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-examples-general.json

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

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

Various reports gathered from v2 messages

{
  "resourceType": "Bundle",
  "id": "72ac8493-52ac-41bd-8d5d-7258c289b5ea",
  "meta": {
    "lastUpdated": "2012-04-14T10:35:23Z"
  },
  "type": "collection",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/Bundle/3",
      "resource": {
        "resourceType": "Bundle",
        "id": "3",
        "type": "collection",
        "entry": [
          {
            "fullUrl": "https://example.com/base/DiagnosticReport/3",
            "resource": {
              "resourceType": "DiagnosticReport",
              "id": "3",
              "meta": {
                "lastUpdated": "2012-04-14T10:35:23Z"
              },
              "text": {
                "status": "generated",
                "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t\t\t\t<table>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Sodium</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>140</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>137-147</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Serum Potassium</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>4.2</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>3.5-5.0</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Chloride</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>105</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>96-109</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Bicarbonate</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>26</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>25-33</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Other Anions</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>13</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>4-17</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Glucose</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>7.4</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>3.0-7.7</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Urea</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>4.7</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>2.0-7.0</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Serum Creatinine</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0.09</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0.04-0.11</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Serum Uric Acid</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0.39</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0.14-0.35</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t\t\t\t<b>+</b>\n\t\t\t\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Total Bilirubin</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>7</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>umol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>2-20</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Direct Bilirubin</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>3</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>umol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0-8</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>108</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>U/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>30-115</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Gamma G.T.</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>35</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>U/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0-45</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>ALT</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>54</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>U/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0-45</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t\t\t\t<b>+</b>\n\t\t\t\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>AST</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>30</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>U/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0-41</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>LD</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>131</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>U/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>80-250</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Serum Calcium</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>2.38</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>2.25-2.65</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Corrected Calcium</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>2.39</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>2.25-2.65</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Serum Phosphate</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>1.5</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0.8-1.5</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Total Protein</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>67</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>g/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>60-82</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Serum Albumin</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>42</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>g/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>35-50</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Globulins</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>25</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>g/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>20-40</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Iron</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>5</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>umol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>10-33</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t\t\t\t<b>--</b>\n\t\t\t\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Cholesterol</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>3.8</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>3.6-6.7</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td> </td>\n\t\t\t\t\t\t\t\t\t\t\t<td colspan=\"4\">Revised NHF cholesterol guidelines (Nov.,2001): Target below 4.0 mmol/L if high risk patient. Consider lipid lowering treatment if cholesterol above 6.0 mmol/L, and no other risk factor of CHD.</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Triglycerides</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0.9</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0.3-4.0</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>HDL Cholesterol</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>1.2</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>1.0-2.0</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t</table>\n\t\t\t\t\t\t\t\t</div>"
              },
              "identifier": [
                {
                  "system": "http://acme.com/lab/reports",
                  "value": "5234342"
                }
              ],
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://acme.com/labs/reports",
                    "code": "25T",
                    "display": "E/LFT (MASTER)"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "effectiveDateTime": "2005-01-27T06:40:17Z",
              "issued": "2005-01-27T06:40:01Z",
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "result": [
                {
                  "reference": "Observation/o1-3"
                },
                {
                  "reference": "Observation/o2-3"
                },
                {
                  "reference": "Observation/o3-3"
                },
                {
                  "reference": "Observation/o4-3"
                },
                {
                  "reference": "Observation/o5-3"
                },
                {
                  "reference": "Observation/o6-3"
                },
                {
                  "reference": "Observation/o7-3"
                },
                {
                  "reference": "Observation/o8-3"
                },
                {
                  "reference": "Observation/o9-3"
                },
                {
                  "reference": "Observation/o10-3"
                },
                {
                  "reference": "Observation/o11-3"
                },
                {
                  "reference": "Observation/o12-3"
                },
                {
                  "reference": "Observation/o13-3"
                },
                {
                  "reference": "Observation/o14-3"
                },
                {
                  "reference": "Observation/o15-3"
                },
                {
                  "reference": "Observation/o16-3"
                },
                {
                  "reference": "Observation/o17-3"
                },
                {
                  "reference": "Observation/o18-3"
                },
                {
                  "reference": "Observation/o19-3"
                },
                {
                  "reference": "Observation/o20-3"
                },
                {
                  "reference": "Observation/o21-3"
                },
                {
                  "reference": "Observation/o22-3"
                },
                {
                  "reference": "Observation/o23-3"
                },
                {
                  "reference": "Observation/o24-3"
                },
                {
                  "reference": "Observation/o25-3"
                },
                {
                  "reference": "Observation/o26-3"
                }
              ]
            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o1-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o1-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2951-2",
                    "display": "Sodium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104934005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 140,
                "unit": "mmol/L"
              },
              "referenceRange": [
                {
                  "low": {
                    "value": 137,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 147,
                    "unit": "mmol/L"
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o2-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o2-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2823-3",
                    "display": "Potassium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "59573005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.2,
                "unit": "mmol/L"
              },
              "referenceRange": [
                {
                  "low": {
                    "value": 3.5,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 5.0,
                    "unit": "mmol/L"
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o3-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o3-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2075-0",
                    "display": "Chloride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "46511006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 105,
                "unit": "mmol/L"
              },
              "referenceRange": [
                {
                  "low": {
                    "value": 96,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 109,
                    "unit": "mmol/L"
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o4-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o4-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1963-8",
                    "display": "Bicarbonate [Moles/volume] in Serum"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88645003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 26,
                "unit": "mmol/L"
              },
              "referenceRange": [
                {
                  "low": {
                    "value": 25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "mmol/L"
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o5-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o5-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1863-0",
                    "display": "Anion gap 4 in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "271057005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
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                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o9-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o9-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "TAZ",
                    "display": "CEFTAZIDIME"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o10-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o10-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "CRO",
                    "display": "CEFTRIAXONE"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o11-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o11-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "CIPRO",
                    "display": "CIPROFLOXACIN"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.25,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o12-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o12-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "GM",
                    "display": "GENTAMICIN"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o13-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o13-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "IPM",
                    "display": "IMIPENEM"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o14-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o14-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "LVX",
                    "display": "LEVOFLOXACIN"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.25,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o15-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o15-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "NIT",
                    "display": "NITROFURANTOIN"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 32,
                "unit": "U"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o16-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o16-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "PTZ",
                    "display": "PIPERACILLIN/TAZOBAC"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o17-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o17-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "TRSUV",
                    "display": "TRIMETH/SULFA"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 20,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o18-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o18-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "TOB",
                    "display": "TOBRAMYCIN"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/Bundle/26",
      "resource": {
        "resourceType": "Bundle",
        "id": "26",
        "type": "collection",
        "entry": [
          {
            "fullUrl": "https://example.com/base/DiagnosticReport/26",
            "resource": {
              "resourceType": "DiagnosticReport",
              "id": "26",
              "meta": {
                "lastUpdated": "2012-04-14T10:35:23Z"
              },
              "identifier": [
                {
                  "system": "http://acme.com/lab/reports",
                  "value": "5234342"
                }
              ],
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://acme.com/labs/reports",
                    "code": "142080",
                    "display": "Rapid Plasma Reagin"
                  }
                ],
                "text": "RPR"
              },
              "subject": {
                "reference": "Patient/6"
              },
              "effectiveDateTime": "2005-03-07T14:02:17Z",
              "issued": "2005-03-07T14:02:01Z",
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "result": [
                {
                  "reference": "Observation/o1-26"
                }
              ]
            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o1-26",
            "resource": {
              "resourceType": "Observation",
              "id": "o1-26",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "20507-0",
                    "display": "Reagin Ab [Presence] in Serum by RPR"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueString": "Non-reactive"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/Bundle/27",
      "resource": {
        "resourceType": "Bundle",
        "id": "27",
        "type": "collection",
        "entry": [
          {
            "fullUrl": "https://example.com/base/DiagnosticReport/27",
            "resource": {
              "resourceType": "DiagnosticReport",
              "id": "27",
              "meta": {
                "lastUpdated": "2012-05-23T14:27:01Z"
              },
              "text": {
                "status": "generated",
                "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t\t\t\t<table>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>hsCRP</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>2.8</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mg/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>1.0-3.0</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t</table>\n\t\t\t\t\t\t\t\t</div>"
              },
              "identifier": [
                {
                  "system": "http://acme.com/lab/reports",
                  "value": "23412355"
                }
              ],
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://acme.com/labs/reports",
                    "code": "bchem2",
                    "display": "Specialist Biochemistry"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "effectiveDateTime": "2012-05-21T10:45:00Z",
              "issued": "2012-05-23T14:27:01Z",
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "result": [
                {
                  "reference": "Observation/o1-27"
                }
              ]
            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o1-27",
            "resource": {
              "resourceType": "Observation",
              "id": "o1-27",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "30522-7",
                    "display": "C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "55235003"
                  }
                ],
                "text": "hsCRP"
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.8,
                "unit": "mg/L"
              },
              "referenceRange": [
                {
                  "low": {
                    "value": 1.0,
                    "unit": "mg/L"
                  },
                  "high": {
                    "value": 3.0,
                    "unit": "mg/L"
                  }
                }
              ]
            }
          }
        ]
      }
    }
  ]
}

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.