Diagnosticreport-example.xml

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> 
        <encounter> 
          <reference value="Encounter/example"/> 
        </encounter> 
        <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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          wMCBuIAowMDAwMDIxNTc3IDAwMDAwIG4gCjAwMDAwMDQzMjkgMDAwMDAgbiAKMDAwMDA0MTMwNyAwMDAwMCBuIAowMDAwMDAyMjAy
          IDAwMDAwIG4gCjAwMDAwMDQ5MDUgMDAwMDAgbiAKMDAwMDAyMTc5MyAwMDAwMCBuIAowMDAwMDQxNTI5IDAwMDAwIG4gCjAwMDAwM
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          BQjhDNj48OEQ3Rjc3OUEwMEM3MDk3OTU4NzA0MkYwOTJCQUI4QzY+XQo+PgpzdGFydHhyZWYKNjk0ODUKJSVFT0YK"/> 
          <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</b> </p> <p> <b> id</b> : r1</p> <p/>  <p> <b> code</b> : <span> Haemoglobin</span> </p> <p> <b> subject</b> : <a> Generated Summary: id: pat2; Medical record number: 123456 (USUAL); active; Duck D Donald
                 (OFFICIAL); gender: other; </a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc. Generated Summary: id: 1832473e-2fe0-452d-abe9-3cdb9879522f; id:
                 ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)</a> </p> <p> <b> value</b> : 176 g/L</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</td> <td> 180 g/L</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</b> </p> <p> <b> id</b> : r2</p> <p/>  <p> <b> code</b> : <span> Red Cell Count</span> </p> <p> <b> subject</b> : <a> Generated Summary: id: pat2; Medical record number: 123456 (USUAL); active; Duck D Donald
                 (OFFICIAL); gender: other; </a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc. Generated Summary: id: 1832473e-2fe0-452d-abe9-3cdb9879522f; id:
                 ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)</a> </p> <p> <b> value</b> : 5.9 x10*12/L</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</td> <td> 6.0 x10*12/L</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</b> </p> <p> <b> id</b> : r3</p> <p/>  <p> <b> code</b> : <span> Haematocrit</span> </p> <p> <b> subject</b> : <a> Generated Summary: id: pat2; Medical record number: 123456 (USUAL); active; Duck D Donald
                 (OFFICIAL); gender: other; </a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc. Generated Summary: id: 1832473e-2fe0-452d-abe9-3cdb9879522f; id:
                 ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)</a> </p> <p> <b> value</b> : 55 %</p> <p> <b> interpretation</b> : <span> 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</b> </p> <p> <b> id</b> : r4</p> <p/>  <p> <b> code</b> : <span> Mean Cell Volume</span> </p> <p> <b> subject</b> : <a> Generated Summary: id: pat2; Medical record number: 123456 (USUAL); active; Duck D Donald
                 (OFFICIAL); gender: other; </a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc. Generated Summary: id: 1832473e-2fe0-452d-abe9-3cdb9879522f; id:
                 ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)</a> </p> <p> <b> value</b> : 99 fL</p> <p> <b> interpretation</b> : <span> 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</td> <td> 98 fL</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</b> </p> <p> <b> id</b> : r5</p> <p/>  <p> <b> code</b> : <span> Mean Cell Haemoglobin</span> </p> <p> <b> subject</b> : <a> Generated Summary: id: pat2; Medical record number: 123456 (USUAL); active; Duck D Donald
                 (OFFICIAL); gender: other; </a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc. Generated Summary: id: 1832473e-2fe0-452d-abe9-3cdb9879522f; id:
                 ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)</a> </p> <p> <b> value</b> : 36 pg</p> <p> <b> interpretation</b> : <span> 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</td> <td> 35 pg</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</b> </p> <p> <b> id</b> : r6</p> <p/>  <p> <b> code</b> : <span> Platelet Count</span> </p> <p> <b> subject</b> : <a> Generated Summary: id: pat2; Medical record number: 123456 (USUAL); active; Duck D Donald
                 (OFFICIAL); gender: other; </a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc. Generated Summary: id: 1832473e-2fe0-452d-abe9-3cdb9879522f; id:
                 ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)</a> </p> <p> <b> value</b> : 444 x10*9/L</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</td> <td> 450 x10*9/L</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</b> </p> <p> <b> id</b> : r7</p> <p/>  <p> <b> code</b> : <span> White Cell Count</span> </p> <p> <b> subject</b> : <a> Generated Summary: id: pat2; Medical record number: 123456 (USUAL); active; Duck D Donald
                 (OFFICIAL); gender: other; </a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc. Generated Summary: id: 1832473e-2fe0-452d-abe9-3cdb9879522f; id:
                 ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)</a> </p> <p> <b> value</b> : 4.6 x10*9/L</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</td> <td> 11.0 x10*9/L</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</b> </p> <p> <b> id</b> : r8</p> <p/>  <p> <b> code</b> : <span> Neutrophils</span> </p> <p> <b> subject</b> : <a> Generated Summary: id: pat2; Medical record number: 123456 (USUAL); active; Duck D Donald
                 (OFFICIAL); gender: other; </a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc. Generated Summary: id: 1832473e-2fe0-452d-abe9-3cdb9879522f; id:
                 ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)</a> </p> <p> <b> value</b> : 20 %</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</b> </p> <p> <b> id</b> : r9</p> <p/>  <p> <b> code</b> : <span> Neutrophils</span> </p> <p> <b> subject</b> : <a> Generated Summary: id: pat2; Medical record number: 123456 (USUAL); active; Duck D Donald
                 (OFFICIAL); gender: other; </a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc. Generated Summary: id: 1832473e-2fe0-452d-abe9-3cdb9879522f; id:
                 ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)</a> </p> <p> <b> value</b> : 0.9 x10*9/L</p> <p> <b> interpretation</b> : <span> 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</td> <td> 7.5 x10*9/L</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</b> </p> <p> <b> id</b> : r10</p> <p/>  <p> <b> code</b> : <span> Lymphocytes</span> </p> <p> <b> subject</b> : <a> Generated Summary: id: pat2; Medical record number: 123456 (USUAL); active; Duck D Donald
                 (OFFICIAL); gender: other; </a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc. Generated Summary: id: 1832473e-2fe0-452d-abe9-3cdb9879522f; id:
                 ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)</a> </p> <p> <b> value</b> : 20 %</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</b> </p> <p> <b> id</b> : r11</p> <p/>  <p> <b> code</b> : <span> Lymphocytes</span> </p> <p> <b> subject</b> : <a> Generated Summary: id: pat2; Medical record number: 123456 (USUAL); active; Duck D Donald
                 (OFFICIAL); gender: other; </a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc. Generated Summary: id: 1832473e-2fe0-452d-abe9-3cdb9879522f; id:
                 ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)</a> </p> <p> <b> value</b> : 0.9 x10*9/L</p> <p> <b> interpretation</b> : <span> 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</td> <td> 4.0 x10*9/L</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</b> </p> <p> <b> id</b> : r12</p> <p/>  <p> <b> code</b> : <span> Monocytes</span> </p> <p> <b> subject</b> : <a> Generated Summary: id: pat2; Medical record number: 123456 (USUAL); active; Duck D Donald
                 (OFFICIAL); gender: other; </a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc. Generated Summary: id: 1832473e-2fe0-452d-abe9-3cdb9879522f; id:
                 ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)</a> </p> <p> <b> value</b> : 20 %</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</b> </p> <p> <b> id</b> : r13</p> <p/>  <p> <b> code</b> : <span> Monocytes</span> </p> <p> <b> subject</b> : <a> Generated Summary: id: pat2; Medical record number: 123456 (USUAL); active; Duck D Donald
                 (OFFICIAL); gender: other; </a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc. Generated Summary: id: 1832473e-2fe0-452d-abe9-3cdb9879522f; id:
                 ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)</a> </p> <p> <b> value</b> : 0.9 x10*9/L</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</td> <td> 1.0 x10*9/L</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</b> </p> <p> <b> id</b> : r14</p> <p/>  <p> <b> code</b> : <span> Eosinophils</span> </p> <p> <b> subject</b> : <a> Generated Summary: id: pat2; Medical record number: 123456 (USUAL); active; Duck D Donald
                 (OFFICIAL); gender: other; </a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc. Generated Summary: id: 1832473e-2fe0-452d-abe9-3cdb9879522f; id:
                 ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)</a> </p> <p> <b> value</b> : 20 %</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</b> </p> <p> <b> id</b> : r15</p> <p/>  <p> <b> code</b> : <span> Eosinophils</span> </p> <p> <b> subject</b> : <a> Generated Summary: id: pat2; Medical record number: 123456 (USUAL); active; Duck D Donald
                 (OFFICIAL); gender: other; </a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc. Generated Summary: id: 1832473e-2fe0-452d-abe9-3cdb9879522f; id:
                 ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)</a> </p> <p> <b> value</b> : 0.92 x10*9/L</p> <p> <b> interpretation</b> : <span> 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</td> <td> 0.40 x10*9/L</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</b> </p> <p> <b> id</b> : r16</p> <p/>  <p> <b> code</b> : <span> Basophils</span> </p> <p> <b> subject</b> : <a> Generated Summary: id: pat2; Medical record number: 123456 (USUAL); active; Duck D Donald
                 (OFFICIAL); gender: other; </a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc. Generated Summary: id: 1832473e-2fe0-452d-abe9-3cdb9879522f; id:
                 ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)</a> </p> <p> <b> value</b> : 20 %</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</b> </p> <p> <b> id</b> : r17</p> <p/>  <p> <b> code</b> : <span> Basophils</span> </p> <p> <b> subject</b> : <a> Generated Summary: id: pat2; Medical record number: 123456 (USUAL); active; Duck D Donald
                 (OFFICIAL); gender: other; </a> </p> <p> <b> performer</b> : <a> Acme Laboratory, Inc. Generated Summary: id: 1832473e-2fe0-452d-abe9-3cdb9879522f; id:
                 ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)</a> </p> <p> <b> value</b> : 0.92 x10*9/L</p> <h3> ReferenceRanges</h3> <table> <tr> <td> -</td> <td> <b> High</b> </td> </tr> <tr> <td> *</td> <td> 0.21 x10*9/L</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>