br\301 Bicarbonate            26      mmol/L 25-33\.br\301 Other Anions      
       13      mmol/L 4-17\.br\301 Glucose                6.3     mmol/L 3.0-7.7\.br\301
   Urea                   6.7     mmol/L 2.0-7.0\.br\301 Serum Creatinine       0.08    mmol/L
   0.04-0.11\.br\301 \R\FG04\R\Serum Uric Acid        0.40 ++ mmol/L 0.14-0.35\R\FG99\R\\.br\301
   Total Bilirubin        9       umol/L 2-20\.br\301 Direct Bilirubin       4       umol/L
   0-8\.br\301 \R\FG04\R\Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
   144 +   U/L    30-115\R\FG99\R\\.br\301 \R\FG04\R\Gamma G.T.             106 +++ U/L 
     0-45\R\FG99\R\\.br\301 ALT                    30      U/L    0-45\.br\301 AST      
                18      U/L    0-41\.br\301 LD                     143     U/L    80-250\.br\301
   Serum Calcium          2.28    mmol/L 2.25-2.65\.br\301 Corrected Calcium      2.32  
    mmol/L 2.25-2.65\.br\301 Serum Phosphate        1.3     mmol/L 0.8-1.5\.br\301 Total
   Protein          66      g/L    60-82\.br\301 Serum Albumin          41      g/L    35-50\.br\301
   Globulins              25      g/L    20-40\.br\301 \R\FG04\R\Iron                   3
   - - -   umol/L 10-33\R\FG99\R\\.br\301 Cholesterol            4.0     mmol/L 3.6-6.7\.br\301
   \.br\301 Revised NHF cholesterol guidelines (Nov.,2001):\.br\301   Target below 4.0 mmol/L
   if high risk patient.\.br\301   Consider lipid lowering treatment if cholesterol above
   6.0 mmol/L\.br\301   and no other risk factor of CHD.\.br\301 \.br\301 Triglycerides 
           1.0     mmol/L 0.3-4.0\.br\309   \.br\319   \.br\390 End of Report  :\.br\399
   - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
   - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\.br\999 END OF LISTING
   - Run Number:1     19/04/2005  22:58:15\.br\||        -->
  <entry>
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/19"/>
    <resource>
      <DiagnosticReport>
        <id value="19"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </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>: 19</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/2</a></p><p><b>effective</b>: 03/12/2004 8:45:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 141 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.2 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 106 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement (procedure))</span>; ????; Acme Laboratory, Inc; 29 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement (procedure))</span>; ????; Acme Laboratory, Inc; 10 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 7.0 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.7 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 0.05 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 0.32 mmol/L</li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis (procedure))</span>; ????; Acme Laboratory, Inc; 43 umol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 708 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 1131 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 475 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 176 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 324 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement (procedure))</span>; ????; Acme Laboratory, Inc; 2.45 mmol/L</li><li>id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li><li>id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 71 g/L</li><li>id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 38 g/L</li><li>id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement (procedure))</span>; ????; Acme Laboratory, Inc; 33 g/L</li><li>id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 17 umol/L</li><li>id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 7.0 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement (procedure))</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li></ul></div></text><contained>
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            <id value="o1"/>
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                <system value="http://loinc.org"/>
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
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            <valueQuantity>
              <value value="141"/>
              <unit value="mmol/L"/>
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                <value value="137"/>
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              <high>
                <value value="147"/>
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            <id value="o2"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2823-3"/>
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        <contained>
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              <coding>
                <system value="http://loinc.org"/>
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              <coding>
                <system value="http://loinc.org"/>
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              <reference value="Patient/2"/>
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
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          <Observation>
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              <coding>
                <system value="http://loinc.org"/>
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                <system value="http://snomed.info/sct"/>
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              <reference value="Patient/2"/>
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            <valueQuantity>
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          <Observation>
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              <coding>
                <system value="http://loinc.org"/>
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          <Observation>
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              <coding>
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              <reference value="Patient/2"/>
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              <value value="4.7"/>
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              <coding>
                <system value="http://loinc.org"/>
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                <system value="http://snomed.info/sct"/>
                <code value="70901006"/>
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              <reference value="Patient/2"/>
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              <value value="0.05"/>
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                <value value="0.04"/>
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                <value value="0.11"/>
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          <Observation>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="14933-6"/>
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                <system value="http://snomed.info/sct"/>
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              <reference value="Patient/2"/>
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
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            <valueQuantity>
              <value value="0.32"/>
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                <value value="0.14"/>
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                <value value="0.35"/>
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          <Observation>
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              <coding>
                <system value="http://loinc.org"/>
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          <Observation>
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              <coding>
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          <Observation>
            <id value="o24"/>
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              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.9"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0.3"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="4.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <status value="final"/>
        <code>
          <text value="SERUM CHEMISTRY"/>
        </code>
        <subject>
          <reference value="Patient/2"/>
        </subject>
        <effectiveDateTime value="2004-12-03T09:45:17Z"/>
        <issued value="2005-02-23T10:04:01Z"/>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <result>
          <reference value="#o1"/>
        </result>
        <result>
          <reference value="#o2"/>
        </result>
        <result>
          <reference value="#o3"/>
        </result>
        <result>
          <reference value="#o4"/>
        </result>
        <result>
          <reference value="#o5"/>
        </result>
        <result>
          <reference value="#o6"/>
        </result>
        <result>
          <reference value="#o7"/>
        </result>
        <result>
          <reference value="#o8"/>
        </result>
        <result>
          <reference value="#o9"/>
        </result>
        <result>
          <reference value="#o10"/>
        </result>
        <result>
          <reference value="#o11"/>
        </result>
        <result>
          <reference value="#o12"/>
        </result>
        <result>
          <reference value="#o13"/>
        </result>
        <result>
          <reference value="#o14"/>
        </result>
        <result>
          <reference value="#o15"/>
        </result>
        <result>
          <reference value="#o16"/>
        </result>
        <result>
          <reference value="#o17"/>
        </result>
        <result>
          <reference value="#o18"/>
        </result>
        <result>
          <reference value="#o19"/>
        </result>
        <result>
          <reference value="#o20"/>
        </result>
        <result>
          <reference value="#o21"/>
        </result>
        <result>
          <reference value="#o22"/>
        </result>
        <result>
          <reference value="#o23"/>
        </result>
        <result>
          <reference value="#o24"/>
        </result>
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  <entry>
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/20"/>
    <resource>
      <DiagnosticReport>
        <id value="20"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </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>: 20</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/3</a></p><p><b>effective</b>: 04/12/2004 7:30:17 AM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 142 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 3.6 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 104 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement (procedure))</span>; ????; Acme Laboratory, Inc; 30 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement (procedure))</span>; ????; Acme Laboratory, Inc; 12 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 6.2 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.5 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 0.06 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 0.37 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis (procedure))</span>; ????; Acme Laboratory, Inc; 50 umol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 684 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 1105 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 466 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 198 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 323 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement (procedure))</span>; ????; Acme Laboratory, Inc; 2.45 mmol/L</li><li>id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li><li>id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 70 g/L</li><li>id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 38 g/L</li><li>id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement (procedure))</span>; ????; Acme Laboratory, Inc; 32 g/L</li><li>id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 11 umol/L</li><li>id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 6.9 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement (procedure))</span>; ????; Acme Laboratory, Inc; 1.9 mmol/L</li></ul></div></text><contained>
          <Observation>
            <id value="o1"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2951-2"/>
                <display value="Sodium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104934005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="142"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="137"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2823-3"/>
                <display value="Potassium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="59573005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="3.6"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.5"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2075-0"/>
                <display value="Chloride [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="46511006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="104"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="96"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1963-8"/>
                <display value="Bicarbonate [Moles/volume] in Serum"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88645003"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="30"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="25"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1863-0"/>
                <display value="Anion gap 4 in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="271057005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="12"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
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                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14749-6"/>
                <display value="Glucose [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="36048009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
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              <unit value="mmol/L"/>
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                <unit value="mmol/L"/>
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              <high>
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                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14937-7"/>
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="273967009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4.5"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
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                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="7.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o8"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14682-9"/>
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="70901006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.06"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0.04"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="0.11"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14933-6"/>
                <display value="Urate [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="86228006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.37"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0.14"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="0.35"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14631-6"/>
                <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="27171005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="50"/>
              <unit value="umol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="2"/>
                <unit value="umol/L"/>
              </low>
              <high>
                <value value="20"/>
                <unit value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o11"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="6768-6"/>
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88810008"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="684"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="30"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="115"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2324-2"/>
                <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="69480007"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="1105"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1742-6"/>
                <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="34608000"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="466"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1920-8"/>
                <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="45896001"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="198"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="41"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2532-0"/>
                <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="11274001"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="323"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="80"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="250"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o16"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2000-8"/>
                <display value="Calcium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="71878006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="2.32"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o17"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="13959-2"/>
                <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="166708003"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="2.45"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o18"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14879-1"/>
                <display value="Phosphate [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104866001"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.9"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0.8"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="1.5"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o19"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2885-2"/>
                <display value="Protein [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="74040009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="70"/>
              <unit value="g/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="60"/>
                <unit value="g/L"/>
              </low>
              <high>
                <value value="82"/>
                <unit value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o20"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1751-7"/>
                <display value="Albumin [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104485008"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="38"/>
              <unit value="g/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="35"/>
                <unit value="g/L"/>
              </low>
              <high>
                <value value="50"/>
                <unit value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o21"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="10834-0"/>
                <display value="Globulin [Mass/volume] in Serum by calculation"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104979009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="32"/>
              <unit value="g/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="20"/>
                <unit value="g/L"/>
              </low>
              <high>
                <value value="40"/>
                <unit value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o22"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42950004"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="11"/>
              <unit value="umol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="10"/>
                <unit value="umol/L"/>
              </low>
              <high>
                <value value="33"/>
                <unit value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o23"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="77068002"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="6.9"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="3.6"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="6.7"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o24"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14927-8"/>
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104784006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/3"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="1.9"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0.3"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="4.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <status value="final"/>
        <code>
          <text value="SERUM CHEMISTRY"/>
        </code>
        <subject>
          <reference value="Patient/3"/>
        </subject>
        <effectiveDateTime value="2004-12-03T20:30:17Z"/>
        <issued value="2005-02-23T10:04:01Z"/>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <result>
          <reference value="#o1"/>
        </result>
        <result>
          <reference value="#o2"/>
        </result>
        <result>
          <reference value="#o3"/>
        </result>
        <result>
          <reference value="#o4"/>
        </result>
        <result>
          <reference value="#o5"/>
        </result>
        <result>
          <reference value="#o6"/>
        </result>
        <result>
          <reference value="#o7"/>
        </result>
        <result>
          <reference value="#o8"/>
        </result>
        <result>
          <reference value="#o9"/>
        </result>
        <result>
          <reference value="#o10"/>
        </result>
        <result>
          <reference value="#o11"/>
        </result>
        <result>
          <reference value="#o12"/>
        </result>
        <result>
          <reference value="#o13"/>
        </result>
        <result>
          <reference value="#o14"/>
        </result>
        <result>
          <reference value="#o15"/>
        </result>
        <result>
          <reference value="#o16"/>
        </result>
        <result>
          <reference value="#o17"/>
        </result>
        <result>
          <reference value="#o18"/>
        </result>
        <result>
          <reference value="#o19"/>
        </result>
        <result>
          <reference value="#o20"/>
        </result>
        <result>
          <reference value="#o21"/>
        </result>
        <result>
          <reference value="#o22"/>
        </result>
        <result>
          <reference value="#o23"/>
        </result>
        <result>
          <reference value="#o24"/>
        </result>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/21"/>
    <resource>
      <DiagnosticReport>
        <id value="21"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </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>: 21</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/4</a></p><p><b>effective</b>: 05/12/2004 6:15:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 143 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.3 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 108 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement (procedure))</span>; ????; Acme Laboratory, Inc; 25 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement (procedure))</span>; ????; Acme Laboratory, Inc; 14 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.3 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea measurement (procedure))</span>; ????; Acme Laboratory, Inc; 4.6 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 0.06 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 0.41 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis (procedure))</span>; ????; Acme Laboratory, Inc; 27 umol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 631 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 956 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 398 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 120 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement (procedure))</span>; ????; Acme Laboratory, Inc; 243 U/L</li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 2.33 mmol/L</li><li>id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement (procedure))</span>; ????; Acme Laboratory, Inc; 2.52 mmol/L</li><li>id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 1.2 mmol/L</li><li>id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 71 g/L</li><li>id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum (procedure))</span>; ????; Acme Laboratory, Inc; 36 g/L</li><li>id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement (procedure))</span>; ????; Acme Laboratory, Inc; 35 g/L</li><li>id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement
                   (procedure))</span>; ????; Acme Laboratory, Inc; 39 umol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement (procedure))</span>; ????; Acme Laboratory, Inc; 6.8 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement (procedure))</span>; ????; Acme Laboratory, Inc; 1.5 mmol/L</li></ul></div></text><contained>
          <Observation>
            <id value="o1"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2951-2"/>
                <display value="Sodium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104934005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="143"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="137"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2823-3"/>
                <display value="Potassium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="59573005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4.3"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.5"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2075-0"/>
                <display value="Chloride [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="46511006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="108"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="96"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1963-8"/>
                <display value="Bicarbonate [Moles/volume] in Serum"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88645003"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="25"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="25"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1863-0"/>
                <display value="Anion gap 4 in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="271057005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="14"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="4"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14749-6"/>
                <display value="Glucose [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="36048009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4.3"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="3.0"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="7.7"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14937-7"/>
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="273967009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4.6"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="2.0"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="7.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o8"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14682-9"/>
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="70901006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.06"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0.04"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="0.11"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14933-6"/>
                <display value="Urate [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="86228006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.41"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0.14"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="0.35"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14631-6"/>
                <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="27171005"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="27"/>
              <unit value="umol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="2"/>
                <unit value="umol/L"/>
              </low>
              <high>
                <value value="20"/>
                <unit value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o11"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="6768-6"/>
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88810008"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="631"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="30"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="115"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2324-2"/>
                <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="69480007"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="956"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1742-6"/>
                <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="34608000"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="398"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1920-8"/>
                <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="45896001"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="120"/>
              <unit value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="0"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="41"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2532-0"/>
                <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="11274001"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="243"/>
              <unit value="U/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="80"/>
                <unit value="U/L"/>
              </low>
              <high>
                <value value="250"/>
                <unit value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o16"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2000-8"/>
                <display value="Calcium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="71878006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="2.33"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o17"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="13959-2"/>
                <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="166708003"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="2.52"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o18"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14879-1"/>
                <display value="Phosphate [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104866001"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="1.2"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0.8"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="1.5"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o19"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2885-2"/>
                <display value="Protein [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="74040009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="71"/>
              <unit value="g/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="60"/>
                <unit value="g/L"/>
              </low>
              <high>
                <value value="82"/>
                <unit value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o20"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1751-7"/>
                <display value="Albumin [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104485008"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="36"/>
              <unit value="g/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="35"/>
                <unit value="g/L"/>
              </low>
              <high>
                <value value="50"/>
                <unit value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o21"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="10834-0"/>
                <display value="Globulin [Mass/volume] in Serum by calculation"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104979009"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="35"/>
              <unit value="g/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="20"/>
                <unit value="g/L"/>
              </low>
              <high>
                <value value="40"/>
                <unit value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o22"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42950004"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="39"/>
              <unit value="umol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="10"/>
                <unit value="umol/L"/>
              </low>
              <high>
                <value value="33"/>
                <unit value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o23"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="77068002"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="6.8"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <referenceRange>
              <low>
                <value value="3.6"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="6.7"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o24"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14927-8"/>
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104784006"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/4"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="1.5"/>
              <unit value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="0.3"/>
                <unit value="mmol/L"/>
              </low>
              <high>
                <value value="4.0"/>
                <unit value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <status value="final"/>
        <code>
          <text value="SERUM CHEMISTRY"/>
        </code>
        <subject>
          <reference value="Patient/4"/>
        </subject>
        <effectiveDateTime value="2004-12-05T07:15:17Z"/>
        <issued value="2005-02-23T10:04:01Z"/>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <result>
          <reference value="#o1"/>
        </result>
        <result>
          <reference value="#o2"/>
        </result>
        <result>
          <reference value="#o3"/>
        </result>
        <result>
          <reference value="#o4"/>
        </result>
        <result>
          <reference value="#o5"/>
        </result>
        <result>
          <reference value="#o6"/>
        </result>
        <result>
          <reference value="#o7"/>
        </result>
        <result>
          <reference value="#o8"/>
        </result>
        <result>
          <reference value="#o9"/>
        </result>
        <result>
          <reference value="#o10"/>
        </result>
        <result>
          <reference value="#o11"/>
        </result>
        <result>
          <reference value="#o12"/>
        </result>
        <result>
          <reference value="#o13"/>
        </result>
        <result>
          <reference value="#o14"/>
        </result>
        <result>
          <reference value="#o15"/>
        </result>
        <result>
          <reference value="#o16"/>
        </result>
        <result>
          <reference value="#o17"/>
        </result>
        <result>
          <reference value="#o18"/>
        </result>
        <result>
          <reference value="#o19"/>
        </result>
        <result>
          <reference value="#o20"/>
        </result>
        <result>
          <reference value="#o21"/>
        </result>
        <result>
          <reference value="#o22"/>
        </result>
        <result>
          <reference value="#o23"/>
        </result>
        <result>
          <reference value="#o24"/>
        </result>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/25"/>
    <resource>
      <DiagnosticReport>
        <id value="25"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </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>: 25</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: Microbial susceptibility tests Set <span>(Details : {LOINC code '18769-0' = 'Microbial susceptibility tests Set', given as 'Microbial
                 susceptibility tests Set'})</span></p><p><b>subject</b>: <a>Patient/5</a></p><p><b>effective</b>: 08/11/2005 8:44:17 AM</p><p><b>issued</b>: 08/11/2005 10:38:01 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><p><b>specimen</b>: URINE, CLEAN CATCH/MIDSTREAM</p><p><b>result</b>: </p><ul><li>id: o1; status: final; Microorganism identified in Unspecified specimen by Culture <span>(Details : {LOINC code '11475-1' = 'Microorganism identified in Unspecified specimen by
                   Culture', given as 'Microorganism identified in Unspecified specimen by Culture'})</span>; ????; Acme Laboratory, Inc; KLEBSIELLA PNEUMONIAE <span>(Details )</span></li><li>id: o2; status: final; Microorganism [#/volume] in Unspecified specimen by Viability count
                 <span>(Details : {LOINC code '43161-9' = 'Microorganism [#/volume] in Unspecified specimen by
                   Viability count', given as 'Microorganism [#/volume] in Unspecified specimen by Viability
                   count'})</span>; ????; Acme Laboratory, Inc; 20000 CFU/ML</li><li>id: o3; status: final; AMPICILLIN/SULBACTAM <span>(Details : {http://example.org/local code 'AMS' = 'AMS', given as 'AMPICILLIN/SULBACTAM'})</span>; ????; Acme Laboratory, Inc; 4 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o4; status: final; AMPICILLIN <span>(Details : {http://example.org/local code 'AM' = 'AM', given as 'AMPICILLIN'})</span>; ????; Acme Laboratory, Inc; 16 U; Resistant <span>(Details : {http://hl7.org/fhir/v2/0078 code 'R' = 'Resistant)</span></li><li>id: o5; status: final; AZTREONAM <span>(Details : {http://example.org/local code 'ATM' = 'ATM', given as 'AZTREONAM'})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o6; status: final; CEFAZOLIN <span>(Details : {http://example.org/local code 'CFZ' = 'CFZ', given as 'CEFAZOLIN'})</span>; ????; Acme Laboratory, Inc; &lt;=4 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o7; status: final; CEFEPIME <span>(Details : {http://example.org/local code 'FEP' = 'FEP', given as 'CEFEPIME'})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o8; status: final; CEFOTETAN <span>(Details : {http://example.org/local code 'CTN' = 'CTN', given as 'CEFOTETAN'})</span>; ????; Acme Laboratory, Inc; &lt;=4 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o9; status: final; CEFTAZIDIME <span>(Details : {http://example.org/local code 'TAZ' = 'TAZ', given as 'CEFTAZIDIME'})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o10; status: final; CEFTRIAXONE <span>(Details : {http://example.org/local code 'CRO' = 'CRO', given as 'CEFTRIAXONE'})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o11; status: final; CIPROFLOXACIN <span>(Details : {http://example.org/local code 'CIPRO' = 'CIPRO', given as 'CIPROFLOXACIN'})</span>; ????; Acme Laboratory, Inc; &lt;=0.25 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o12; status: final; GENTAMICIN <span>(Details : {http://example.org/local code 'GM' = 'GM', given as 'GENTAMICIN'})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o13; status: final; IMIPENEM <span>(Details : {http://example.org/local code 'IPM' = 'IPM', given as 'IMIPENEM'})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o14; status: final; LEVOFLOXACIN <span>(Details : {http://example.org/local code 'LVX' = 'LVX', given as 'LEVOFLOXACIN'})</span>; ????; Acme Laboratory, Inc; &lt;=0.25 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o15; status: final; NITROFURANTOIN <span>(Details : {http://example.org/local code 'NIT' = 'NIT', given as 'NITROFURANTOIN'})</span>; ????; Acme Laboratory, Inc; 32 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o16; status: final; PIPERACILLIN/TAZOBAC <span>(Details : {http://example.org/local code 'PTZ' = 'PTZ', given as 'PIPERACILLIN/TAZOBAC'})</span>; ????; Acme Laboratory, Inc; &lt;=4 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o17; status: final; TRIMETH/SULFA <span>(Details : {http://example.org/local code 'TRSUV' = 'TRSUV', given as 'TRIMETH/SULFA'})</span>; ????; Acme Laboratory, Inc; &lt;=20 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o18; status: final; TOBRAMYCIN <span>(Details : {http://example.org/local code 'TOB' = 'TOB', given as 'TOBRAMYCIN'})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li></ul></div></text><contained>
          <Observation>
            <id value="o1"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="11475-1"/>
                <display value="Microorganism identified in Unspecified specimen by Culture"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueCodeableConcept>
              <text value="KLEBSIELLA PNEUMONIAE"/>
            </valueCodeableConcept>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="43161-9"/>
                <display value="Microorganism [#/volume] in Unspecified specimen by Viability count"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="20000"/>
              <unit value="CFU/ML"/>
            </valueQuantity>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://example.org/local"/>
                <code value="AMS"/>
                <display value="AMPICILLIN/SULBACTAM"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4"/>
              <unit value="U"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="S"/>
              </coding>
            </interpretation>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://example.org/local"/>
                <code value="AM"/>
                <display value="AMPICILLIN"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="16"/>
              <unit value="U"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="R"/>
              </coding>
            </interpretation>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://example.org/local"/>
                <code value="ATM"/>
                <display value="AZTREONAM"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="1"/>
              <comparator value="&lt;="/>
              <unit value="U"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="S"/>
              </coding>
            </interpretation>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://example.org/local"/>
                <code value="CFZ"/>
                <display value="CEFAZOLIN"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4"/>
              <comparator value="&lt;="/>
              <unit value="U"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="S"/>
              </coding>
            </interpretation>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://example.org/local"/>
                <code value="FEP"/>
                <display value="CEFEPIME"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="1"/>
              <comparator value="&lt;="/>
              <unit value="U"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="S"/>
              </coding>
            </interpretation>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o8"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://example.org/local"/>
                <code value="CTN"/>
                <display value="CEFOTETAN"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4"/>
              <comparator value="&lt;="/>
              <unit value="U"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="S"/>
              </coding>
            </interpretation>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://example.org/local"/>
                <code value="TAZ"/>
                <display value="CEFTAZIDIME"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="1"/>
              <comparator value="&lt;="/>
              <unit value="U"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="S"/>
              </coding>
            </interpretation>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://example.org/local"/>
                <code value="CRO"/>
                <display value="CEFTRIAXONE"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="1"/>
              <comparator value="&lt;="/>
              <unit value="U"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="S"/>
              </coding>
            </interpretation>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o11"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://example.org/local"/>
                <code value="CIPRO"/>
                <display value="CIPROFLOXACIN"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
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            </performer>
            <valueQuantity>
              <value value="0.25"/>
              <comparator value="&lt;="/>
              <unit value="U"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="S"/>
              </coding>
            </interpretation>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://example.org/local"/>
                <code value="GM"/>
                <display value="GENTAMICIN"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="1"/>
              <comparator value="&lt;="/>
              <unit value="U"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="S"/>
              </coding>
            </interpretation>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://example.org/local"/>
                <code value="IPM"/>
                <display value="IMIPENEM"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="1"/>
              <comparator value="&lt;="/>
              <unit value="U"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="S"/>
              </coding>
            </interpretation>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://example.org/local"/>
                <code value="LVX"/>
                <display value="LEVOFLOXACIN"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="0.25"/>
              <comparator value="&lt;="/>
              <unit value="U"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="S"/>
              </coding>
            </interpretation>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://example.org/local"/>
                <code value="NIT"/>
                <display value="NITROFURANTOIN"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="32"/>
              <unit value="U"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="S"/>
              </coding>
            </interpretation>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o16"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://example.org/local"/>
                <code value="PTZ"/>
                <display value="PIPERACILLIN/TAZOBAC"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="4"/>
              <comparator value="&lt;="/>
              <unit value="U"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="S"/>
              </coding>
            </interpretation>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o17"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://example.org/local"/>
                <code value="TRSUV"/>
                <display value="TRIMETH/SULFA"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="20"/>
              <comparator value="&lt;="/>
              <unit value="U"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="S"/>
              </coding>
            </interpretation>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o18"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://example.org/local"/>
                <code value="TOB"/>
                <display value="TOBRAMYCIN"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/5"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="1"/>
              <comparator value="&lt;="/>
              <unit value="U"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="S"/>
              </coding>
            </interpretation>
          </Observation>
        </contained>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="18769-0"/>
            <display value="Microbial susceptibility tests Set"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/5"/>
        </subject>
        <effectiveDateTime value="2005-11-07T21:44:17Z"/>
        <issued value="2005-11-07T23:38:01Z"/>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <specimen>
          <display value="URINE, CLEAN CATCH/MIDSTREAM"/>
        </specimen>
        <result>
          <reference value="#o1"/>
        </result>
        <result>
          <reference value="#o2"/>
        </result>
        <result>
          <reference value="#o3"/>
        </result>
        <result>
          <reference value="#o4"/>
        </result>
        <result>
          <reference value="#o5"/>
        </result>
        <result>
          <reference value="#o6"/>
        </result>
        <result>
          <reference value="#o7"/>
        </result>
        <result>
          <reference value="#o8"/>
        </result>
        <result>
          <reference value="#o9"/>
        </result>
        <result>
          <reference value="#o10"/>
        </result>
        <result>
          <reference value="#o11"/>
        </result>
        <result>
          <reference value="#o12"/>
        </result>
        <result>
          <reference value="#o13"/>
        </result>
        <result>
          <reference value="#o14"/>
        </result>
        <result>
          <reference value="#o15"/>
        </result>
        <result>
          <reference value="#o16"/>
        </result>
        <result>
          <reference value="#o17"/>
        </result>
        <result>
          <reference value="#o18"/>
        </result>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/26"/>
    <resource>
      <DiagnosticReport>
        <id value="26"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </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>: 26</p><p><b>meta</b>: </p><p><b>contained</b>: </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: RPR <span>(Details : {http://acme.com/labs/reports code '142080' = '??', given as 'Rapid Plasma
                 Reagin'})</span></p><p><b>subject</b>: <a>Patient/6</a></p><p><b>effective</b>: 08/03/2005 1:02:17 AM</p><p><b>issued</b>: 08/03/2005 1:02:01 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><p><b>result</b>: id: o1; status: final; Reagin Ab [Presence] in Serum by RPR <span>(Details : {LOINC code '20507-0' = 'Reagin Ab [Presence] in Serum by RPR', given as 'Reagin
                 Ab [Presence] in Serum by RPR'})</span>; ????; Acme Laboratory, Inc; value: Non-reactive</p></div></text><contained>
          <Observation>
            <id value="o1"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="20507-0"/>
                <display value="Reagin Ab [Presence] in Serum by RPR"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/6"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueString value="Non-reactive"/>
          </Observation>
        </contained>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://acme.com/labs/reports"/>
            <code value="142080"/>
            <display value="Rapid Plasma Reagin"/>
          </coding>
          <text value="RPR"/>
        </code>
        <subject>
          <reference value="Patient/6"/>
        </subject>
        <effectiveDateTime value="2005-03-07T14:02:17Z"/>
        <issued value="2005-03-07T14:02:01Z"/>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <result>
          <reference value="#o1"/>
        </result>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/27"/>
    <resource>
      <DiagnosticReport>
        <id value="27"/>
        <meta>
          <lastUpdated value="2012-05-23T14:27:01Z"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
            <table>
              <tr>
                <td>hsCRP</td>
                <td>2.8</td>
                <td>mg/L</td>
                <td>1.0-3.0</td>
              </tr>
            </table>
          </div>
        </text>
        <contained>
          <Observation>
            <id value="o1"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="30522-7"/>
                <display value="C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="55235003"/>
              </coding>
              <text value="hsCRP"/>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
              <display value="Acme Laboratory, Inc"/>
            </performer>
            <valueQuantity>
              <value value="2.8"/>
              <unit value="mg/L"/>
            </valueQuantity>
            <referenceRange>
              <low>
                <value value="1.0"/>
                <unit value="mg/L"/>
              </low>
              <high>
                <value value="3.0"/>
                <unit value="mg/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="23412355"/>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://acme.com/labs/reports"/>
            <code value="bchem2"/>
            <display value="Specialist Biochemistry"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/1"/>
        </subject>
        <effectiveDateTime value="2012-05-21T10:45:00Z"/>
        <issued value="2012-05-23T14:27:01Z"/>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <result>
          <reference value="#o1"/>
        </result>
      </DiagnosticReport>
    </resource>
  </entry>
</Bundle>