R4 Ballot #2 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.5.0: R4 Ballot #2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Diagnosticreport-example.xml

Orders and Observations Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Device, Encounter, Patient, Practitioner

Raw XML (canonical form + also see XML Format Specification)

General Laboratory Report Example (id = "101")

<?xml version="1.0" encoding="UTF-8"?>

<Bundle xmlns="http://hl7.org/fhir">
  <id value="101"/> 
  <type value="collection"/> 
  <entry> 
    <fullUrl value="https://example.com/base/DiagnosticReport/101"/> 
    <resource> 
      <DiagnosticReport> 
        <id value="101"/> 
        <meta> 
          <tag> 
            <system value="http://example.org/fhir/CodeSystem/workflow-codes"/> 
            <code value="01"/> 
            <display value="Needs Review"/> 
          </tag> 
        </meta> 
        <text> 
          <status value="generated"/> 
          <div xmlns="http://www.w3.org/1999/xhtml">
            <h3> CBC Report for Wile. E. COYOTE (MRN: 23453) issued 3-Mar 2011 11:45</h3> 
            <pre> 
Test                  Units       Value       Reference Range
Haemoglobin           g/L         176         135 - 180
Red Cell Count        x10*12/L    5.9         4.2 - 6.0
Haematocrit                       0.55+       0.38 - 0.52
Mean Cell Volume      fL          99+         80 - 98
Mean Cell Haemoglobin pg          36+         27 - 35
Platelet Count        x10*9/L     444         150 - 450
White Cell Count      x10*9/L     4.6         4.0 - 11.0
Neutrophils           %           20
Neutrophils           x10*9/L     0.9---      2.0 - 7.5
Lymphocytes           %           20
Lymphocytes           x10*9/L     0.9-        1.1 - 4.0
Monocytes             %           20
Monocytes             x10*9/L     0.9         0.2 - 1.0
Eosinophils           %           20
Eosinophils           x10*9/L     0.92++      0.04 - 0.40
Basophils             %           20
Basophils             x10*9/L     0.92+++     &lt;0.21
      </pre> 
            <p> Acme Laboratory, Inc signed: Dr Pete Pathologist</p> 
          </div> 
        </text> 
        <identifier> 
          <system value="http://acme.com/lab/reports"/> 
          <value value="5234342"/> 
        </identifier> 
        <status value="final"/> 
        <category> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="HM"/> 
          </coding> 
        </category> <!--       first, various administrative/context stuff       --><code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="58410-2"/> 
            <display value="Complete blood count (hemogram) panel - Blood by Automated count"/> 
          </coding> 
          <coding> 
            <code value="CBC"/> 
            <display value="MASTER FULL BLOOD COUNT"/> 
          </coding> 
          <text value="Complete Blood Count"/> 
        </code> 
        <subject> 
          <reference value="Patient/pat2"/> 
        </subject> 
        <context> 
          <reference value="Encounter/example"/> 
        </context> 
        <effectiveDateTime value="2011-03-04T08:30:00+11:00"/> <!--       all this report is final       --><issued value="2011-03-04T11:45:33+11:00"/> 
        <performer> 
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
          <display value="Acme Laboratory, Inc"/> 
        </performer> <!--       now the atomic results       --><result> 
          <reference value="Observation/r1"/> 
        </result> 
        <result> 
          <reference value="Observation/r2"/> 
        </result> 
        <result> 
          <reference value="Observation/r3"/> 
        </result> 
        <result> 
          <reference value="Observation/r4"/> 
        </result> 
        <result> 
          <reference value="Observation/r5"/> 
        </result> 
        <result> 
          <reference value="Observation/r6"/> 
        </result> 
        <result> 
          <reference value="Observation/r7"/> 
        </result> 
        <result> 
          <reference value="Observation/r8"/> 
        </result> 
        <result> 
          <reference value="Observation/r9"/> 
        </result> 
        <result> 
          <reference value="Observation/r10"/> 
        </result> 
        <result> 
          <reference value="Observation/r11"/> 
        </result> 
        <result> 
          <reference value="Observation/r12"/> 
        </result> 
        <result> 
          <reference value="Observation/r13"/> 
        </result> 
        <result> 
          <reference value="Observation/r14"/> 
        </result> 
        <result> 
          <reference value="Observation/r15"/> 
        </result> 
        <result> 
          <reference value="Observation/r16"/> 
        </result> 
        <result> 
          <reference value="Observation/r17"/> 
        </result> <!--       finally, here's a pdf representation of the same report.
    A consuming application could choose to display either the
  html version above, or the pdf version - they both need to convey the
  same information       --><presentedForm> 
          <contentType value="application/pdf"/> 
          <language value="en-AU"/> 
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          <title value="HTML Report"/> 
        </presentedForm> 
      </DiagnosticReport> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/r1"/> 
    <resource> 
      <Observation> <!--   
  all the data items (= Observations) are bundled along with this
   diagnostic report. It would be equally
    valid - and normal - for them to be separate trackable
    items. However for the purposes of this example, it's
  more convenient to have them here.      --><!--       for users steeped in v2, each observation roughly corresponds with an
    OBX, and the Diagnostic Report with an ORU_R01 message       --><id value="r1"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : r1</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Haemoglobin <span> (Details : {LOINC code '718-7' = 'Hemoglobin [Mass/volume] in Blood', given as 'Hemoglobin
                 [Mass/volume] in Blood'})</span> </p> <p> <b> subject</b> : <a> Patient/pat2</a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc</a> </p> <p> <b> value</b> : 176 g/L<span>  (Details: UCUM code g/L = 'g/L')</span> </p> <h3> ReferenceRanges</h3> <table> <tr> <td> -</td> <td> <b> Low</b> </td> <td> <b> High</b> </td> </tr> <tr> <td> *</td> <td> 135 g/L<span>  (Details: UCUM code g/L = 'g/L')</span> </td> <td> 180 g/L<span>  (Details: UCUM code g/L = 'g/L')</span> </td> </tr> </table> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="718-7"/> 
            <display value="Hemoglobin [Mass/volume] in Blood"/> 
          </coding> 
          <text value="Haemoglobin"/> 
        </code> 
        <subject> 
          <reference value="Patient/pat2"/> 
        </subject> 
        <performer> 
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
          <display value="Acme Laboratory, Inc"/> 
        </performer> 
        <valueQuantity> 
          <value value="176"/> 
          <unit value="g/L"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="g/L"/> 
        </valueQuantity> 
        <referenceRange> 
          <low> 
            <value value="135"/> 
            <unit value="g/L"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="g/L"/> 
          </low> 
          <high> 
            <value value="180"/> 
            <unit value="g/L"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="g/L"/> 
          </high> 
        </referenceRange> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/r2"/> 
    <resource> 
      <Observation> 
        <id value="r2"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : r2</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Red Cell Count <span> (Details : {LOINC code '789-8' = 'Erythrocytes [#/volume] in Blood by Automated count',
                 given as 'Erythrocytes [#/volume] in Blood by Automated count'})</span> </p> <p> <b> subject</b> : <a> Patient/pat2</a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc</a> </p> <p> <b> value</b> : 5.9 x10*12/L<span>  (Details: UCUM code 10*12/L = '10*12/L')</span> </p> <h3> ReferenceRanges</h3> <table> <tr> <td> -</td> <td> <b> Low</b> </td> <td> <b> High</b> </td> </tr> <tr> <td> *</td> <td> 4.2 x10*12/L<span>  (Details: UCUM code 10*12/L = '10*12/L')</span> </td> <td> 6.0 x10*12/L<span>  (Details: UCUM code 10*12/L = '10*12/L')</span> </td> </tr> </table> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="789-8"/> 
            <display value="Erythrocytes [#/volume] in Blood by Automated count"/> 
          </coding> 
          <text value="Red Cell Count"/> 
        </code> 
        <subject> 
          <reference value="Patient/pat2"/> 
        </subject> 
        <performer> 
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
          <display value="Acme Laboratory, Inc"/> 
        </performer> 
        <valueQuantity> 
          <value value="5.9"/> 
          <unit value="x10*12/L"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="10*12/L"/> 
        </valueQuantity> 
        <referenceRange> 
          <low> 
            <value value="4.2"/> 
            <unit value="x10*12/L"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="10*12/L"/> 
          </low> 
          <high> 
            <value value="6.0"/> 
            <unit value="x10*12/L"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="10*12/L"/> 
          </high> 
        </referenceRange> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/r3"/> 
    <resource> 
      <Observation> 
        <id value="r3"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : r3</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Haematocrit <span> (Details : {LOINC code '4544-3' = 'Hematocrit [Volume Fraction] of Blood by Automated
                 count', given as 'Hematocrit [Volume Fraction] of Blood by Automated count'})</span> </p> <p> <b> subject</b> : <a> Patient/pat2</a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc</a> </p> <p> <b> value</b> : 55 %</p> <p> <b> interpretation</b> : High <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'H'
                 = 'High)</span> </p> <h3> ReferenceRanges</h3> <table> <tr> <td> -</td> <td> <b> Low</b> </td> <td> <b> High</b> </td> </tr> <tr> <td> *</td> <td> 38 %</td> <td> 52 %</td> </tr> </table> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="4544-3"/> 
            <display value="Hematocrit [Volume Fraction] of Blood by Automated count"/> 
          </coding> 
          <text value="Haematocrit"/> 
        </code> 
        <subject> 
          <reference value="Patient/pat2"/> 
        </subject> 
        <performer> 
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
          <display value="Acme Laboratory, Inc"/> 
        </performer> 
        <valueQuantity> 
          <value value="55"/> 
          <unit value="%"/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="H"/> 
          </coding> 
        </interpretation> 
        <referenceRange> 
          <low> 
            <value value="38"/> 
            <unit value="%"/> 
          </low> 
          <high> 
            <value value="52"/> 
            <unit value="%"/> 
          </high> 
        </referenceRange> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/r4"/> 
    <resource> 
      <Observation> 
        <id value="r4"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : r4</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Mean Cell Volume <span> (Details : {LOINC code '787-2' = 'Erythrocyte mean corpuscular volume [Entitic volume]
                 by Automated count', given as 'Erythrocyte mean corpuscular volume [Entitic volume] by
                 Automated count'})</span> </p> <p> <b> subject</b> : <a> Patient/pat2</a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc</a> </p> <p> <b> value</b> : 99 fL<span>  (Details: UCUM code fL = 'fL')</span> </p> <p> <b> interpretation</b> : High <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'H'
                 = 'High)</span> </p> <h3> ReferenceRanges</h3> <table> <tr> <td> -</td> <td> <b> Low</b> </td> <td> <b> High</b> </td> </tr> <tr> <td> *</td> <td> 80 fL<span>  (Details: UCUM code fL = 'fL')</span> </td> <td> 98 fL<span>  (Details: UCUM code fL = 'fL')</span> </td> </tr> </table> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="787-2"/> 
            <display value="Erythrocyte mean corpuscular volume [Entitic volume] by Automated count"/> 
          </coding> 
          <text value="Mean Cell Volume"/> 
        </code> 
        <subject> 
          <reference value="Patient/pat2"/> 
        </subject> 
        <performer> 
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
          <display value="Acme Laboratory, Inc"/> 
        </performer> 
        <valueQuantity> 
          <value value="99"/> 
          <unit value="fL"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="fL"/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="H"/> 
          </coding> 
        </interpretation> 
        <referenceRange> 
          <low> 
            <value value="80"/> 
            <unit value="fL"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="fL"/> 
          </low> 
          <high> 
            <value value="98"/> 
            <unit value="fL"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="fL"/> 
          </high> 
        </referenceRange> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/r5"/> 
    <resource> 
      <Observation> 
        <id value="r5"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : r5</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Mean Cell Haemoglobin <span> (Details : {LOINC code '785-6' = 'Erythrocyte mean corpuscular hemoglobin [Entitic mass]
                 by Automated count', given as 'Erythrocyte mean corpuscular hemoglobin [Entitic mass]
                 by Automated count'})</span> </p> <p> <b> subject</b> : <a> Patient/pat2</a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc</a> </p> <p> <b> value</b> : 36 pg<span>  (Details: UCUM code pg = 'pg')</span> </p> <p> <b> interpretation</b> : High <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'H'
                 = 'High)</span> </p> <h3> ReferenceRanges</h3> <table> <tr> <td> -</td> <td> <b> Low</b> </td> <td> <b> High</b> </td> </tr> <tr> <td> *</td> <td> 27 pg<span>  (Details: UCUM code pg = 'pg')</span> </td> <td> 35 pg<span>  (Details: UCUM code pg = 'pg')</span> </td> </tr> </table> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="785-6"/> 
            <display value="Erythrocyte mean corpuscular hemoglobin [Entitic mass] by Automated count"/> 
          </coding> 
          <text value="Mean Cell Haemoglobin"/> 
        </code> 
        <subject> 
          <reference value="Patient/pat2"/> 
        </subject> 
        <performer> 
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
          <display value="Acme Laboratory, Inc"/> 
        </performer> 
        <valueQuantity> 
          <value value="36"/> 
          <unit value="pg"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="pg"/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="H"/> 
          </coding> 
        </interpretation> 
        <referenceRange> 
          <low> 
            <value value="27"/> 
            <unit value="pg"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="pg"/> 
          </low> 
          <high> 
            <value value="35"/> 
            <unit value="pg"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="pg"/> 
          </high> 
        </referenceRange> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/r6"/> 
    <resource> 
      <Observation> 
        <id value="r6"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : r6</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Platelet Count <span> (Details : {LOINC code '777-3' = 'Platelets [#/volume] in Blood by Automated count', given
                 as 'Platelets [#/volume] in Blood by Automated count'})</span> </p> <p> <b> subject</b> : <a> Patient/pat2</a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc</a> </p> <p> <b> value</b> : 444 x10*9/L<span>  (Details: UCUM code 10*9/L = '10*9/L')</span> </p> <h3> ReferenceRanges</h3> <table> <tr> <td> -</td> <td> <b> Low</b> </td> <td> <b> High</b> </td> </tr> <tr> <td> *</td> <td> 150 x10*9/L<span>  (Details: UCUM code 10*9/L = '10*9/L')</span> </td> <td> 450 x10*9/L<span>  (Details: UCUM code 10*9/L = '10*9/L')</span> </td> </tr> </table> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="777-3"/> 
            <display value="Platelets [#/volume] in Blood by Automated count"/> 
          </coding> 
          <text value="Platelet Count"/> 
        </code> 
        <subject> 
          <reference value="Patient/pat2"/> 
        </subject> 
        <performer> 
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
          <display value="Acme Laboratory, Inc"/> 
        </performer> 
        <valueQuantity> 
          <value value="444"/> 
          <unit value="x10*9/L"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="10*9/L"/> 
        </valueQuantity> 
        <referenceRange> 
          <low> 
            <value value="150"/> 
            <unit value="x10*9/L"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="10*9/L"/> 
          </low> 
          <high> 
            <value value="450"/> 
            <unit value="x10*9/L"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="10*9/L"/> 
          </high> 
        </referenceRange> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/r7"/> 
    <resource> 
      <Observation> 
        <id value="r7"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : r7</p> <p> <b> status</b> : final</p> <p> <b> code</b> : White Cell Count <span> (Details : {LOINC code '6690-2' = 'Leukocytes [#/volume] in Blood by Automated count',
                 given as 'Leukocytes [#/volume] in Blood by Automated count'})</span> </p> <p> <b> subject</b> : <a> Patient/pat2</a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc</a> </p> <p> <b> value</b> : 4.6 x10*9/L<span>  (Details: UCUM code 10*9/L = '10*9/L')</span> </p> <h3> ReferenceRanges</h3> <table> <tr> <td> -</td> <td> <b> Low</b> </td> <td> <b> High</b> </td> </tr> <tr> <td> *</td> <td> 4.0 x10*9/L<span>  (Details: UCUM code 10*9/L = '10*9/L')</span> </td> <td> 11.0 x10*9/L<span>  (Details: UCUM code 10*9/L = '10*9/L')</span> </td> </tr> </table> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="6690-2"/> 
            <display value="Leukocytes [#/volume] in Blood by Automated count"/> 
          </coding> 
          <text value="White Cell Count"/> 
        </code> 
        <subject> 
          <reference value="Patient/pat2"/> 
        </subject> 
        <performer> 
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
          <display value="Acme Laboratory, Inc"/> 
        </performer> 
        <valueQuantity> 
          <value value="4.6"/> 
          <unit value="x10*9/L"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="10*9/L"/> 
        </valueQuantity> 
        <referenceRange> 
          <low> 
            <value value="4.0"/> 
            <unit value="x10*9/L"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="10*9/L"/> 
          </low> 
          <high> 
            <value value="11.0"/> 
            <unit value="x10*9/L"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="10*9/L"/> 
          </high> 
        </referenceRange> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/r8"/> 
    <resource> 
      <Observation> 
        <id value="r8"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : r8</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Neutrophils <span> (Details : {LOINC code '770-8' = 'Neutrophils/100 leukocytes in Blood by Automated count',
                 given as 'Neutrophils/100 leukocytes in Blood by Automated count'})</span> </p> <p> <b> subject</b> : <a> Patient/pat2</a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc</a> </p> <p> <b> value</b> : 20 %<span>  (Details: UCUM code % = '%')</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="770-8"/> 
            <display value="Neutrophils/100 leukocytes in Blood by Automated count"/> 
          </coding> 
          <text value="Neutrophils"/> 
        </code> 
        <subject> 
          <reference value="Patient/pat2"/> 
        </subject> 
        <performer> 
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
          <display value="Acme Laboratory, Inc"/> 
        </performer> 
        <valueQuantity> 
          <value value="20"/> 
          <unit value="%"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="%"/> 
        </valueQuantity> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/r9"/> 
    <resource> 
      <Observation> 
        <id value="r9"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : r9</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Neutrophils <span> (Details : {LOINC code '751-8' = 'Neutrophils [#/volume] in Blood by Automated count',
                 given as 'Neutrophils [#/volume] in Blood by Automated count'})</span> </p> <p> <b> subject</b> : <a> Patient/pat2</a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc</a> </p> <p> <b> value</b> : 0.9 x10*9/L<span>  (Details: UCUM code 10*9/L = '10*9/L')</span> </p> <p> <b> interpretation</b> : Critical low <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'LL'
                 = 'Critical low)</span> </p> <h3> ReferenceRanges</h3> <table> <tr> <td> -</td> <td> <b> Low</b> </td> <td> <b> High</b> </td> </tr> <tr> <td> *</td> <td> 2.0 x10*9/L<span>  (Details: UCUM code 10*9/L = '10*9/L')</span> </td> <td> 7.5 x10*9/L<span>  (Details: UCUM code 10*9/L = '10*9/L')</span> </td> </tr> </table> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="751-8"/> 
            <display value="Neutrophils [#/volume] in Blood by Automated count"/> 
          </coding> 
          <text value="Neutrophils"/> 
        </code> 
        <subject> 
          <reference value="Patient/pat2"/> 
        </subject> 
        <performer> 
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
          <display value="Acme Laboratory, Inc"/> 
        </performer> 
        <valueQuantity> 
          <value value="0.9"/> 
          <unit value="x10*9/L"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="10*9/L"/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="LL"/> 
          </coding> 
        </interpretation> 
        <referenceRange> 
          <low> 
            <value value="2.0"/> 
            <unit value="x10*9/L"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="10*9/L"/> 
          </low> 
          <high> 
            <value value="7.5"/> 
            <unit value="x10*9/L"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="10*9/L"/> 
          </high> 
        </referenceRange> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/r10"/> 
    <resource> 
      <Observation> 
        <id value="r10"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : r10</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Lymphocytes <span> (Details : {LOINC code '736-9' = 'Lymphocytes/100 leukocytes in Blood by Automated count',
                 given as 'Lymphocytes/100 leukocytes in Blood by Automated count'})</span> </p> <p> <b> subject</b> : <a> Patient/pat2</a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc</a> </p> <p> <b> value</b> : 20 %<span>  (Details: UCUM code % = '%')</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="736-9"/> 
            <display value="Lymphocytes/100 leukocytes in Blood by Automated count"/> 
          </coding> 
          <text value="Lymphocytes"/> 
        </code> 
        <subject> 
          <reference value="Patient/pat2"/> 
        </subject> 
        <performer> 
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
          <display value="Acme Laboratory, Inc"/> 
        </performer> 
        <valueQuantity> 
          <value value="20"/> 
          <unit value="%"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="%"/> 
        </valueQuantity> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/r11"/> 
    <resource> 
      <Observation> 
        <id value="r11"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : r11</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Lymphocytes <span> (Details : {LOINC code '731-0' = 'Lymphocytes [#/volume] in Blood by Automated count',
                 given as 'Lymphocytes [#/volume] in Blood by Automated count'})</span> </p> <p> <b> subject</b> : <a> Patient/pat2</a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc</a> </p> <p> <b> value</b> : 0.9 x10*9/L<span>  (Details: UCUM code 10*9/L = '10*9/L')</span> </p> <p> <b> interpretation</b> : Low <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'L'
                 = 'Low)</span> </p> <h3> ReferenceRanges</h3> <table> <tr> <td> -</td> <td> <b> Low</b> </td> <td> <b> High</b> </td> </tr> <tr> <td> *</td> <td> 1.1 x10*9/L<span>  (Details: UCUM code 10*9/L = '10*9/L')</span> </td> <td> 4.0 x10*9/L<span>  (Details: UCUM code 10*9/L = '10*9/L')</span> </td> </tr> </table> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="731-0"/> 
            <display value="Lymphocytes [#/volume] in Blood by Automated count"/> 
          </coding> 
          <text value="Lymphocytes"/> 
        </code> 
        <subject> 
          <reference value="Patient/pat2"/> 
        </subject> 
        <performer> 
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
          <display value="Acme Laboratory, Inc"/> 
        </performer> 
        <valueQuantity> 
          <value value="0.9"/> 
          <unit value="x10*9/L"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="10*9/L"/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="L"/> 
          </coding> 
        </interpretation> 
        <referenceRange> 
          <low> 
            <value value="1.1"/> 
            <unit value="x10*9/L"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="10*9/L"/> 
          </low> 
          <high> 
            <value value="4.0"/> 
            <unit value="x10*9/L"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="10*9/L"/> 
          </high> 
        </referenceRange> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/r12"/> 
    <resource> 
      <Observation> 
        <id value="r12"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : r12</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Monocytes <span> (Details : {LOINC code '5905-5' = 'Monocytes/100 leukocytes in Blood by Automated count',
                 given as 'Monocytes/100 leukocytes in Blood by Automated count'})</span> </p> <p> <b> subject</b> : <a> Patient/pat2</a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc</a> </p> <p> <b> value</b> : 20 %<span>  (Details: UCUM code % = '%')</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="5905-5"/> 
            <display value="Monocytes/100 leukocytes in Blood by Automated count"/> 
          </coding> 
          <text value="Monocytes"/> 
        </code> 
        <subject> 
          <reference value="Patient/pat2"/> 
        </subject> 
        <performer> 
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
          <display value="Acme Laboratory, Inc"/> 
        </performer> 
        <valueQuantity> 
          <value value="20"/> 
          <unit value="%"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="%"/> 
        </valueQuantity> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/r13"/> 
    <resource> 
      <Observation> 
        <id value="r13"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : r13</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Monocytes <span> (Details : {LOINC code '742-7' = 'Monocytes [#/volume] in Blood by Automated count', given
                 as 'Monocytes [#/volume] in Blood by Automated count'})</span> </p> <p> <b> subject</b> : <a> Patient/pat2</a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc</a> </p> <p> <b> value</b> : 0.9 x10*9/L<span>  (Details: UCUM code 10*9/L = '10*9/L')</span> </p> <h3> ReferenceRanges</h3> <table> <tr> <td> -</td> <td> <b> Low</b> </td> <td> <b> High</b> </td> </tr> <tr> <td> *</td> <td> 0.2 x10*9/L<span>  (Details: UCUM code 10*9/L = '10*9/L')</span> </td> <td> 1.0 x10*9/L<span>  (Details: UCUM code 10*9/L = '10*9/L')</span> </td> </tr> </table> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="742-7"/> 
            <display value="Monocytes [#/volume] in Blood by Automated count"/> 
          </coding> 
          <text value="Monocytes"/> 
        </code> 
        <subject> 
          <reference value="Patient/pat2"/> 
        </subject> 
        <performer> 
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
          <display value="Acme Laboratory, Inc"/> 
        </performer> 
        <valueQuantity> 
          <value value="0.9"/> 
          <unit value="x10*9/L"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="10*9/L"/> 
        </valueQuantity> 
        <referenceRange> 
          <low> 
            <value value="0.2"/> 
            <unit value="x10*9/L"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="10*9/L"/> 
          </low> 
          <high> 
            <value value="1.0"/> 
            <unit value="x10*9/L"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="10*9/L"/> 
          </high> 
        </referenceRange> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/r14"/> 
    <resource> 
      <Observation> 
        <id value="r14"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : r14</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Eosinophils <span> (Details : {LOINC code '713-8' = 'Eosinophils/100 leukocytes in Blood by Automated count',
                 given as 'Eosinophils/100 leukocytes in Blood by Automated count'})</span> </p> <p> <b> subject</b> : <a> Patient/pat2</a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc</a> </p> <p> <b> value</b> : 20 %<span>  (Details: UCUM code % = '%')</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="713-8"/> 
            <display value="Eosinophils/100 leukocytes in Blood by Automated count"/> 
          </coding> 
          <text value="Eosinophils"/> 
        </code> 
        <subject> 
          <reference value="Patient/pat2"/> 
        </subject> 
        <performer> 
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
          <display value="Acme Laboratory, Inc"/> 
        </performer> 
        <valueQuantity> 
          <value value="20"/> 
          <unit value="%"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="%"/> 
        </valueQuantity> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/r15"/> 
    <resource> 
      <Observation> 
        <id value="r15"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : r15</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Eosinophils <span> (Details : {LOINC code '711-2' = 'Eosinophils [#/volume] in Blood by Automated count',
                 given as 'Eosinophils [#/volume] in Blood by Automated count'})</span> </p> <p> <b> subject</b> : <a> Patient/pat2</a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc</a> </p> <p> <b> value</b> : 0.92 x10*9/L<span>  (Details: UCUM code 10*9/L = '10*9/L')</span> </p> <p> <b> interpretation</b> : Critical high <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'HH'
                 = 'Critical high)</span> </p> <h3> ReferenceRanges</h3> <table> <tr> <td> -</td> <td> <b> Low</b> </td> <td> <b> High</b> </td> </tr> <tr> <td> *</td> <td> 0.04 x10*9/L<span>  (Details: UCUM code 10*9/L = '10*9/L')</span> </td> <td> 0.40 x10*9/L<span>  (Details: UCUM code 10*9/L = '10*9/L')</span> </td> </tr> </table> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="711-2"/> 
            <display value="Eosinophils [#/volume] in Blood by Automated count"/> 
          </coding> 
          <text value="Eosinophils"/> 
        </code> 
        <subject> 
          <reference value="Patient/pat2"/> 
        </subject> 
        <performer> 
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
          <display value="Acme Laboratory, Inc"/> 
        </performer> 
        <valueQuantity> 
          <value value="0.92"/> 
          <unit value="x10*9/L"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="10*9/L"/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="HH"/> 
          </coding> 
        </interpretation> 
        <referenceRange> 
          <low> 
            <value value="0.04"/> 
            <unit value="x10*9/L"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="10*9/L"/> 
          </low> 
          <high> 
            <value value="0.40"/> 
            <unit value="x10*9/L"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="10*9/L"/> 
          </high> 
        </referenceRange> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/r16"/> 
    <resource> 
      <Observation> 
        <id value="r16"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : r16</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Basophils <span> (Details : {LOINC code '706-2' = 'Basophils/100 leukocytes in Blood by Automated count',
                 given as 'Basophils/100 leukocytes in Blood by Automated count'})</span> </p> <p> <b> subject</b> : <a> Patient/pat2</a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc</a> </p> <p> <b> value</b> : 20 %<span>  (Details: UCUM code % = '%')</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="706-2"/> 
            <display value="Basophils/100 leukocytes in Blood by Automated count"/> 
          </coding> 
          <text value="Basophils"/> 
        </code> 
        <subject> 
          <reference value="Patient/pat2"/> 
        </subject> 
        <performer> 
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
          <display value="Acme Laboratory, Inc"/> 
        </performer> 
        <valueQuantity> 
          <value value="20"/> 
          <unit value="%"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="%"/> 
        </valueQuantity> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/r17"/> 
    <resource> 
      <Observation> 
        <id value="r17"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : r17</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Basophils <span> (Details : {LOINC code '704-7' = 'Basophils [#/volume] in Blood by Automated count', given
                 as 'Basophils [#/volume] in Blood by Automated count'})</span> </p> <p> <b> subject</b> : <a> Patient/pat2</a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc</a> </p> <p> <b> value</b> : 0.92 x10*9/L<span>  (Details: UCUM code 10*9/L = '10*9/L')</span> </p> <h3> ReferenceRanges</h3> <table> <tr> <td> -</td> <td> <b> High</b> </td> </tr> <tr> <td> *</td> <td> 0.21 x10*9/L<span>  (Details: UCUM code 10*9/L = '10*9/L')</span> </td> </tr> </table> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="704-7"/> 
            <display value="Basophils [#/volume] in Blood by Automated count"/> 
          </coding> 
          <text value="Basophils"/> 
        </code> 
        <subject> 
          <reference value="Patient/pat2"/> 
        </subject> 
        <performer> 
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
          <display value="Acme Laboratory, Inc"/> 
        </performer> 
        <valueQuantity> 
          <value value="0.92"/> 
          <unit value="x10*9/L"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="10*9/L"/> 
        </valueQuantity> 
        <referenceRange> 
          <high> 
            <value value="0.21"/> 
            <unit value="x10*9/L"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="10*9/L"/> 
          </high> 
        </referenceRange> 
      </Observation> 
    </resource> 
  </entry> 
</Bundle>

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