DSTU2 Ballot Source

This page is part of the FHIR Specification (v0.5.0: DSTU 2 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.xml

Raw XML (canonical form)

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

Raw XML

<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"/>
  <base value="http://hl7.org/fhir"/>
  <entry>
    <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"><!-- Snipped for brevity --></div>
        </text>
        <contained>
          <Observation>
            <id value="o1"/>
            <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>
            <valueQuantity>
              <value value="140"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="137"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <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>
            <valueQuantity>
              <value value="4.2"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.5"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <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>
            <valueQuantity>
              <value value="105"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="96"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <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>
            <valueQuantity>
              <value value="26"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <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>
            <valueQuantity>
              <value value="13"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="4"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <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>
            <valueQuantity>
              <value value="7.4"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.0"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="7.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <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>
            <valueQuantity>
              <value value="4.7"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.0"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="7.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o8"/>
            <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>
            <valueQuantity>
              <value value="0.09"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.04"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="0.11"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
            <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>
            <valueQuantity>
              <value value="0.39"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.14"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="0.35"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
            <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>
            <valueQuantity>
              <value value="7"/>
              <units value="umol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="20"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o11"/>
            <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>
            <valueQuantity>
              <value value="3"/>
              <units value="umol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="8"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
            <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>
            <valueQuantity>
              <value value="108"/>
              <units value="U/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="30"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="115"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <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>
            <valueQuantity>
              <value value="35"/>
              <units value="U/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
            <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>
            <valueQuantity>
              <value value="54"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
            <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>
            <valueQuantity>
              <value value="30"/>
              <units value="U/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="41"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o16"/>
            <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>
            <valueQuantity>
              <value value="131"/>
              <units value="U/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="80"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="250"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o17"/>
            <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>
            <valueQuantity>
              <value value="2.38"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o18"/>
            <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>
            <valueQuantity>
              <value value="2.39"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o19"/>
            <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>
            <valueQuantity>
              <value value="1.5"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.8"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="1.5"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o20"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2885-2"/>
                <display value="Protein [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="74040009"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="67"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="60"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="82"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o21"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1751-7"/>
                <display value="Albumin [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104485008"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="42"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="35"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="50"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o22"/>
            <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>
            <valueQuantity>
              <value value="25"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="20"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="40"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o23"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42950004"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="5"/>
              <units value="umol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="LL"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="10"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o24"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="77068002"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="3.8"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.6"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="6.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o25"/>
            <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>
            <valueQuantity>
              <value value="0.9"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.3"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="4.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o26"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2085-9"/>
                <display value="Cholesterol in HDL [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="17888004"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="1.0"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="1.0"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <name>
          <coding>
            <system value="http://acme.com/labs/reports"/>
            <code value="25T"/>
            <display value="E/LFT (MASTER)"/>
          </coding>
        </name>
        <status value="final"/>
        <issued value="2005-01-27T06:40:01Z"/>
        <subject>
          <reference value="Patient/1"/>
        </subject>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <diagnosticDateTime value="2005-01-27T06:40:17Z"/>
        <result>
          <reference value="#o1"/>
        </result>
        <result>
          <reference value="#o2"/>
        </result>
        <result>
          <reference value="#o3"/>
        </result>
        <result>
          <reference value="#o4"/>
        </result>
        <result>
          <reference value="#o5"/>
        </result>
        <result>
          <reference value="#o6"/>
        </result>
        <result>
          <reference value="#o7"/>
        </result>
        <result>
          <reference value="#o8"/>
        </result>
        <result>
          <reference value="#o9"/>
        </result>
        <result>
          <reference value="#o10"/>
        </result>
        <result>
          <reference value="#o11"/>
        </result>
        <result>
          <reference value="#o12"/>
        </result>
        <result>
          <reference value="#o13"/>
        </result>
        <result>
          <reference value="#o14"/>
        </result>
        <result>
          <reference value="#o15"/>
        </result>
        <result>
          <reference value="#o16"/>
        </result>
        <result>
          <reference value="#o17"/>
        </result>
        <result>
          <reference value="#o18"/>
        </result>
        <result>
          <reference value="#o19"/>
        </result>
        <result>
          <reference value="#o20"/>
        </result>
        <result>
          <reference value="#o21"/>
        </result>
        <result>
          <reference value="#o22"/>
        </result>
        <result>
          <reference value="#o23"/>
        </result>
        <result>
          <reference value="#o24"/>
        </result>
        <result>
          <reference value="#o25"/>
        </result>
        <result>
          <reference value="#o26"/>
        </result>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="4"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
        </text>
        <contained>
          <Observation>
            <id value="o1"/>
            <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>
            <valueQuantity>
              <value value="138"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="137"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <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>
            <valueQuantity>
              <value value="4.1"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.5"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <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>
            <valueQuantity>
              <value value="103"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="96"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <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>
            <valueQuantity>
              <value value="27"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <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>
            <valueQuantity>
              <value value="12"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="4"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <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>
            <valueQuantity>
              <value value="6.8"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.0"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="7.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <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>
            <valueQuantity>
              <value value="8.2"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.0"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="7.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o8"/>
            <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>
            <valueQuantity>
              <value value="0.07"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.04"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="0.11"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
            <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>
            <valueQuantity>
              <value value="0.42"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.14"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="0.35"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
            <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>
            <valueQuantity>
              <value value="16"/>
              <units value="umol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="20"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o11"/>
            <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>
            <valueQuantity>
              <value value="8"/>
              <units value="umol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="8"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
            <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>
            <valueQuantity>
              <value value="369"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="30"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="115"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <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>
            <valueQuantity>
              <value value="438"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
            <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>
            <valueQuantity>
              <value value="263"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
            <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>
            <valueQuantity>
              <value value="87"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="41"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o16"/>
            <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>
            <valueQuantity>
              <value value="179"/>
              <units value="U/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="80"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="250"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o17"/>
            <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>
            <valueQuantity>
              <value value="2.32"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o18"/>
            <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>
            <valueQuantity>
              <value value="2.42"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o19"/>
            <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>
            <valueQuantity>
              <value value="1.3"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.8"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="1.5"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o20"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2885-2"/>
                <display value="Protein [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="74040009"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="67"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="60"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="82"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o21"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1751-7"/>
                <display value="Albumin [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104485008"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="39"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="35"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="50"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o22"/>
            <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>
            <valueQuantity>
              <value value="28"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="20"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="40"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o23"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42950004"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="8"/>
              <units value="umol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="L"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="10"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o24"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="77068002"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="4.8"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.6"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="6.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o25"/>
            <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>
            <valueQuantity>
              <value value="2.2"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.3"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="4.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <name>
          <text value="SERUM CHEMISTRY"/>
        </name>
        <status value="final"/>
        <issued value="2005-02-23T10:04:01Z"/>
        <subject>
          <reference value="Patient/2"/>
        </subject>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <diagnosticDateTime value="2004-12-08T07:45:17Z"/>
        <result>
          <reference value="#o1"/>
        </result>
        <result>
          <reference value="#o2"/>
        </result>
        <result>
          <reference value="#o3"/>
        </result>
        <result>
          <reference value="#o4"/>
        </result>
        <result>
          <reference value="#o5"/>
        </result>
        <result>
          <reference value="#o6"/>
        </result>
        <result>
          <reference value="#o7"/>
        </result>
        <result>
          <reference value="#o8"/>
        </result>
        <result>
          <reference value="#o9"/>
        </result>
        <result>
          <reference value="#o10"/>
        </result>
        <result>
          <reference value="#o11"/>
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        <result>
          <reference value="#o12"/>
        </result>
        <result>
          <reference value="#o13"/>
        </result>
        <result>
          <reference value="#o14"/>
        </result>
        <result>
          <reference value="#o15"/>
        </result>
        <result>
          <reference value="#o16"/>
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        <result>
          <reference value="#o17"/>
        </result>
        <result>
          <reference value="#o18"/>
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        <result>
          <reference value="#o19"/>
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        <result>
          <reference value="#o20"/>
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        <result>
          <reference value="#o21"/>
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        <result>
          <reference value="#o22"/>
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        <result>
          <reference value="#o23"/>
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        <result>
          <reference value="#o24"/>
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        <result>
          <reference value="#o25"/>
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  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="5"/>
        <meta>
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        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
        </text>
        <contained>
          <Observation>
            <id value="o1"/>
            <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>
            <valueQuantity>
              <value value="142"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
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                <value value="137"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <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>
            <valueQuantity>
              <value value="4.0"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
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                <value value="3.5"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <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>
            <valueQuantity>
              <value value="105"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
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              <low>
                <value value="96"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <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>
            <valueQuantity>
              <value value="28"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <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>
            <valueQuantity>
              <value value="13"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
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              <low>
                <value value="4"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <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>
            <valueQuantity>
              <value value="5.2"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.0"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="7.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <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>
            <valueQuantity>
              <value value="6.4"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
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                <value value="2.0"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="7.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o8"/>
            <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>
            <valueQuantity>
              <value value="0.09"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.04"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="0.11"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
            <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>
            <valueQuantity>
              <value value="0.46"/>
              <units value="mmol/L"/>
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            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
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            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.14"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="0.35"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="14631-6"/>
                <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="27171005"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="13"/>
              <units value="umol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="20"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o11"/>
            <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>
            <valueQuantity>
              <value value="6"/>
              <units value="umol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.1"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="8"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="6768-6"/>
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88810008"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="204"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
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            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="30"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="115"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <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>
            <valueQuantity>
              <value value="192"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
            <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>
            <valueQuantity>
              <value value="70"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
            <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>
            <valueQuantity>
              <value value="26"/>
              <units value="U/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="41"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o16"/>
            <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>
            <valueQuantity>
              <value value="150"/>
              <units value="U/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="80"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="250"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o17"/>
            <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>
            <valueQuantity>
              <value value="2.37"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
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                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o18"/>
            <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>
            <valueQuantity>
              <value value="2.47"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
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                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o19"/>
            <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>
            <valueQuantity>
              <value value="1.4"/>
              <units value="mmol/L"/>
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            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.8"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="1.5"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o20"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2885-2"/>
                <display value="Protein [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="74040009"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="67"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="60"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="82"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o21"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1751-7"/>
                <display value="Albumin [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104485008"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="39"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="35"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="50"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o22"/>
            <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>
            <valueQuantity>
              <value value="28"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="20"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="40"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o23"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42950004"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="5"/>
              <units value="umol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="LL"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="10"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o24"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="77068002"/>
              </coding>
            </code>
            <valueQuantity>
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              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.6"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="6.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o25"/>
            <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>
            <valueQuantity>
              <value value="1.1"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.3"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="4.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <name>
          <text value="SERUM CHEMISTRY"/>
        </name>
        <status value="final"/>
        <issued value="2005-02-23T10:04:01Z"/>
        <subject>
          <reference value="Patient/3"/>
        </subject>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <diagnosticDateTime value="2004-12-15T07:20:17Z"/>
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      </DiagnosticReport>
    </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>
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          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
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              <coding>
                <system value="http://loinc.org"/>
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                <value value="147"/>
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        <contained>
          <Observation>
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              <coding>
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              <units value="mmol/L"/>
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                <value value="5.0"/>
                <units value="mmol/L"/>
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        <contained>
          <Observation>
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              <coding>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="46511006"/>
              </coding>
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            <valueQuantity>
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              <units value="mmol/L"/>
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                <value value="96"/>
                <units value="mmol/L"/>
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                <value value="109"/>
                <units value="mmol/L"/>
              </high>
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          </Observation>
        </contained>
        <contained>
          <Observation>
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              <coding>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88645003"/>
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              <units value="mmol/L"/>
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              <high>
                <value value="33"/>
                <units value="mmol/L"/>
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        </contained>
        <contained>
          <Observation>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="1863-0"/>
                <display value="Anion gap 4 in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
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                <value value="4"/>
                <units value="mmol/L"/>
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                <value value="17"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
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              <coding>
                <system value="http://loinc.org"/>
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              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="36048009"/>
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              <units value="mmol/L"/>
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                <units value="mmol/L"/>
              </high>
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          </Observation>
        </contained>
        <contained>
          <Observation>
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              <coding>
                <system value="http://loinc.org"/>
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                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="273967009"/>
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                <value value="2.0"/>
                <units value="mmol/L"/>
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                <value value="7.0"/>
                <units value="mmol/L"/>
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        </contained>
        <contained>
          <Observation>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="70901006"/>
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                <value value="0.04"/>
                <units value="mmol/L"/>
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                <value value="0.11"/>
                <units value="mmol/L"/>
              </high>
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          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="14933-6"/>
                <display value="Urate [Moles/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="86228006"/>
              </coding>
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            <valueQuantity>
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              <units value="mmol/L"/>
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            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
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                <value value="0.14"/>
                <units value="mmol/L"/>
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                <value value="0.35"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
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              <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>
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            <valueQuantity>
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              <units value="umol/L"/>
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              </high>
            </referenceRange>
          </Observation>
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        <contained>
          <Observation>
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              <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>
            <valueQuantity>
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              <units value="umol/L"/>
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            <status value="final"/>
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                <value value="0"/>
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              <high>
                <value value="8"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="6768-6"/>
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88810008"/>
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              <units value="U/L"/>
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            <interpretation>
              <coding>
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              </coding>
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            <status value="final"/>
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                <units value="U/L"/>
              </low>
              <high>
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                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="2324-2"/>
                <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="69480007"/>
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            </code>
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              <units value="U/L"/>
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              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
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              </coding>
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                <value value="0"/>
                <units value="U/L"/>
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                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="1742-6"/>
                <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="34608000"/>
              </coding>
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              <units value="U/L"/>
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                <units value="U/L"/>
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                <value value="45"/>
                <units value="U/L"/>
              </high>
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          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="1920-8"/>
                <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="45896001"/>
              </coding>
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            <valueQuantity>
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              <units value="U/L"/>
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            <status value="final"/>
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                <value value="0"/>
                <units value="U/L"/>
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              <high>
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                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o16"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="2532-0"/>
                <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="11274001"/>
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            <valueQuantity>
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              <units value="U/L"/>
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            <status value="final"/>
            <reliability value="ok"/>
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                <units value="U/L"/>
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              <high>
                <value value="250"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o17"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="2000-8"/>
                <display value="Calcium [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="71878006"/>
              </coding>
            </code>
            <valueQuantity>
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              <units value="mmol/L"/>
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            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
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                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o18"/>
            <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>
            <valueQuantity>
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              <units value="mmol/L"/>
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            <status value="final"/>
            <reliability value="ok"/>
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                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o19"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="14879-1"/>
                <display value="Phosphate [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104866001"/>
              </coding>
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            <valueQuantity>
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              <units value="mmol/L"/>
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            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
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                <value value="0.8"/>
                <units value="mmol/L"/>
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              <high>
                <value value="1.5"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o20"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="2885-2"/>
                <display value="Protein [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="74040009"/>
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            <valueQuantity>
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              <units value="g/L"/>
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            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="60"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="82"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o21"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1751-7"/>
                <display value="Albumin [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104485008"/>
              </coding>
            </code>
            <valueQuantity>
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              <units value="g/L"/>
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            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
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                <value value="35"/>
                <units value="g/L"/>
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              <high>
                <value value="50"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o22"/>
            <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>
            <valueQuantity>
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              <units value="g/L"/>
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            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
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                <units value="g/L"/>
              </low>
              <high>
                <value value="40"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o23"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42950004"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="3"/>
              <units value="umol/L"/>
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            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="LL"/>
              </coding>
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            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="10"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
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  </entry><!--    OBX|28|FT|PIT^^AUSPDI||001 Medical-Objects                                        
      07 01/07/1996\.br\002   \.br\003 Report Run Number: 1    Created:   19/04/2005    
   at    22:58:15\.br\004 Surgery: XXX    Reports: 23/02/2005 10:04:00  to  23/02/2005 10:04:00
         \.br\009 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
   - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\.br\010
   ANDERSON,DR. THOMAS                          0191322W\.br\019 - - - - - - - - - - - -
   - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
   - - - - - - - - - - - - - - - - - - - -\.br\020 Your Ref.   Patient Name             
        Lab Ref.       Test\.br\021             JONES,June                      04-4154148
       E/LFT (MASTER)\.br\029 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
   - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
   - -\.br\100 Start Patient  :      JONES,June                      \.br\101           
              24 Sutherland Street, BUDERIM QLD 4556               \.br\104             
            Birthdate: 08/01/1976     Age: Y29     Sex:F\.br\105                       Telephone:
   07              \.br\109   \.br\110 Your Reference :      \.br\111 MO  Reference  :  
      04-4154148-25T-0\.br\112 Medicare Number:                \.br\115 Phone Enquiries:
         (DR MARCUS WELBY)                           \.br\119   \.br\121 Referred by    :
        WHITE,DR. WILSON                \.br\122 Copy to        :      ANDERSON,DR. THOMAS
               \.br\123 Addressee      :      ANDERSON,DR. THOMAS               0191322W\.br\129
     \.br\200 Start of Result:\.br\201 Specimen       :\.br\203 Requested      :      21/12/2004\.br\20
  4 Collected      :      22/12/2004  07:45\.br\205 Name of Test   :      E/LFT (MASTER)
                                         \.br\206 Reported       :      23/02/2005  10:04\.br\207
   Confidential   :      N\.br\208 Test Category  :      N\.br\209   \.br\210 Normal Result
    :      N\.br\299   \.br\301                               Units  Ref Range\.br\301 \.br\301
     SERUM CHEMISTRY\.br\301 Sodium                 142     mmol/L 137-147\.br\301 Serum
   Potassium        4.0     mmol/L 3.5-5.0\.br\301 Chloride               107     mmol/L
   96-109\.br\301 Bicarbonate            26      mmol/L 25-33\.br\301 Other Anions      
       13      mmol/L 4-17\.br\301 Glucose                6.3     mmol/L 3.0-7.7\.br\301
   Urea                   6.7     mmol/L 2.0-7.0\.br\301 Serum Creatinine       0.08    mmol/L
   0.04-0.11\.br\301 \R\FG04\R\Serum Uric Acid        0.40 ++ mmol/L 0.14-0.35\R\FG99\R\\.br\301
   Total Bilirubin        9       umol/L 2-20\.br\301 Direct Bilirubin       4       umol/L
   0-8\.br\301 \R\FG04\R\Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
   144 +   U/L    30-115\R\FG99\R\\.br\301 \R\FG04\R\Gamma G.T.             106 +++ U/L 
     0-45\R\FG99\R\\.br\301 ALT                    30      U/L    0-45\.br\301 AST      
                18      U/L    0-41\.br\301 LD                     143     U/L    80-250\.br\301
   Serum Calcium          2.28    mmol/L 2.25-2.65\.br\301 Corrected Calcium      2.32  
    mmol/L 2.25-2.65\.br\301 Serum Phosphate        1.3     mmol/L 0.8-1.5\.br\301 Total
   Protein          66      g/L    60-82\.br\301 Serum Albumin          41      g/L    35-50\.br\301
   Globulins              25      g/L    20-40\.br\301 \R\FG04\R\Iron                   3
   - - -   umol/L 10-33\R\FG99\R\\.br\301 Cholesterol            4.0     mmol/L 3.6-6.7\.br\301
   \.br\301 Revised NHF cholesterol guidelines (Nov.,2001):\.br\301   Target below 4.0 mmol/L
   if high risk patient.\.br\301   Consider lipid lowering treatment if cholesterol above
   6.0 mmol/L\.br\301   and no other risk factor of CHD.\.br\301 \.br\301 Triglycerides 
           1.0     mmol/L 0.3-4.0\.br\309   \.br\319   \.br\390 End of Report  :\.br\399
   - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
   - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\.br\999 END OF LISTING
   - Run Number:1     19/04/2005  22:58:15\.br\||    -->
  <entry>
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              <coding>
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            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o18"/>
            <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>
            <valueQuantity>
              <value value="0.9"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.8"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="1.5"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o19"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2885-2"/>
                <display value="Protein [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="74040009"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="71"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="60"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="82"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o20"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1751-7"/>
                <display value="Albumin [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104485008"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="38"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="35"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="50"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o21"/>
            <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>
            <valueQuantity>
              <value value="33"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="20"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="40"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o22"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42950004"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="17"/>
              <units value="umol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="10"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o23"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="77068002"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="7.0"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.6"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="6.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o24"/>
            <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>
            <valueQuantity>
              <value value="0.9"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.3"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="4.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <name>
          <text value="SERUM CHEMISTRY"/>
        </name>
        <status value="final"/>
        <issued value="2004-12-03T00:00:01Z"/>
        <subject>
          <reference value="Patient/5"/>
        </subject>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <diagnosticDateTime value="2004-12-03T09:45:17Z"/>
        <result>
          <reference value="#o1"/>
        </result>
        <result>
          <reference value="#o2"/>
        </result>
        <result>
          <reference value="#o3"/>
        </result>
        <result>
          <reference value="#o4"/>
        </result>
        <result>
          <reference value="#o5"/>
        </result>
        <result>
          <reference value="#o6"/>
        </result>
        <result>
          <reference value="#o7"/>
        </result>
        <result>
          <reference value="#o8"/>
        </result>
        <result>
          <reference value="#o9"/>
        </result>
        <result>
          <reference value="#o10"/>
        </result>
        <result>
          <reference value="#o11"/>
        </result>
        <result>
          <reference value="#o12"/>
        </result>
        <result>
          <reference value="#o13"/>
        </result>
        <result>
          <reference value="#o14"/>
        </result>
        <result>
          <reference value="#o15"/>
        </result>
        <result>
          <reference value="#o16"/>
        </result>
        <result>
          <reference value="#o17"/>
        </result>
        <result>
          <reference value="#o18"/>
        </result>
        <result>
          <reference value="#o19"/>
        </result>
        <result>
          <reference value="#o20"/>
        </result>
        <result>
          <reference value="#o21"/>
        </result>
        <result>
          <reference value="#o22"/>
        </result>
        <result>
          <reference value="#o23"/>
        </result>
        <result>
          <reference value="#o24"/>
        </result>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="8"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
        </text>
        <contained>
          <Observation>
            <id value="o1"/>
            <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>
            <valueQuantity>
              <value value="142"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="137"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <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>
            <valueQuantity>
              <value value="3.6"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.5"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <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>
            <valueQuantity>
              <value value="104"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="96"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <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>
            <valueQuantity>
              <value value="30"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <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>
            <valueQuantity>
              <value value="12"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="4"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <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>
            <valueQuantity>
              <value value="6.2"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.0"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="7.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <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>
            <valueQuantity>
              <value value="4.5"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.0"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="7.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o8"/>
            <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>
            <valueQuantity>
              <value value="0.06"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.04"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="0.11"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
            <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>
            <valueQuantity>
              <value value="0.37"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.14"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="0.35"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
            <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>
            <valueQuantity>
              <value value="50"/>
              <units value="umol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="20"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o11"/>
            <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>
            <valueQuantity>
              <value value="684"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="30"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="115"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
            <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>
            <valueQuantity>
              <value value="1105"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <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>
            <valueQuantity>
              <value value="466"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
            <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>
            <valueQuantity>
              <value value="198"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="41"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
            <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>
            <valueQuantity>
              <value value="323"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="80"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="250"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o16"/>
            <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>
            <valueQuantity>
              <value value="2.32"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o17"/>
            <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>
            <valueQuantity>
              <value value="2.45"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o18"/>
            <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>
            <valueQuantity>
              <value value="0.9"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.8"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="1.5"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o19"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2885-2"/>
                <display value="Protein [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="74040009"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="70"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="60"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="82"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o20"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1751-7"/>
                <display value="Albumin [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104485008"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="38"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="35"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="50"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o21"/>
            <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>
            <valueQuantity>
              <value value="32"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="20"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="40"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o22"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42950004"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="11"/>
              <units value="umol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="10"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o23"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="77068002"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="6.9"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.6"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="6.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o24"/>
            <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>
            <valueQuantity>
              <value value="1.9"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.3"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="4.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <name>
          <text value="SERUM CHEMISTRY"/>
        </name>
        <status value="final"/>
        <issued value="2005-02-23T10:04:01Z"/>
        <subject>
          <reference value="Patient/6"/>
        </subject>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <diagnosticDateTime value="2004-12-03T20:30:17Z"/>
        <result>
          <reference value="#o1"/>
        </result>
        <result>
          <reference value="#o2"/>
        </result>
        <result>
          <reference value="#o3"/>
        </result>
        <result>
          <reference value="#o4"/>
        </result>
        <result>
          <reference value="#o5"/>
        </result>
        <result>
          <reference value="#o6"/>
        </result>
        <result>
          <reference value="#o7"/>
        </result>
        <result>
          <reference value="#o8"/>
        </result>
        <result>
          <reference value="#o9"/>
        </result>
        <result>
          <reference value="#o10"/>
        </result>
        <result>
          <reference value="#o11"/>
        </result>
        <result>
          <reference value="#o12"/>
        </result>
        <result>
          <reference value="#o13"/>
        </result>
        <result>
          <reference value="#o14"/>
        </result>
        <result>
          <reference value="#o15"/>
        </result>
        <result>
          <reference value="#o16"/>
        </result>
        <result>
          <reference value="#o17"/>
        </result>
        <result>
          <reference value="#o18"/>
        </result>
        <result>
          <reference value="#o19"/>
        </result>
        <result>
          <reference value="#o20"/>
        </result>
        <result>
          <reference value="#o21"/>
        </result>
        <result>
          <reference value="#o22"/>
        </result>
        <result>
          <reference value="#o23"/>
        </result>
        <result>
          <reference value="#o24"/>
        </result>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="9"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
        </text>
        <contained>
          <Observation>
            <id value="o1"/>
            <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>
            <valueQuantity>
              <value value="143"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="137"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <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>
            <valueQuantity>
              <value value="4.3"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.5"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <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>
            <valueQuantity>
              <value value="108"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="96"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <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>
            <valueQuantity>
              <value value="25"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <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>
            <valueQuantity>
              <value value="14"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="4"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <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>
            <valueQuantity>
              <value value="4.3"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.0"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="7.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <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>
            <valueQuantity>
              <value value="4.6"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.0"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="7.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o8"/>
            <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>
            <valueQuantity>
              <value value="0.06"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.04"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="0.11"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
            <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>
            <valueQuantity>
              <value value="0.41"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.14"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="0.35"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
            <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>
            <valueQuantity>
              <value value="27"/>
              <units value="umol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="20"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o11"/>
            <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>
            <valueQuantity>
              <value value="631"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="30"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="115"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
            <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>
            <valueQuantity>
              <value value="956"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <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>
            <valueQuantity>
              <value value="398"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
            <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>
            <valueQuantity>
              <value value="120"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="41"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
            <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>
            <valueQuantity>
              <value value="243"/>
              <units value="U/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="80"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="250"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o16"/>
            <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>
            <valueQuantity>
              <value value="2.33"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o17"/>
            <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>
            <valueQuantity>
              <value value="2.52"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o18"/>
            <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>
            <valueQuantity>
              <value value="1.2"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.8"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="1.5"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o19"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2885-2"/>
                <display value="Protein [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="74040009"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="71"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="60"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="82"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o20"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1751-7"/>
                <display value="Albumin [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104485008"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="36"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="35"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="50"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o21"/>
            <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>
            <valueQuantity>
              <value value="35"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="20"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="40"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o22"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42950004"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="39"/>
              <units value="umol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="10"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o23"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="77068002"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="6.8"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.6"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="6.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o24"/>
            <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>
            <valueQuantity>
              <value value="1.5"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.3"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="4.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <name>
          <text value="SERUM CHEMISTRY"/>
        </name>
        <status value="final"/>
        <issued value="2005-02-23T10:04:01Z"/>
        <subject>
          <reference value="Patient/7"/>
        </subject>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <diagnosticDateTime value="2004-12-05T07:15:17Z"/>
        <result>
          <reference value="#o1"/>
        </result>
        <result>
          <reference value="#o2"/>
        </result>
        <result>
          <reference value="#o3"/>
        </result>
        <result>
          <reference value="#o4"/>
        </result>
        <result>
          <reference value="#o5"/>
        </result>
        <result>
          <reference value="#o6"/>
        </result>
        <result>
          <reference value="#o7"/>
        </result>
        <result>
          <reference value="#o8"/>
        </result>
        <result>
          <reference value="#o9"/>
        </result>
        <result>
          <reference value="#o10"/>
        </result>
        <result>
          <reference value="#o11"/>
        </result>
        <result>
          <reference value="#o12"/>
        </result>
        <result>
          <reference value="#o13"/>
        </result>
        <result>
          <reference value="#o14"/>
        </result>
        <result>
          <reference value="#o15"/>
        </result>
        <result>
          <reference value="#o16"/>
        </result>
        <result>
          <reference value="#o17"/>
        </result>
        <result>
          <reference value="#o18"/>
        </result>
        <result>
          <reference value="#o19"/>
        </result>
        <result>
          <reference value="#o20"/>
        </result>
        <result>
          <reference value="#o21"/>
        </result>
        <result>
          <reference value="#o22"/>
        </result>
        <result>
          <reference value="#o23"/>
        </result>
        <result>
          <reference value="#o24"/>
        </result>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="15"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
        </text>
        <contained>
          <Observation>
            <id value="o1"/>
            <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>
            <valueQuantity>
              <value value="140"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="137"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <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>
            <valueQuantity>
              <value value="4.2"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.5"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <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>
            <valueQuantity>
              <value value="105"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="96"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <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>
            <valueQuantity>
              <value value="26"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <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>
            <valueQuantity>
              <value value="13"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="4"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <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>
            <valueQuantity>
              <value value="7.4"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.0"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="7.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <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>
            <valueQuantity>
              <value value="4.7"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.0"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="7.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o8"/>
            <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>
            <valueQuantity>
              <value value="0.09"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.04"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="0.11"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
            <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>
            <valueQuantity>
              <value value="0.39"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.14"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="0.35"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
            <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>
            <valueQuantity>
              <value value="7"/>
              <units value="umol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="20"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o11"/>
            <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>
            <valueQuantity>
              <value value="3"/>
              <units value="umol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="8"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
            <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>
            <valueQuantity>
              <value value="108"/>
              <units value="U/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="30"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="115"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <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>
            <valueQuantity>
              <value value="35"/>
              <units value="U/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
            <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>
            <valueQuantity>
              <value value="54"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
            <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>
            <valueQuantity>
              <value value="30"/>
              <units value="U/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="41"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o16"/>
            <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>
            <valueQuantity>
              <value value="131"/>
              <units value="U/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="80"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="250"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o17"/>
            <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>
            <valueQuantity>
              <value value="2.38"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o18"/>
            <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>
            <valueQuantity>
              <value value="2.39"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o19"/>
            <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>
            <valueQuantity>
              <value value="1.5"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.8"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="1.5"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o20"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2885-2"/>
                <display value="Protein [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="74040009"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="67"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="60"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="82"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o21"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1751-7"/>
                <display value="Albumin [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104485008"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="42"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="35"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="50"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o22"/>
            <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>
            <valueQuantity>
              <value value="25"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="20"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="40"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o23"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <code value="42950004"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="5"/>
              <units value="umol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="LL"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="10"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o24"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="77068002"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="3.8"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.6"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="6.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o25"/>
            <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>
            <valueQuantity>
              <value value="0.9"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.3"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="4.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <name>
          <text value="SERUM CHEMISTRY"/>
        </name>
        <status value="final"/>
        <issued value="2005-02-23T10:04:01Z"/>
        <subject>
          <reference value="Patient/8"/>
        </subject>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <diagnosticDateTime value="2005-01-27T06:40:17Z"/>
        <result>
          <reference value="#o1"/>
        </result>
        <result>
          <reference value="#o2"/>
        </result>
        <result>
          <reference value="#o3"/>
        </result>
        <result>
          <reference value="#o4"/>
        </result>
        <result>
          <reference value="#o5"/>
        </result>
        <result>
          <reference value="#o6"/>
        </result>
        <result>
          <reference value="#o7"/>
        </result>
        <result>
          <reference value="#o8"/>
        </result>
        <result>
          <reference value="#o9"/>
        </result>
        <result>
          <reference value="#o10"/>
        </result>
        <result>
          <reference value="#o11"/>
        </result>
        <result>
          <reference value="#o12"/>
        </result>
        <result>
          <reference value="#o13"/>
        </result>
        <result>
          <reference value="#o14"/>
        </result>
        <result>
          <reference value="#o15"/>
        </result>
        <result>
          <reference value="#o16"/>
        </result>
        <result>
          <reference value="#o17"/>
        </result>
        <result>
          <reference value="#o18"/>
        </result>
        <result>
          <reference value="#o19"/>
        </result>
        <result>
          <reference value="#o20"/>
        </result>
        <result>
          <reference value="#o21"/>
        </result>
        <result>
          <reference value="#o22"/>
        </result>
        <result>
          <reference value="#o23"/>
        </result>
        <result>
          <reference value="#o24"/>
        </result>
        <result>
          <reference value="#o25"/>
        </result>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="16"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
        </text>
        <contained>
          <Observation>
            <id value="o1"/>
            <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>
            <valueQuantity>
              <value value="138"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="137"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <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>
            <valueQuantity>
              <value value="4.1"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.5"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <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>
            <valueQuantity>
              <value value="103"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="96"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <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>
            <valueQuantity>
              <value value="27"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <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>
            <valueQuantity>
              <value value="12"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="4"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <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>
            <valueQuantity>
              <value value="6.8"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.0"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="7.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <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>
            <valueQuantity>
              <value value="8.2"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.0"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="7.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o8"/>
            <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>
            <valueQuantity>
              <value value="0.07"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.04"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="0.11"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
            <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>
            <valueQuantity>
              <value value="0.42"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.14"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="0.35"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
            <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>
            <valueQuantity>
              <value value="16"/>
              <units value="umol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="20"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o11"/>
            <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>
            <valueQuantity>
              <value value="8"/>
              <units value="umol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="8"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
            <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>
            <valueQuantity>
              <value value="369"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="30"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="115"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <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>
            <valueQuantity>
              <value value="438"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
            <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>
            <valueQuantity>
              <value value="263"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
            <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>
            <valueQuantity>
              <value value="87"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="41"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o16"/>
            <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>
            <valueQuantity>
              <value value="179"/>
              <units value="U/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="80"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="250"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o17"/>
            <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>
            <valueQuantity>
              <value value="2.32"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o18"/>
            <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>
            <valueQuantity>
              <value value="2.42"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o19"/>
            <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>
            <valueQuantity>
              <value value="1.3"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.8"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="1.5"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o20"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2885-2"/>
                <display value="Protein [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="74040009"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="67"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="60"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="82"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o21"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1751-7"/>
                <display value="Albumin [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104485008"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="39"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="35"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="50"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o22"/>
            <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>
            <valueQuantity>
              <value value="28"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="20"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="40"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o23"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42950004"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="8"/>
              <units value="umol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="L"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="10"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o24"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="77068002"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="4.8"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.6"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="6.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o25"/>
            <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>
            <valueQuantity>
              <value value="2.2"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.3"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="4.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <name>
          <text value="SERUM CHEMISTRY"/>
        </name>
        <status value="final"/>
        <issued value="2005-02-23T10:04:01Z"/>
        <subject>
          <reference value="Patient/9"/>
        </subject>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <diagnosticDateTime value="2004-12-08T07:45:17Z"/>
        <result>
          <reference value="#o1"/>
        </result>
        <result>
          <reference value="#o2"/>
        </result>
        <result>
          <reference value="#o3"/>
        </result>
        <result>
          <reference value="#o4"/>
        </result>
        <result>
          <reference value="#o5"/>
        </result>
        <result>
          <reference value="#o6"/>
        </result>
        <result>
          <reference value="#o7"/>
        </result>
        <result>
          <reference value="#o8"/>
        </result>
        <result>
          <reference value="#o9"/>
        </result>
        <result>
          <reference value="#o10"/>
        </result>
        <result>
          <reference value="#o11"/>
        </result>
        <result>
          <reference value="#o12"/>
        </result>
        <result>
          <reference value="#o13"/>
        </result>
        <result>
          <reference value="#o14"/>
        </result>
        <result>
          <reference value="#o15"/>
        </result>
        <result>
          <reference value="#o16"/>
        </result>
        <result>
          <reference value="#o17"/>
        </result>
        <result>
          <reference value="#o18"/>
        </result>
        <result>
          <reference value="#o19"/>
        </result>
        <result>
          <reference value="#o20"/>
        </result>
        <result>
          <reference value="#o21"/>
        </result>
        <result>
          <reference value="#o22"/>
        </result>
        <result>
          <reference value="#o23"/>
        </result>
        <result>
          <reference value="#o24"/>
        </result>
        <result>
          <reference value="#o25"/>
        </result>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="17"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
        </text>
        <contained>
          <Observation>
            <id value="o1"/>
            <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>
            <valueQuantity>
              <value value="142"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="137"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <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>
            <valueQuantity>
              <value value="4.0"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.5"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <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>
            <valueQuantity>
              <value value="105"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="96"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <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>
            <valueQuantity>
              <value value="28"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <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>
            <valueQuantity>
              <value value="13"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="4"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <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>
            <valueQuantity>
              <value value="5.2"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.0"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="7.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <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>
            <valueQuantity>
              <value value="6.4"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.0"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="7.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o8"/>
            <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>
            <valueQuantity>
              <value value="0.09"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.04"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="0.11"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
            <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>
            <valueQuantity>
              <value value="0.46"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.14"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="0.35"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
            <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>
            <valueQuantity>
              <value value="13"/>
              <units value="umol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="20"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o11"/>
            <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>
            <valueQuantity>
              <value value="6"/>
              <units value="umol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="8"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
            <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>
            <valueQuantity>
              <value value="204"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="30"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="115"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <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>
            <valueQuantity>
              <value value="192"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
            <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>
            <valueQuantity>
              <value value="70"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
            <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>
            <valueQuantity>
              <value value="26"/>
              <units value="U/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="41"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o16"/>
            <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>
            <valueQuantity>
              <value value="150"/>
              <units value="U/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="80"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="250"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o17"/>
            <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>
            <valueQuantity>
              <value value="2.37"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o18"/>
            <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>
            <valueQuantity>
              <value value="2.47"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o19"/>
            <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>
            <valueQuantity>
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              <units value="mmol/L"/>
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                <value value="1.5"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o20"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2885-2"/>
                <display value="Protein [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="74040009"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="67"/>
              <units value="g/L"/>
            </valueQuantity>
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                <value value="60"/>
                <units value="g/L"/>
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              <high>
                <value value="82"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o21"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1751-7"/>
                <display value="Albumin [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104485008"/>
              </coding>
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            <valueQuantity>
              <value value="39"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
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                <value value="35"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="50"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o22"/>
            <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>
            <valueQuantity>
              <value value="28"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
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                <value value="20"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="40"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o23"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42950004"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="5"/>
              <units value="umol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="LL"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="10"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o24"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="77068002"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="4.4"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
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                <units value="mmol/L"/>
              </low>
              <high>
                <value value="6.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o25"/>
            <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>
            <valueQuantity>
              <value value="1.1"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
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              <low>
                <value value="0.3"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="4.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <name>
          <text value="SERUM CHEMISTRY"/>
        </name>
        <status value="final"/>
        <issued value="2005-02-23T10:04:01Z"/>
        <subject>
          <reference value="Patient/10"/>
        </subject>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <diagnosticDateTime value="2004-12-15T07:20:17Z"/>
        <result>
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        </result>
        <result>
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        <result>
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        <result>
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        <result>
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        <result>
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        <result>
          <reference value="#o7"/>
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        <result>
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        </result>
        <result>
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        </result>
        <result>
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        </result>
        <result>
          <reference value="#o11"/>
        </result>
        <result>
          <reference value="#o12"/>
        </result>
        <result>
          <reference value="#o13"/>
        </result>
        <result>
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        <result>
          <reference value="#o15"/>
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        <result>
          <reference value="#o16"/>
        </result>
        <result>
          <reference value="#o17"/>
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        <result>
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        </result>
        <result>
          <reference value="#o19"/>
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        <result>
          <reference value="#o20"/>
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        <result>
          <reference value="#o21"/>
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        <result>
          <reference value="#o22"/>
        </result>
        <result>
          <reference value="#o23"/>
        </result>
        <result>
          <reference value="#o24"/>
        </result>
        <result>
          <reference value="#o25"/>
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      </DiagnosticReport>
    </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>
    <resource>
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        <id value="18"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
        </text>
        <contained>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="2951-2"/>
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                <code value="104934005"/>
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              <units value="mmol/L"/>
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                <units value="mmol/L"/>
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          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
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              <coding>
                <system value="http://loinc.org"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="59573005"/>
              </coding>
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            <valueQuantity>
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              <units value="mmol/L"/>
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                <units value="mmol/L"/>
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                <units value="mmol/L"/>
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        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="2075-0"/>
                <display value="Chloride [Moles/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="46511006"/>
              </coding>
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            <valueQuantity>
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              <units value="mmol/L"/>
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                <units value="mmol/L"/>
              </low>
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                <value value="109"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="1963-8"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88645003"/>
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              <units value="mmol/L"/>
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                <units value="mmol/L"/>
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                <value value="33"/>
                <units value="mmol/L"/>
              </high>
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          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <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>
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              <units value="mmol/L"/>
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            <status value="final"/>
            <reliability value="ok"/>
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                <value value="4"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <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>
            <valueQuantity>
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              <units value="mmol/L"/>
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            <status value="final"/>
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                <units value="mmol/L"/>
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              <high>
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                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <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>
            <valueQuantity>
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              <units value="mmol/L"/>
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            <status value="final"/>
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                <units value="mmol/L"/>
              </low>
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                <value value="7.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
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              <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>
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            <valueQuantity>
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            <status value="final"/>
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                <value value="0.04"/>
                <units value="mmol/L"/>
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              <high>
                <value value="0.11"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="14933-6"/>
                <display value="Urate [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="86228006"/>
              </coding>
            </code>
            <valueQuantity>
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              <units value="mmol/L"/>
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            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
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            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
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                <value value="0.14"/>
                <units value="mmol/L"/>
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              <high>
                <value value="0.35"/>
                <units value="mmol/L"/>
              </high>
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          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
            <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>
            <valueQuantity>
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              <units value="umol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
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                <value value="2"/>
                <units value="umol/L"/>
              </low>
              <high>
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                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o11"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="14629-0"/>
                <display value="Bilirubin.direct [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="39748002"/>
              </coding>
            </code>
            <valueQuantity>
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              <units value="umol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
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                <units value="umol/L"/>
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              <high>
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                <units value="umol/L"/>
              </high>
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        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="6768-6"/>
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="88810008"/>
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            <valueQuantity>
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              <units value="U/L"/>
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            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
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            <status value="final"/>
            <reliability value="ok"/>
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                <units value="U/L"/>
              </low>
              <high>
                <value value="115"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <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>
            <valueQuantity>
              <value value="106"/>
              <units value="U/L"/>
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            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
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            <status value="final"/>
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                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="1742-6"/>
                <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="34608000"/>
              </coding>
            </code>
            <valueQuantity>
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              <units value="U/L"/>
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            <status value="final"/>
            <reliability value="ok"/>
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                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="1920-8"/>
                <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="45896001"/>
              </coding>
            </code>
            <valueQuantity>
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              <units value="U/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="41"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o16"/>
            <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>
            <valueQuantity>
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              <units value="U/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
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                <value value="80"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="250"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o17"/>
            <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"/>
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                <system value="http://loinc.org"/>
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              <coding>
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                <system value="http://loinc.org"/>
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                <display value="Albumin [Mass/volume] in Serum or Plasma"/>
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              <coding>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="10834-0"/>
                <display value="Globulin [Mass/volume] in Serum by calculation"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104979009"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42950004"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
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                <system value="http://snomed.info/sct"/>
                <code value="77068002"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="14927-8"/>
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
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                <code value="104784006"/>
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        <name>
          <text value="SERUM CHEMISTRY"/>
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        <status value="final"/>
        <issued value="2005-02-23T10:04:01Z"/>
        <subject>
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        <performer>
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          <display value="Acme Laboratory, Inc"/>
        </performer>
        <identifier>
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  </entry><!--    OBX|28|FT|PIT^^AUSPDI||001 Medical-Objects                                        
      07 01/07/1996\.br\002   \.br\003 Report Run Number: 1    Created:   19/04/2005    
   at    22:58:15\.br\004 Surgery: XXX    Reports: 23/02/2005 10:04:00  to  23/02/2005 10:04:00
         \.br\009 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
   - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\.br\010
   ANDERSON,DR. THOMAS                          0191322W\.br\019 - - - - - - - - - - - -
   - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
   - - - - - - - - - - - - - - - - - - - -\.br\020 Your Ref.   Patient Name             
        Lab Ref.       Test\.br\021             JONES,June                      04-4154148
       E/LFT (MASTER)\.br\029 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
   - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
   - -\.br\100 Start Patient  :      JONES,June                      \.br\101           
              24 Sutherland Street, BUDERIM QLD 4556               \.br\104             
            Birthdate: 08/01/1976     Age: Y29     Sex:F\.br\105                       Telephone:
   07              \.br\109   \.br\110 Your Reference :      \.br\111 MO  Reference  :  
      04-4154148-25T-0\.br\112 Medicare Number:                \.br\115 Phone Enquiries:
         (DR MARCUS WELBY)                           \.br\119   \.br\121 Referred by    :
        WHITE,DR. WILSON                \.br\122 Copy to        :      ANDERSON,DR. THOMAS
               \.br\123 Addressee      :      ANDERSON,DR. THOMAS               0191322W\.br\129
     \.br\200 Start of Result:\.br\201 Specimen       :\.br\203 Requested      :      21/12/2004\.br\20
  4 Collected      :      22/12/2004  07:45\.br\205 Name of Test   :      E/LFT (MASTER)
                                         \.br\206 Reported       :      23/02/2005  10:04\.br\207
   Confidential   :      N\.br\208 Test Category  :      N\.br\209   \.br\210 Normal Result
    :      N\.br\299   \.br\301                               Units  Ref Range\.br\301 \.br\301
     SERUM CHEMISTRY\.br\301 Sodium                 142     mmol/L 137-147\.br\301 Serum
   Potassium        4.0     mmol/L 3.5-5.0\.br\301 Chloride               107     mmol/L
   96-109\.br\301 Bicarbonate            26      mmol/L 25-33\.br\301 Other Anions      
       13      mmol/L 4-17\.br\301 Glucose                6.3     mmol/L 3.0-7.7\.br\301
   Urea                   6.7     mmol/L 2.0-7.0\.br\301 Serum Creatinine       0.08    mmol/L
   0.04-0.11\.br\301 \R\FG04\R\Serum Uric Acid        0.40 ++ mmol/L 0.14-0.35\R\FG99\R\\.br\301
   Total Bilirubin        9       umol/L 2-20\.br\301 Direct Bilirubin       4       umol/L
   0-8\.br\301 \R\FG04\R\Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
   144 +   U/L    30-115\R\FG99\R\\.br\301 \R\FG04\R\Gamma G.T.             106 +++ U/L 
     0-45\R\FG99\R\\.br\301 ALT                    30      U/L    0-45\.br\301 AST      
                18      U/L    0-41\.br\301 LD                     143     U/L    80-250\.br\301
   Serum Calcium          2.28    mmol/L 2.25-2.65\.br\301 Corrected Calcium      2.32  
    mmol/L 2.25-2.65\.br\301 Serum Phosphate        1.3     mmol/L 0.8-1.5\.br\301 Total
   Protein          66      g/L    60-82\.br\301 Serum Albumin          41      g/L    35-50\.br\301
   Globulins              25      g/L    20-40\.br\301 \R\FG04\R\Iron                   3
   - - -   umol/L 10-33\R\FG99\R\\.br\301 Cholesterol            4.0     mmol/L 3.6-6.7\.br\301
   \.br\301 Revised NHF cholesterol guidelines (Nov.,2001):\.br\301   Target below 4.0 mmol/L
   if high risk patient.\.br\301   Consider lipid lowering treatment if cholesterol above
   6.0 mmol/L\.br\301   and no other risk factor of CHD.\.br\301 \.br\301 Triglycerides 
           1.0     mmol/L 0.3-4.0\.br\309   \.br\319   \.br\390 End of Report  :\.br\399
   - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
   - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\.br\999 END OF LISTING
   - Run Number:1     19/04/2005  22:58:15\.br\||    -->
  <entry>
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        <contained>
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              <coding>
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              <coding>
                <system value="http://loinc.org"/>
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              <coding>
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              <coding>
                <system value="http://loinc.org"/>
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                <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
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              <coding>
                <system value="http://loinc.org"/>
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                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
            <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>
            <valueQuantity>
              <value value="1131"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <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>
            <valueQuantity>
              <value value="475"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
            <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>
            <valueQuantity>
              <value value="176"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="41"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
            <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>
            <valueQuantity>
              <value value="324"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="80"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="250"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o16"/>
            <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>
            <valueQuantity>
              <value value="2.32"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o17"/>
            <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>
            <valueQuantity>
              <value value="2.45"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o18"/>
            <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>
            <valueQuantity>
              <value value="0.9"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.8"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="1.5"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o19"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2885-2"/>
                <display value="Protein [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="74040009"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="71"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="60"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="82"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o20"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1751-7"/>
                <display value="Albumin [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104485008"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="38"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="35"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="50"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o21"/>
            <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>
            <valueQuantity>
              <value value="33"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="20"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="40"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o22"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42950004"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="17"/>
              <units value="umol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="10"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o23"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="77068002"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="7.0"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.6"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="6.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o24"/>
            <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>
            <valueQuantity>
              <value value="0.9"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.3"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="4.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <name>
          <text value="SERUM CHEMISTRY"/>
        </name>
        <status value="final"/>
        <issued value="2005-02-23T10:04:01Z"/>
        <subject>
          <reference value="Patient/2"/>
        </subject>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <diagnosticDateTime value="2004-12-03T09:45:17Z"/>
        <result>
          <reference value="#o1"/>
        </result>
        <result>
          <reference value="#o2"/>
        </result>
        <result>
          <reference value="#o3"/>
        </result>
        <result>
          <reference value="#o4"/>
        </result>
        <result>
          <reference value="#o5"/>
        </result>
        <result>
          <reference value="#o6"/>
        </result>
        <result>
          <reference value="#o7"/>
        </result>
        <result>
          <reference value="#o8"/>
        </result>
        <result>
          <reference value="#o9"/>
        </result>
        <result>
          <reference value="#o10"/>
        </result>
        <result>
          <reference value="#o11"/>
        </result>
        <result>
          <reference value="#o12"/>
        </result>
        <result>
          <reference value="#o13"/>
        </result>
        <result>
          <reference value="#o14"/>
        </result>
        <result>
          <reference value="#o15"/>
        </result>
        <result>
          <reference value="#o16"/>
        </result>
        <result>
          <reference value="#o17"/>
        </result>
        <result>
          <reference value="#o18"/>
        </result>
        <result>
          <reference value="#o19"/>
        </result>
        <result>
          <reference value="#o20"/>
        </result>
        <result>
          <reference value="#o21"/>
        </result>
        <result>
          <reference value="#o22"/>
        </result>
        <result>
          <reference value="#o23"/>
        </result>
        <result>
          <reference value="#o24"/>
        </result>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="20"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
        </text>
        <contained>
          <Observation>
            <id value="o1"/>
            <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>
            <valueQuantity>
              <value value="142"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="137"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <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>
            <valueQuantity>
              <value value="3.6"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.5"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <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>
            <valueQuantity>
              <value value="104"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="96"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <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>
            <valueQuantity>
              <value value="30"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <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>
            <valueQuantity>
              <value value="12"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="4"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <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>
            <valueQuantity>
              <value value="6.2"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.0"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="7.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <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>
            <valueQuantity>
              <value value="4.5"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.0"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="7.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o8"/>
            <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>
            <valueQuantity>
              <value value="0.06"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.04"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="0.11"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
            <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>
            <valueQuantity>
              <value value="0.37"/>
              <units value="mmol/L"/>
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            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.14"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="0.35"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
            <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>
            <valueQuantity>
              <value value="50"/>
              <units value="umol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="20"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o11"/>
            <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>
            <valueQuantity>
              <value value="684"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="30"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="115"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
            <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>
            <valueQuantity>
              <value value="1105"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <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>
            <valueQuantity>
              <value value="466"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
            <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>
            <valueQuantity>
              <value value="198"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="41"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
            <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>
            <valueQuantity>
              <value value="323"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="80"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="250"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o16"/>
            <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>
            <valueQuantity>
              <value value="2.32"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o17"/>
            <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>
            <valueQuantity>
              <value value="2.45"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o18"/>
            <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>
            <valueQuantity>
              <value value="0.9"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.8"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="1.5"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o19"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2885-2"/>
                <display value="Protein [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="74040009"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="70"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="60"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="82"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o20"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1751-7"/>
                <display value="Albumin [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104485008"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="38"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="35"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="50"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o21"/>
            <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>
            <valueQuantity>
              <value value="32"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="20"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="40"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o22"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42950004"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="11"/>
              <units value="umol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="10"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o23"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="77068002"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="6.9"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.6"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="6.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o24"/>
            <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>
            <valueQuantity>
              <value value="1.9"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.3"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="4.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <name>
          <text value="SERUM CHEMISTRY"/>
        </name>
        <status value="final"/>
        <issued value="2005-02-23T10:04:01Z"/>
        <subject>
          <reference value="Patient/3"/>
        </subject>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <diagnosticDateTime value="2004-12-03T20:30:17Z"/>
        <result>
          <reference value="#o1"/>
        </result>
        <result>
          <reference value="#o2"/>
        </result>
        <result>
          <reference value="#o3"/>
        </result>
        <result>
          <reference value="#o4"/>
        </result>
        <result>
          <reference value="#o5"/>
        </result>
        <result>
          <reference value="#o6"/>
        </result>
        <result>
          <reference value="#o7"/>
        </result>
        <result>
          <reference value="#o8"/>
        </result>
        <result>
          <reference value="#o9"/>
        </result>
        <result>
          <reference value="#o10"/>
        </result>
        <result>
          <reference value="#o11"/>
        </result>
        <result>
          <reference value="#o12"/>
        </result>
        <result>
          <reference value="#o13"/>
        </result>
        <result>
          <reference value="#o14"/>
        </result>
        <result>
          <reference value="#o15"/>
        </result>
        <result>
          <reference value="#o16"/>
        </result>
        <result>
          <reference value="#o17"/>
        </result>
        <result>
          <reference value="#o18"/>
        </result>
        <result>
          <reference value="#o19"/>
        </result>
        <result>
          <reference value="#o20"/>
        </result>
        <result>
          <reference value="#o21"/>
        </result>
        <result>
          <reference value="#o22"/>
        </result>
        <result>
          <reference value="#o23"/>
        </result>
        <result>
          <reference value="#o24"/>
        </result>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="21"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
        </text>
        <contained>
          <Observation>
            <id value="o1"/>
            <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>
            <valueQuantity>
              <value value="143"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="137"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="147"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
            <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>
            <valueQuantity>
              <value value="4.3"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.5"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="5.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
            <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>
            <valueQuantity>
              <value value="108"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="96"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="109"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
            <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>
            <valueQuantity>
              <value value="25"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o5"/>
            <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>
            <valueQuantity>
              <value value="14"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="4"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="17"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o6"/>
            <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>
            <valueQuantity>
              <value value="4.3"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.0"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="7.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o7"/>
            <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>
            <valueQuantity>
              <value value="4.6"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.0"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="7.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o8"/>
            <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>
            <valueQuantity>
              <value value="0.06"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.04"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="0.11"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o9"/>
            <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>
            <valueQuantity>
              <value value="0.41"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.14"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="0.35"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o10"/>
            <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>
            <valueQuantity>
              <value value="27"/>
              <units value="umol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="20"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o11"/>
            <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>
            <valueQuantity>
              <value value="631"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="30"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="115"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o12"/>
            <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>
            <valueQuantity>
              <value value="956"/>
              <units value="U/L"/>
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            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
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                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o13"/>
            <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>
            <valueQuantity>
              <value value="398"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="45"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
            <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>
            <valueQuantity>
              <value value="120"/>
              <units value="U/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="HH"/>
              </coding>
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            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
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                <value value="0"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="41"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
            <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>
            <valueQuantity>
              <value value="243"/>
              <units value="U/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="80"/>
                <units value="U/L"/>
              </low>
              <high>
                <value value="250"/>
                <units value="U/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o16"/>
            <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>
            <valueQuantity>
              <value value="2.33"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
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                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o17"/>
            <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>
            <valueQuantity>
              <value value="2.52"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="2.25"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="2.65"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o18"/>
            <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>
            <valueQuantity>
              <value value="1.2"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.8"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="1.5"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o19"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2885-2"/>
                <display value="Protein [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="74040009"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="71"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="60"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="82"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o20"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1751-7"/>
                <display value="Albumin [Mass/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="104485008"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="36"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="35"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="50"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o21"/>
            <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>
            <valueQuantity>
              <value value="35"/>
              <units value="g/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="20"/>
                <units value="g/L"/>
              </low>
              <high>
                <value value="40"/>
                <units value="g/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o22"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14798-3"/>
                <display value="Iron [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42950004"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="39"/>
              <units value="umol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="10"/>
                <units value="umol/L"/>
              </low>
              <high>
                <value value="33"/>
                <units value="umol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o23"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="14647-2"/>
                <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="77068002"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="6.8"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="H"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="3.6"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="6.7"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o24"/>
            <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>
            <valueQuantity>
              <value value="1.5"/>
              <units value="mmol/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="0.3"/>
                <units value="mmol/L"/>
              </low>
              <high>
                <value value="4.0"/>
                <units value="mmol/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <name>
          <text value="SERUM CHEMISTRY"/>
        </name>
        <status value="final"/>
        <issued value="2005-02-23T10:04:01Z"/>
        <subject>
          <reference value="Patient/4"/>
        </subject>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <diagnosticDateTime value="2004-12-05T07:15:17Z"/>
        <result>
          <reference value="#o1"/>
        </result>
        <result>
          <reference value="#o2"/>
        </result>
        <result>
          <reference value="#o3"/>
        </result>
        <result>
          <reference value="#o4"/>
        </result>
        <result>
          <reference value="#o5"/>
        </result>
        <result>
          <reference value="#o6"/>
        </result>
        <result>
          <reference value="#o7"/>
        </result>
        <result>
          <reference value="#o8"/>
        </result>
        <result>
          <reference value="#o9"/>
        </result>
        <result>
          <reference value="#o10"/>
        </result>
        <result>
          <reference value="#o11"/>
        </result>
        <result>
          <reference value="#o12"/>
        </result>
        <result>
          <reference value="#o13"/>
        </result>
        <result>
          <reference value="#o14"/>
        </result>
        <result>
          <reference value="#o15"/>
        </result>
        <result>
          <reference value="#o16"/>
        </result>
        <result>
          <reference value="#o17"/>
        </result>
        <result>
          <reference value="#o18"/>
        </result>
        <result>
          <reference value="#o19"/>
        </result>
        <result>
          <reference value="#o20"/>
        </result>
        <result>
          <reference value="#o21"/>
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        <result>
          <reference value="#o22"/>
        </result>
        <result>
          <reference value="#o23"/>
        </result>
        <result>
          <reference value="#o24"/>
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  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="25"/>
        <meta>
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        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
        </text>
        <contained>
          <Observation>
            <id value="o1"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="11475-1"/>
                <display value="Microorganism identified in Unspecified specimen by Culture"/>
              </coding>
            </code>
            <valueCodeableConcept>
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            <status value="final"/>
            <reliability value="ok"/>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o2"/>
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              <coding>
                <system value="http://loinc.org"/>
                <code value="43161-9"/>
                <display value="Microorganism [#/volume] in Unspecified specimen by Viability count"/>
              </coding>
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              <units value="CFU/ML"/>
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            <status value="final"/>
            <reliability value="ok"/>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o3"/>
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              <coding>
                <system value="http://example.org/local"/>
                <code value="AMS"/>
                <display value="AMPICILLIN/SULBACTAM"/>
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            <status value="final"/>
            <reliability value="ok"/>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o4"/>
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              <coding>
                <system value="http://example.org/local"/>
                <code value="AM"/>
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              <coding>
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            <reliability value="ok"/>
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        <contained>
          <Observation>
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              <coding>
                <system value="http://example.org/local"/>
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            <reliability value="ok"/>
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        <contained>
          <Observation>
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              <coding>
                <system value="http://example.org/local"/>
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                <display value="CEFAZOLIN"/>
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              <comparator value="&lt;="/>
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            <status value="final"/>
            <reliability value="ok"/>
          </Observation>
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        <contained>
          <Observation>
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              <coding>
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                <code value="FEP"/>
                <display value="CEFEPIME"/>
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            <status value="final"/>
            <reliability value="ok"/>
          </Observation>
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        <contained>
          <Observation>
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              <coding>
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              <comparator value="&lt;="/>
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                <code value="S"/>
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            <reliability value="ok"/>
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        <contained>
          <Observation>
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                <system value="http://example.org/local"/>
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              <units value="U"/>
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            <reliability value="ok"/>
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        <contained>
          <Observation>
            <id value="o10"/>
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                <system value="http://example.org/local"/>
                <code value="CRO"/>
                <display value="CEFTRIAXONE"/>
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              <comparator value="&lt;="/>
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            <status value="final"/>
            <reliability value="ok"/>
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        <contained>
          <Observation>
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            <interpretation>
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            <status value="final"/>
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        <contained>
          <Observation>
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                <code value="GM"/>
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              <comparator value="&lt;="/>
              <units value="U"/>
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            <status value="final"/>
            <reliability value="ok"/>
          </Observation>
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        <contained>
          <Observation>
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              <coding>
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                <display value="IMIPENEM"/>
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              <comparator value="&lt;="/>
              <units value="U"/>
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            <interpretation>
              <coding>
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            <status value="final"/>
            <reliability value="ok"/>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o14"/>
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              <coding>
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                <code value="LVX"/>
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            </code>
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              <comparator value="&lt;="/>
              <units value="U"/>
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            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="S"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o15"/>
            <code>
              <coding>
                <system value="http://example.org/local"/>
                <code value="NIT"/>
                <display value="NITROFURANTOIN"/>
              </coding>
            </code>
            <valueQuantity>
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              <units value="U"/>
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            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="S"/>
              </coding>
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            <status value="final"/>
            <reliability value="ok"/>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o16"/>
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              <coding>
                <system value="http://example.org/local"/>
                <code value="PTZ"/>
                <display value="PIPERACILLIN/TAZOBAC"/>
              </coding>
            </code>
            <valueQuantity>
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              <comparator value="&lt;="/>
              <units value="U"/>
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            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="S"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o17"/>
            <code>
              <coding>
                <system value="http://example.org/local"/>
                <code value="TRSUV"/>
                <display value="TRIMETH/SULFA"/>
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            <valueQuantity>
              <value value="20"/>
              <comparator value="&lt;="/>
              <units value="U"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="S"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="o18"/>
            <code>
              <coding>
                <system value="http://example.org/local"/>
                <code value="TOB"/>
                <display value="TOBRAMYCIN"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="1"/>
              <comparator value="&lt;="/>
              <units value="U"/>
            </valueQuantity>
            <interpretation>
              <coding>
                <system value="http://hl7.org/fhir/v2/0078"/>
                <code value="S"/>
              </coding>
            </interpretation>
            <status value="final"/>
            <reliability value="ok"/>
          </Observation>
        </contained>
        <name>
          <coding>
            <system value="http://loinc.org"/>
            <code value="18769-0"/>
            <display value="Microbial susceptibility tests Set"/>
          </coding>
        </name>
        <status value="final"/>
        <issued value="2005-11-07T23:38:01Z"/>
        <subject>
          <reference value="Patient/5"/>
        </subject>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <diagnosticDateTime value="2005-11-07T21:44:17Z"/>
        <specimen>
          <display value="URINE, CLEAN CATCH/MIDSTREAM"/>
        </specimen>
        <result>
          <reference value="#o1"/>
        </result>
        <result>
          <reference value="#o2"/>
        </result>
        <result>
          <reference value="#o3"/>
        </result>
        <result>
          <reference value="#o4"/>
        </result>
        <result>
          <reference value="#o5"/>
        </result>
        <result>
          <reference value="#o6"/>
        </result>
        <result>
          <reference value="#o7"/>
        </result>
        <result>
          <reference value="#o8"/>
        </result>
        <result>
          <reference value="#o9"/>
        </result>
        <result>
          <reference value="#o10"/>
        </result>
        <result>
          <reference value="#o11"/>
        </result>
        <result>
          <reference value="#o12"/>
        </result>
        <result>
          <reference value="#o13"/>
        </result>
        <result>
          <reference value="#o14"/>
        </result>
        <result>
          <reference value="#o15"/>
        </result>
        <result>
          <reference value="#o16"/>
        </result>
        <result>
          <reference value="#o17"/>
        </result>
        <result>
          <reference value="#o18"/>
        </result>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="26"/>
        <meta>
          <lastUpdated value="2012-04-14T10:35:23Z"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
        </text>
        <contained>
          <Observation>
            <id value="o1"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="20507-0"/>
                <display value="Reagin Ab [Presence] in Serum by RPR"/>
              </coding>
            </code>
            <valueString value="Non-reactive"/>
            <status value="final"/>
            <reliability value="ok"/>
          </Observation>
        </contained>
        <name>
          <coding>
            <system value="http://acme.com/labs/reports"/>
            <code value="142080"/>
            <display value="Rapid Plasma Reagin"/>
          </coding>
          <text value="RPR"/>
        </name>
        <status value="final"/>
        <issued value="2005-03-07T14:02:01Z"/>
        <subject>
          <reference value="Patient/6"/>
        </subject>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="5234342"/>
        </identifier>
        <diagnosticDateTime value="2005-03-07T14:02:17Z"/>
        <result>
          <reference value="#o1"/>
        </result>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <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"><!-- Snipped for brevity --></div>
        </text>
        <contained>
          <Observation>
            <id value="o1"/>
            <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>
            <valueQuantity>
              <value value="2.8"/>
              <units value="mg/L"/>
            </valueQuantity>
            <status value="final"/>
            <reliability value="ok"/>
            <referenceRange>
              <low>
                <value value="1.0"/>
                <units value="mg/L"/>
              </low>
              <high>
                <value value="3.0"/>
                <units value="mg/L"/>
              </high>
            </referenceRange>
          </Observation>
        </contained>
        <name>
          <coding>
            <system value="http://acme.com/labs/reports"/>
            <code value="bchem2"/>
            <display value="Specialist Biochemistry"/>
          </coding>
        </name>
        <status value="final"/>
        <issued value="2012-05-23T14:27:01Z"/>
        <subject>
          <reference value="Patient/1"/>
        </subject>
        <performer>
          <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
          <display value="Acme Laboratory, Inc"/>
        </performer>
        <identifier>
          <system value="http://acme.com/lab/reports"/>
          <value value="23412355"/>
        </identifier>
        <diagnosticDateTime value="2012-05-21T10:45:00Z"/>
        <result>
          <reference value="#o1"/>
        </result>
      </DiagnosticReport>
    </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.