Release 4
DiagnosticsThis page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). 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
| Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner |
Raw XML (canonical form + also see XML Format Specification)
Various reports gathered from v2 messages (id = "72ac8493-52ac-41bd-8d5d-7258c289b5ea")
<?xml version="1.0" encoding="UTF-8"?> <Bundle xmlns="http://hl7.org/fhir"> <id value="72ac8493-52ac-41bd-8d5d-7258c289b5ea"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <type value="collection"/> <entry> <fullUrl value="http://hl7.org/fhir/Bundle/3"/> <resource> <Bundle> <id value="3"/> <type value="collection"/> <entry> <fullUrl value="https://example.com/base/DiagnosticReport/3"/> <resource> <DiagnosticReport> <id value="3"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table> <tr> <td> Sodium</td> <td> 140</td> <td> mmol/L</td> <td> 137-147</td> </tr> <tr> <td> Serum Potassium</td> <td> 4.2</td> <td> mmol/L</td> <td> 3.5-5.0</td> </tr> <tr> <td> Chloride</td> <td> 105</td> <td> mmol/L</td> <td> 96-109</td> </tr> <tr> <td> Bicarbonate</td> <td> 26</td> <td> mmol/L</td> <td> 25-33</td> </tr> <tr> <td> Other Anions</td> <td> 13</td> <td> mmol/L</td> <td> 4-17</td> </tr> <tr> <td> Glucose</td> <td> 7.4</td> <td> mmol/L</td> <td> 3.0-7.7</td> </tr> <tr> <td> Urea</td> <td> 4.7</td> <td> mmol/L</td> <td> 2.0-7.0</td> </tr> <tr> <td> Serum Creatinine</td> <td> 0.09</td> <td> mmol/L</td> <td> 0.04-0.11</td> </tr> <tr> <td> Serum Uric Acid</td> <td> 0.39</td> <td> mmol/L</td> <td> 0.14-0.35</td> <td> <b> +</b> </td> </tr> <tr> <td> Total Bilirubin</td> <td> 7</td> <td> umol/L</td> <td> 2-20</td> </tr> <tr> <td> Direct Bilirubin</td> <td> 3</td> <td> umol/L</td> <td> 0-8</td> </tr> <tr> <td> Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td> <td> 108</td> <td> U/L</td> <td> 30-115</td> </tr> <tr> <td> Gamma G.T.</td> <td> 35</td> <td> U/L</td> <td> 0-45</td> </tr> <tr> <td> ALT</td> <td> 54</td> <td> U/L</td> <td> 0-45</td> <td> <b> +</b> </td> </tr> <tr> <td> AST</td> <td> 30</td> <td> U/L</td> <td> 0-41</td> </tr> <tr> <td> LD</td> <td> 131</td> <td> U/L</td> <td> 80-250</td> </tr> <tr> <td> Serum Calcium</td> <td> 2.38</td> <td> mmol/L</td> <td> 2.25-2.65</td> </tr> <tr> <td> Corrected Calcium</td> <td> 2.39</td> <td> mmol/L</td> <td> 2.25-2.65</td> </tr> <tr> <td> Serum Phosphate</td> <td> 1.5</td> <td> mmol/L</td> <td> 0.8-1.5</td> </tr> <tr> <td> Total Protein</td> <td> 67</td> <td> g/L</td> <td> 60-82</td> </tr> <tr> <td> Serum Albumin</td> <td> 42</td> <td> g/L</td> <td> 35-50</td> </tr> <tr> <td> Globulins</td> <td> 25</td> <td> g/L</td> <td> 20-40</td> </tr> <tr> <td> Iron</td> <td> 5</td> <td> umol/L</td> <td> 10-33</td> <td> <b> --</b> </td> </tr> <tr> <td> Cholesterol</td> <td> 3.8</td> <td> mmol/L</td> <td> 3.6-6.7</td> </tr> <tr> <td> Â </td> <td colspan="4">Revised NHF cholesterol guidelines (Nov.,2001): Target below 4.0 mmol/L if high risk patient. Consider lipid lowering treatment if cholesterol above 6.0 mmol/L, and no other risk factor of CHD.</td> </tr> <tr> <td> Triglycerides</td> <td> 0.9</td> <td> mmol/L</td> <td> 0.3-4.0</td> </tr> <tr> <td> HDL Cholesterol</td> <td> 1.2</td> <td> mmol/L</td> <td> 1.0-2.0</td> </tr> </table> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="5234342"/> </identifier> <status value="final"/> <code> <coding> <system value="http://acme.com/labs/reports"/> <code value="25T"/> <display value="E/LFT (MASTER)"/> </coding> </code> <subject> <reference value="Patient/1"/> </subject> <effectiveDateTime value="2005-01-27T06:40:17Z"/> <issued value="2005-01-27T06:40:01Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <result> <reference value="Observation/o1-3"/> </result> <result> <reference value="Observation/o2-3"/> </result> <result> <reference value="Observation/o3-3"/> </result> <result> <reference value="Observation/o4-3"/> </result> <result> <reference value="Observation/o5-3"/> </result> <result> <reference value="Observation/o6-3"/> </result> <result> <reference value="Observation/o7-3"/> </result> <result> <reference value="Observation/o8-3"/> </result> <result> <reference value="Observation/o9-3"/> </result> <result> <reference value="Observation/o10-3"/> </result> <result> <reference value="Observation/o11-3"/> </result> <result> <reference value="Observation/o12-3"/> </result> <result> <reference value="Observation/o13-3"/> </result> <result> <reference value="Observation/o14-3"/> </result> <result> <reference value="Observation/o15-3"/> </result> <result> <reference value="Observation/o16-3"/> </result> <result> <reference value="Observation/o17-3"/> </result> <result> <reference value="Observation/o18-3"/> </result> <result> <reference value="Observation/o19-3"/> </result> <result> <reference value="Observation/o20-3"/> </result> <result> <reference value="Observation/o21-3"/> </result> <result> <reference value="Observation/o22-3"/> </result> <result> <reference value="Observation/o23-3"/> </result> <result> <reference value="Observation/o24-3"/> </result> <result> <reference value="Observation/o25-3"/> </result> <result> <reference value="Observation/o26-3"/> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o1-3"/> <resource> <Observation> <id value="o1-3"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="2951-2"/> <display value="Sodium [Moles/volume] in Serum or Plasma"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="104934005"/> </coding> </code> <subject> <reference value="Patient/1"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="140"/> <unit value="mmol/L"/> </valueQuantity> <referenceRange> <low> <value value="137"/> <unit value="mmol/L"/> </low> <high> <value value="147"/> <unit value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o2-3"/> <resource> <Observation> <id value="o2-3"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="2823-3"/> <display value="Potassium [Moles/volume] in Serum or Plasma"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="59573005"/> </coding> </code> <subject> <reference value="Patient/1"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="4.2"/> <unit value="mmol/L"/> </valueQuantity> <referenceRange> <low> <value value="3.5"/> <unit value="mmol/L"/> </low> <high> <value value="5.0"/> <unit value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o3-3"/> <resource> <Observation> <id value="o3-3"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="2075-0"/> <display value="Chloride [Moles/volume] in Serum or Plasma"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="46511006"/> </coding> </code> <subject> <reference value="Patient/1"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="105"/> <unit value="mmol/L"/> </valueQuantity> <referenceRange> <low> <value value="96"/> <unit value="mmol/L"/> </low> <high> <value value="109"/> <unit value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o4-3"/> <resource> <Observation> <id value="o4-3"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="1963-8"/> <display value="Bicarbonate [Moles/volume] in Serum"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="88645003"/> </coding> </code> <subject> <reference value="Patient/1"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="26"/> <unit value="mmol/L"/> </valueQuantity> <referenceRange> <low> <value value="25"/> <unit value="mmol/L"/> </low> <high> <value value="33"/> <unit value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o5-3"/> <resource> <Observation> <id value="o5-3"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="1863-0"/> <display value="Anion gap 4 in Serum or Plasma"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="271057005"/> </coding> </code> <subject> <reference value="Patient/1"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="13"/> <unit value="mmol/L"/> </valueQuantity> <referenceRange> <low> <value value="4"/> <unit value="mmol/L"/> </low> <high> <value value="17"/> <unit value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o6-3"/> <resource> <Observation> <id value="o6-3"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="14749-6"/> <display value="Glucose [Moles/volume] in Serum or Plasma"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="36048009"/> </coding> </code> <subject> <reference value="Patient/1"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="7.4"/> <unit value="mmol/L"/> </valueQuantity> <referenceRange> <low> <value value="3.0"/> <unit value="mmol/L"/> </low> <high> <value value="7.7"/> <unit value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o7-3"/> <resource> <Observation> <id value="o7-3"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="14937-7"/> <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="273967009"/> </coding> </code> <subject> <reference value="Patient/1"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="4.7"/> <unit value="mmol/L"/> </valueQuantity> <referenceRange> <low> <value value="2.0"/> <unit value="mmol/L"/> </low> <high> <value value="7.0"/> <unit value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o8-3"/> <resource> <Observation> <id value="o8-3"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="14682-9"/> <display value="Creatinine [Moles/volume] in Serum or Plasma"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="70901006"/> </coding> </code> <subject> <reference value="Patient/1"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="0.09"/> <unit value="mmol/L"/> </valueQuantity> <referenceRange> <low> <value value="0.04"/> <unit value="mmol/L"/> </low> <high> <value value="0.11"/> <unit value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o9-3"/> <resource> <Observation> <id value="o9-3"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="14933-6"/> <display value="Urate [Moles/volume] in Serum or Plasma"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="86228006"/> </coding> </code> <subject> <reference value="Patient/1"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="0.39"/> <unit value="mmol/L"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="H"/> </coding> </interpretation> <referenceRange> <low> <value value="0.14"/> <unit value="mmol/L"/> </low> <high> <value value="0.35"/> <unit value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o10-3"/> <resource> <Observation> <id value="o10-3"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="14631-6"/> <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="27171005"/> </coding> </code> <subject> <reference value="Patient/1"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="7"/> <unit value="umol/L"/> </valueQuantity> <referenceRange> <low> <value value="2"/> <unit value="umol/L"/> </low> <high> <value value="20"/> <unit value="umol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o11-3"/> <resource> <Observation> <id value="o11-3"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="14629-0"/> <display value="Bilirubin.direct [Moles/volume] in Serum or Plasma"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="39748002"/> </coding> </code> <subject> <reference value="Patient/1"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="3"/> <unit value="umol/L"/> </valueQuantity> <referenceRange> <low> <value value="0"/> <unit value="umol/L"/> </low> <high> <value value="8"/> <unit value="umol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o12-3"/> <resource> <Observation> <id value="o12-3"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="6768-6"/> <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="88810008"/> </coding> </code> <subject> <reference value="Patient/1"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="108"/> <unit value="U/L"/> </valueQuantity> <referenceRange> <low> <value value="30"/> <unit value="U/L"/> </low> <high> <value value="115"/> <unit value="U/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o13-3"/> <resource> <Observation> <id value="o13-3"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="2324-2"/> <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="69480007"/> </coding> </code> <subject> <reference value="Patient/1"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="35"/> <unit value="U/L"/> </valueQuantity> <referenceRange> <low> <value value="0"/> <unit value="U/L"/> </low> <high> <value value="45"/> <unit value="U/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o14-3"/> <resource> <Observation> <id value="o14-3"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="1742-6"/> <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="34608000"/> </coding> </code> <subject> <reference value="Patient/1"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="54"/> <unit value="U/L"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="H"/> </coding> </interpretation> <referenceRange> <low> <value value="0"/> <unit value="U/L"/> </low> <high> <value value="45"/> <unit value="U/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o15-3"/> <resource> <Observation> <id value="o15-3"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="1920-8"/> <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="45896001"/> </coding> </code> <subject> <reference value="Patient/1"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="30"/> <unit value="U/L"/> </valueQuantity> <referenceRange> <low> <value value="0"/> <unit value="U/L"/> </low> <high> <value value="41"/> <unit value="U/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o16-3"/> <resource> <Observation> <id value="o16-3"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="2532-0"/> <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="11274001"/> </coding> </code> <subject> <reference value="Patient/1"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="131"/> <unit value="U/L"/> </valueQuantity> <referenceRange> <low> <value value="80"/> <unit value="U/L"/> </low> <high> <value value="250"/> <unit value="U/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o17-3"/> <resource> <Observation> <id value="o17-3"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="2000-8"/> <display value="Calcium [Moles/volume] in Serum or Plasma"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="71878006"/> </coding> </code> <subject> <reference value="Patient/1"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="2.38"/> <unit value="mmol/L"/> </valueQuantity> <referenceRange> <low> <value value="2.25"/> <unit value="mmol/L"/> </low> <high> <value value="2.65"/> <unit value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o18-3"/> <resource> <Observation> <id value="o18-3"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="13959-2"/> <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="166708003"/> </coding> </code> <subject> <reference value="Patient/1"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="2.39"/> <unit value="mmol/L"/> </valueQuantity> <referenceRange> <low> <value value="2.25"/> <unit value="mmol/L"/> </low> <high> <value value="2.65"/> <unit value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o19-3"/> <resource> <Observation> <id value="o19-3"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="14879-1"/> <display value="Phosphate [Moles/volume] in Serum or Plasma"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="104866001"/> </coding> </code> <subject> <reference value="Patient/1"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="1.5"/> <unit value="mmol/L"/> </valueQuantity> <referenceRange> <low> <value value="0.8"/> <unit value="mmol/L"/> </low> <high> <value value="1.5"/> <unit value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o20-3"/> <resource> <Observation> <id value="o20-3"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="2885-2"/> <display value="Protein [Mass/volume] in Serum or Plasma"/> </coding> <coding> <system 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39 g/L 35-50\.br\ Globulins 28 g/L 20-40\.br\ Iron 5 - - umol/L 10-33\.br\ Cholesterol 4.4 mmol/L 3.6-6.7\.br\ \.br\ Revised NHF cholesterol guidelines (Nov.,2001):\.br\ Target below 4.0 mmol/L if high risk patient.\.br\ Consider lipid lowering treatment if cholesterol above 6.0 mmol/L\.br\ and no other risk factor of CHD.\.br\ \.br\ Triglycerides 1.1 mmol/L 0.3-4.0\.br\|| --><entry> <fullUrl value="http://hl7.org/fhir/Bundle/6"/> <resource> <Bundle> <id value="6"/> <type value="collection"/> <entry> <fullUrl value="https://example.com/base/DiagnosticReport/6"/> <resource> <DiagnosticReport> <id value="6"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <identifier> <system value="http://acme.com/lab/reports"/> <value value="5234342"/> </identifier> <status value="final"/> <code> <text value="SERUM CHEMISTRY"/> </code> <subject> <reference value="Patient/4"/> </subject> <effectiveDateTime value="2004-12-22T07:45:17Z"/> <issued value="2004-12-21T00:00:01Z"/> <performer> 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Laboratory, Inc"/> </performer> <valueQuantity> <value value="4.0"/> <unit value="mmol/L"/> </valueQuantity> <referenceRange> <low> <value value="3.6"/> <unit value="mmol/L"/> </low> <high> <value value="6.7"/> <unit value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o25-6"/> <resource> <Observation> <id value="o25-6"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="14927-8"/> <display value="Triglyceride [Moles/volume] in Serum or Plasma"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="104784006"/> </coding> </code> <subject> <reference value="Patient/4"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="1.0"/> <unit value="mmol/L"/> </valueQuantity> <referenceRange> <low> <value value="0.3"/> <unit value="mmol/L"/> </low> <high> <value value="4.0"/> <unit value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> </Bundle> </resource> </entry> <!-- OBX|28|FT|PIT^^AUSPDI||001 Medical-Objects 07 01/07/1996\.br\002 \.br\003 Report Run Number: 1 Created: 19/04/2005 at 22:58:15\.br\004 Surgery: XXX Reports: 23/02/2005 10:04:00 to 23/02/2005 10:04:00 \.br\009 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\.br\010 ANDERSON,DR. THOMAS 0191322W\.br\019 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\.br\020 Your Ref. Patient Name Lab Ref. Test\.br\021 JONES,June 04-4154148 E/LFT (MASTER)\.br\029 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\.br\100 Start Patient : JONES,June \.br\101 24 Sutherland Street, BUDERIM QLD 4556 \.br\104 Birthdate: 08/01/1976 Age: Y29 Sex:F\.br\105 Telephone: 07 \.br\109 \.br\110 Your Reference : \.br\111 MO Reference : 04-4154148-25T-0\.br\112 Medicare Number: \.br\115 Phone Enquiries: (DR MARCUS WELBY) \.br\119 \.br\121 Referred by : WHITE,DR. WILSON \.br\122 Copy to : ANDERSON,DR. THOMAS \.br\123 Addressee : ANDERSON,DR. THOMAS 0191322W\.br\129 \.br\200 Start of Result:\.br\201 Specimen :\.br\203 Requested : 21/12/2004\.br\20 4 Collected : 22/12/2004 07:45\.br\205 Name of Test : E/LFT (MASTER) \.br\206 Reported : 23/02/2005 10:04\.br\207 Confidential : N\.br\208 Test Category : N\.br\209 \.br\210 Normal Result : N\.br\299 \.br\301 Units Ref Range\.br\301 \.br\301 SERUM CHEMISTRY\.br\301 Sodium 142 mmol/L 137-147\.br\301 Serum Potassium 4.0 mmol/L 3.5-5.0\.br\301 Chloride 107 mmol/L 96-109\.br\301 Bicarbonate 26 mmol/L 25-33\.br\301 Other Anions 13 mmol/L 4-17\.br\301 Glucose 6.3 mmol/L 3.0-7.7\.br\301 Urea 6.7 mmol/L 2.0-7.0\.br\301 Serum Creatinine 0.08 mmol/L 0.04-0.11\.br\301 \R\FG04\R\Serum Uric Acid 0.40 ++ mmol/L 0.14-0.35\R\FG99\R\\.br\301 Total Bilirubin 9 umol/L 2-20\.br\301 Direct Bilirubin 4 umol/L 0-8\.br\301 \R\FG04\R\Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma 144 + U/L 30-115\R\FG99\R\\.br\301 \R\FG04\R\Gamma G.T. 106 +++ U/L 0-45\R\FG99\R\\.br\301 ALT 30 U/L 0-45\.br\301 AST 18 U/L 0-41\.br\301 LD 143 U/L 80-250\.br\301 Serum Calcium 2.28 mmol/L 2.25-2.65\.br\301 Corrected Calcium 2.32 mmol/L 2.25-2.65\.br\301 Serum Phosphate 1.3 mmol/L 0.8-1.5\.br\301 Total Protein 66 g/L 60-82\.br\301 Serum Albumin 41 g/L 35-50\.br\301 Globulins 25 g/L 20-40\.br\301 \R\FG04\R\Iron 3 - - - umol/L 10-33\R\FG99\R\\.br\301 Cholesterol 4.0 mmol/L 3.6-6.7\.br\301 \.br\301 Revised NHF cholesterol guidelines (Nov.,2001):\.br\301 Target below 4.0 mmol/L if high risk patient.\.br\301 Consider lipid lowering treatment if cholesterol above 6.0 mmol/L\.br\301 and no other risk factor of CHD.\.br\301 \.br\301 Triglycerides 1.0 mmol/L 0.3-4.0\.br\309 \.br\319 \.br\390 End of Report :\.br\399 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\.br\999 END OF LISTING - Run Number:1 19/04/2005 22:58:15\.br\|| --><entry> <fullUrl value="http://hl7.org/fhir/Bundle/7"/> 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<subject> <reference value="Patient/10"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="70"/> <unit value="U/L"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="H"/> </coding> </interpretation> <referenceRange> <low> <value value="0"/> <unit value="U/L"/> </low> <high> <value value="45"/> <unit value="U/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o15-17"/> <resource> <Observation> <id value="o15-17"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="1920-8"/> <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="45896001"/> </coding> 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value="104485008"/> </coding> </code> <subject> <reference value="Patient/10"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="39"/> <unit value="g/L"/> </valueQuantity> <referenceRange> <low> <value value="35"/> <unit value="g/L"/> </low> <high> <value value="50"/> <unit value="g/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o22-17"/> <resource> <Observation> <id value="o22-17"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="10834-0"/> <display value="Globulin [Mass/volume] in Serum by calculation"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="104979009"/> </coding> </code> <subject> <reference value="Patient/10"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 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</Bundle> </resource> </entry> <!-- OBX|28|FT|TXT^^AUSPDI|| Units Ref Range\.br\ \.br\ SERUM CHEMISTRY\.br\ Sodium 142 mmol/L 137-147\.br\ Serum Potassium 4.0 mmol/L 3.5-5.0\.br\ Chloride 105 mmol/L 96-109\.br\ Bicarbonate 28 mmol/L 25-33\.br\ Other Anions 13 mmol/L 4-17\.br\ Glucose 5.2 mmol/L 3.0-7.7\.br\ Urea 6.4 mmol/L 2.0-7.0\.br\ Serum Creatinine 0.09 mmol/L 0.04-0.11\.br\ Serum Uric Acid 0.46 +++ mmol/L 0.14-0.35\.br\ Total Bilirubin 13 umol/L 2-20\.br\ Direct Bilirubin 6 umol/L 0-8\.br\ Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma 204 +++ U/L 30-115\.br\ Gamma G.T. 192 +++ U/L 0-45\.br\ ALT 70 + U/L 0-45\.br\ AST 26 U/L 0-41\.br\ LD 150 U/L 80-250\.br\ Serum Calcium 2.37 mmol/L 2.25-2.65\.br\ Corrected Calcium 2.47 mmol/L 2.25-2.65\.br\ Serum Phosphate 1.4 mmol/L 0.8-1.5\.br\ Total Protein 67 g/L 60-82\.br\ Serum Albumin 39 g/L 35-50\.br\ Globulins 28 g/L 20-40\.br\ Iron 5 - - umol/L 10-33\.br\ Cholesterol 4.4 mmol/L 3.6-6.7\.br\ \.br\ Revised NHF cholesterol guidelines (Nov.,2001):\.br\ Target below 4.0 mmol/L if high risk patient.\.br\ Consider lipid lowering treatment if cholesterol above 6.0 mmol/L\.br\ and no other risk factor of CHD.\.br\ \.br\ Triglycerides 1.1 mmol/L 0.3-4.0\.br\|| --><entry> <fullUrl value="http://hl7.org/fhir/Bundle/18"/> <resource> <Bundle> <id value="18"/> <type value="collection"/> <entry> <fullUrl value="https://example.com/base/DiagnosticReport/18"/> <resource> <DiagnosticReport> <id value="18"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <identifier> <system value="http://acme.com/lab/reports"/> <value value="5234342"/> </identifier> <status value="final"/> <code> <text value="SERUM CHEMISTRY"/> </code> <subject> <reference value="Patient/1"/> </subject> <effectiveDateTime value="2004-12-22T07:45:17Z"/> <issued value="2005-02-23T10:04:01Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> 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value="mmol/L"/> </valueQuantity> <referenceRange> <low> <value value="0.3"/> <unit value="mmol/L"/> </low> <high> <value value="4.0"/> <unit value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> </Bundle> </resource> </entry> <!-- OBX|28|FT|PIT^^AUSPDI||001 Medical-Objects 07 01/07/1996\.br\002 \.br\003 Report Run Number: 1 Created: 19/04/2005 at 22:58:15\.br\004 Surgery: XXX Reports: 23/02/2005 10:04:00 to 23/02/2005 10:04:00 \.br\009 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\.br\010 ANDERSON,DR. THOMAS 0191322W\.br\019 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\.br\020 Your Ref. Patient Name Lab Ref. Test\.br\021 JONES,June 04-4154148 E/LFT (MASTER)\.br\029 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\.br\100 Start Patient : JONES,June \.br\101 24 Sutherland Street, BUDERIM QLD 4556 \.br\104 Birthdate: 08/01/1976 Age: Y29 Sex:F\.br\105 Telephone: 07 \.br\109 \.br\110 Your Reference : \.br\111 MO Reference : 04-4154148-25T-0\.br\112 Medicare Number: \.br\115 Phone Enquiries: (DR MARCUS WELBY) \.br\119 \.br\121 Referred by : WHITE,DR. WILSON \.br\122 Copy to : ANDERSON,DR. THOMAS \.br\123 Addressee : ANDERSON,DR. THOMAS 0191322W\.br\129 \.br\200 Start of Result:\.br\201 Specimen :\.br\203 Requested : 21/12/2004\.br\20 4 Collected : 22/12/2004 07:45\.br\205 Name of Test : E/LFT (MASTER) \.br\206 Reported : 23/02/2005 10:04\.br\207 Confidential : N\.br\208 Test Category : N\.br\209 \.br\210 Normal Result : N\.br\299 \.br\301 Units Ref Range\.br\301 \.br\301 SERUM CHEMISTRY\.br\301 Sodium 142 mmol/L 137-147\.br\301 Serum Potassium 4.0 mmol/L 3.5-5.0\.br\301 Chloride 107 mmol/L 96-109\.br\301 Bicarbonate 26 mmol/L 25-33\.br\301 Other Anions 13 mmol/L 4-17\.br\301 Glucose 6.3 mmol/L 3.0-7.7\.br\301 Urea 6.7 mmol/L 2.0-7.0\.br\301 Serum Creatinine 0.08 mmol/L 0.04-0.11\.br\301 \R\FG04\R\Serum Uric Acid 0.40 ++ mmol/L 0.14-0.35\R\FG99\R\\.br\301 Total Bilirubin 9 umol/L 2-20\.br\301 Direct Bilirubin 4 umol/L 0-8\.br\301 \R\FG04\R\Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma 144 + U/L 30-115\R\FG99\R\\.br\301 \R\FG04\R\Gamma G.T. 106 +++ U/L 0-45\R\FG99\R\\.br\301 ALT 30 U/L 0-45\.br\301 AST 18 U/L 0-41\.br\301 LD 143 U/L 80-250\.br\301 Serum Calcium 2.28 mmol/L 2.25-2.65\.br\301 Corrected Calcium 2.32 mmol/L 2.25-2.65\.br\301 Serum Phosphate 1.3 mmol/L 0.8-1.5\.br\301 Total Protein 66 g/L 60-82\.br\301 Serum Albumin 41 g/L 35-50\.br\301 Globulins 25 g/L 20-40\.br\301 \R\FG04\R\Iron 3 - - - umol/L 10-33\R\FG99\R\\.br\301 Cholesterol 4.0 mmol/L 3.6-6.7\.br\301 \.br\301 Revised NHF cholesterol guidelines (Nov.,2001):\.br\301 Target below 4.0 mmol/L if high risk patient.\.br\301 Consider lipid lowering treatment if cholesterol above 6.0 mmol/L\.br\301 and no other risk factor of CHD.\.br\301 \.br\301 Triglycerides 1.0 mmol/L 0.3-4.0\.br\309 \.br\319 \.br\390 End of Report :\.br\399 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\.br\999 END OF LISTING - Run Number:1 19/04/2005 22:58:15\.br\|| --><entry> <fullUrl value="http://hl7.org/fhir/Bundle/19"/> 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</result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o1-26"/> <resource> <Observation> <id value="o1-26"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="20507-0"/> <display value="Reagin Ab [Presence] in Serum by RPR"/> </coding> </code> <subject> <reference value="Patient/6"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueString value="Non-reactive"/> </Observation> </resource> </entry> </Bundle> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/Bundle/27"/> <resource> <Bundle> <id value="27"/> <type value="collection"/> <entry> <fullUrl value="https://example.com/base/DiagnosticReport/27"/> <resource> <DiagnosticReport> <id value="27"/> <meta> <lastUpdated value="2012-05-23T14:27:01Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table> <tr> <td> hsCRP</td> <td> 2.8</td> <td> mg/L</td> <td> 1.0-3.0</td> </tr> </table> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="23412355"/> </identifier> <status value="final"/> <code> <coding> <system value="http://acme.com/labs/reports"/> <code value="bchem2"/> <display value="Specialist Biochemistry"/> </coding> </code> <subject> <reference value="Patient/1"/> </subject> <effectiveDateTime value="2012-05-21T10:45:00Z"/> <issued value="2012-05-23T14:27:01Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <result> <reference value="Observation/o1-27"/> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o1-27"/> <resource> <Observation> <id value="o1-27"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="30522-7"/> <display value="C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="55235003"/> </coding> <text value="hsCRP"/> </code> <subject> <reference value="Patient/1"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="2.8"/> <unit value="mg/L"/> </valueQuantity> <referenceRange> <low> <value value="1.0"/> <unit value="mg/L"/> </low> <high> <value value="3.0"/> <unit value="mg/L"/> </high> </referenceRange> </Observation> </resource> </entry> </Bundle> </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.
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