FHIR Release 3 (STU)

This page is part of the FHIR Specification (v3.0.2: STU 3). 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

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

Raw XML (canonical form)

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

<Bundle xmlns="http://hl7.org/fhir">
  <id value="72ac8493-52ac-41bd-8d5d-7258c289b5ea"/> 
  <meta> 
    <lastUpdated value="2012-04-14T10:35:23Z"/> 
  </meta> 
  <type value="collection"/> 
  <entry> 
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/3"/> 
    <resource> 
      <DiagnosticReport> 
        <id value="3"/> 
        <meta> 
          <lastUpdated value="2012-04-14T10:35:23Z"/> 
        </meta> 
        <text> 
          <status value="generated"/> 
          <div xmlns="http://www.w3.org/1999/xhtml">
            <table> 
              <tr> 
                <td> Sodium</td> 
                <td> 140</td> 
                <td> mmol/L</td> 
                <td> 137-147</td> 
              </tr> 
              <tr> 
                <td> Serum Potassium</td> 
                <td> 4.2</td> 
                <td> mmol/L</td> 
                <td> 3.5-5.0</td> 
              </tr> 
              <tr> 
                <td> Chloride</td> 
                <td> 105</td> 
                <td> mmol/L</td> 
                <td> 96-109</td> 
              </tr> 
              <tr> 
                <td> Bicarbonate</td> 
                <td> 26</td> 
                <td> mmol/L</td> 
                <td> 25-33</td> 
              </tr> 
              <tr> 
                <td> Other Anions</td> 
                <td> 13</td> 
                <td> mmol/L</td> 
                <td> 4-17</td> 
              </tr> 
              <tr> 
                <td> Glucose</td> 
                <td> 7.4</td> 
                <td> mmol/L</td> 
                <td> 3.0-7.7</td> 
              </tr> 
              <tr> 
                <td> Urea</td> 
                <td> 4.7</td> 
                <td> mmol/L</td> 
                <td> 2.0-7.0</td> 
              </tr> 
              <tr> 
                <td> Serum Creatinine</td> 
                <td> 0.09</td> 
                <td> mmol/L</td> 
                <td> 0.04-0.11</td> 
              </tr> 
              <tr> 
                <td> Serum Uric Acid</td> 
                <td> 0.39</td> 
                <td> mmol/L</td> 
                <td> 0.14-0.35</td> 
                <td> 
                  <b> +</b> 
                </td> 
              </tr> 
              <tr> 
                <td> Total Bilirubin</td> 
                <td> 7</td> 
                <td> umol/L</td> 
                <td> 2-20</td> 
              </tr> 
              <tr> 
                <td> Direct Bilirubin</td> 
                <td> 3</td> 
                <td> umol/L</td> 
                <td> 0-8</td> 
              </tr> 
              <tr> 
                <td> Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td> 
                <td> 108</td> 
                <td> U/L</td> 
                <td> 30-115</td> 
              </tr> 
              <tr> 
                <td> Gamma G.T.</td> 
                <td> 35</td> 
                <td> U/L</td> 
                <td> 0-45</td> 
              </tr> 
              <tr> 
                <td> ALT</td> 
                <td> 54</td> 
                <td> U/L</td> 
                <td> 0-45</td> 
                <td> 
                  <b> +</b> 
                </td> 
              </tr> 
              <tr> 
                <td> AST</td> 
                <td> 30</td> 
                <td> U/L</td> 
                <td> 0-41</td> 
              </tr> 
              <tr> 
                <td> LD</td> 
                <td> 131</td> 
                <td> U/L</td> 
                <td> 80-250</td> 
              </tr> 
              <tr> 
                <td> Serum Calcium</td> 
                <td> 2.38</td> 
                <td> mmol/L</td> 
                <td> 2.25-2.65</td> 
              </tr> 
              <tr> 
                <td> Corrected Calcium</td> 
                <td> 2.39</td> 
                <td> mmol/L</td> 
                <td> 2.25-2.65</td> 
              </tr> 
              <tr> 
                <td> Serum Phosphate</td> 
                <td> 1.5</td> 
                <td> mmol/L</td> 
                <td> 0.8-1.5</td> 
              </tr> 
              <tr> 
                <td> Total Protein</td> 
                <td> 67</td> 
                <td> g/L</td> 
                <td> 60-82</td> 
              </tr> 
              <tr> 
                <td> Serum Albumin</td> 
                <td> 42</td> 
                <td> g/L</td> 
                <td> 35-50</td> 
              </tr> 
              <tr> 
                <td> Globulins</td> 
                <td> 25</td> 
                <td> g/L</td> 
                <td> 20-40</td> 
              </tr> 
              <tr> 
                <td> Iron</td> 
                <td> 5</td> 
                <td> umol/L</td> 
                <td> 10-33</td> 
                <td> 
                  <b> --</b> 
                </td> 
              </tr> 
              <tr> 
                <td> Cholesterol</td> 
                <td> 3.8</td> 
                <td> mmol/L</td> 
                <td> 3.6-6.7</td> 
              </tr> 
              <tr> 
                <td>  </td> 
                <td colspan="4">Revised NHF cholesterol guidelines (Nov.,2001): Target below 4.0 mmol/L if high risk patient.
                   Consider lipid lowering treatment if cholesterol above 6.0 mmol/L, and no other risk factor
                   of CHD.</td> 
              </tr> 
              <tr> 
                <td> Triglycerides</td> 
                <td> 0.9</td> 
                <td> mmol/L</td> 
                <td> 0.3-4.0</td> 
              </tr> 
              <tr> 
                <td> HDL Cholesterol</td> 
                <td> 1.2</td> 
                <td> mmol/L</td> 
                <td> 1.0-2.0</td> 
              </tr> 
            </table> 
          </div> 
        </text> 
        <contained> 
          <Observation> 
            <id value="o1"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2951-2"/> 
                <display value="Sodium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104934005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="140"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="137"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="147"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o2"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2823-3"/> 
                <display value="Potassium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="59573005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.2"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.5"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="5.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o3"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2075-0"/> 
                <display value="Chloride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="46511006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="105"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="96"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="109"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o4"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1963-8"/> 
                <display value="Bicarbonate [Moles/volume] in Serum"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="88645003"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="26"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="33"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o5"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1863-0"/> 
                <display value="Anion gap 4 in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="271057005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="13"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="4"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="17"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o6"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14749-6"/> 
                <display value="Glucose [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="36048009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="7.4"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.7"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o7"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14937-7"/> 
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="273967009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.7"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o8"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14682-9"/> 
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="70901006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.09"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.04"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="0.11"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o9"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14933-6"/> 
                <display value="Urate [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="86228006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.39"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="H"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0.14"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="0.35"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o10"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14631-6"/> 
                <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="27171005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="7"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="20"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o11"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14629-0"/> 
                <display value="Bilirubin.direct [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="39748002"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="3"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="8"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o12"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="6768-6"/> 
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="88810008"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="108"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="30"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="115"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o13"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2324-2"/> 
                <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="69480007"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="35"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="45"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o14"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1742-6"/> 
                <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="34608000"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="54"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="H"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="45"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o15"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1920-8"/> 
                <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="45896001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="30"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="41"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o16"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2532-0"/> 
                <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="11274001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="131"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="80"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="250"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o17"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2000-8"/> 
                <display value="Calcium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="71878006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="2.38"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="2.65"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o18"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="13959-2"/> 
                <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="166708003"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="2.39"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="2.65"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o19"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14879-1"/> 
                <display value="Phosphate [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104866001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="1.5"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.8"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="1.5"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o20"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2885-2"/> 
                <display value="Protein [Mass/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="74040009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="67"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="60"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="82"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o21"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="42"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="35"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="50"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o22"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="10834-0"/> 
                <display value="Globulin [Mass/volume] in Serum by calculation"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104979009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="25"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="20"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="40"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o23"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="5"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="LL"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="10"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="33"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o24"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="3.8"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.6"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="6.7"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o25"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14927-8"/> 
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104784006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.9"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.3"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="4.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o26"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="1.0"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="1.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="2.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <identifier> 
          <system value="http://acme.com/lab/reports"/> 
          <value value="5234342"/> 
        </identifier> 
        <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.com/labs/reports"/> 
            <code value="25T"/> 
            <display value="E/LFT (MASTER)"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/1"/> 
        </subject> 
        <effectiveDateTime value="2005-01-27T06:40:17Z"/> 
        <issued value="2005-01-27T06:40:01Z"/> 
        <performer> 
          <actor> 
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
            <display value="Acme Laboratory, Inc"/> 
          </actor> 
        </performer> 
        <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> 
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/4"/> 
    <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"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : 4</p> <p> <b> meta</b> : </p> <p> <b> contained</b> : , , , , , , , , , , , , , , , , , , , , , , , , </p> <p> <b> identifier</b> : 5234342</p> <p> <b> status</b> : final</p> <p> <b> code</b> : SERUM CHEMISTRY <span> (Details )</span> </p> <p> <b> subject</b> : <a> Patient/2</a> </p> <p> <b> effective</b> : 08/12/2004 7:45:17 AM</p> <p> <b> issued</b> : 23/02/2005 10:04:01 AM</p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Acme Laboratory, Inc</a> </td> </tr> </table> <p> <b> result</b> : </p> <ul> <li> id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 138 mmol/L</li> <li> id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement)</span> ; ????; Acme Laboratory, Inc; 4.1 mmol/L</li> <li> id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement)</span> ; ????; Acme Laboratory, Inc; 103 mmol/L</li> <li> id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span> (Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span> ; ????; Acme Laboratory, Inc; 27 mmol/L</li> <li> id: o5; status: final; Anion gap 4 in Serum or Plasma <span> (Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span> ; ????; Acme Laboratory, Inc; 12 mmol/L</li> <li> id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement)</span> ; ????; Acme Laboratory, Inc; 6.8 mmol/L</li> <li> id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea level)</span> ; ????; Acme Laboratory, Inc; 8.2 mmol/L; High <span> (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span> </li> <li> id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement)</span> ; ????; Acme Laboratory, Inc; 0.07 mmol/L</li> <li> id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span> ; ????; Acme Laboratory, Inc; 0.42 mmol/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis)</span> ; ????; Acme Laboratory, Inc; 16 umol/L</li> <li> id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002'
                   = 'Bilirubin, direct measurement)</span> ; ????; Acme Laboratory, Inc; 8 umol/L</li> <li> id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span> (Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span> ; ????; Acme Laboratory, Inc; 369 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span> ; ????; Acme Laboratory, Inc; 438 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 263 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 87 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span> (Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span> ; ????; Acme Laboratory, Inc; 179 U/L</li> <li> id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.32 mmol/L</li> <li> id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span> (Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.42 mmol/L</li> <li> id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement)</span> ; ????; Acme Laboratory, Inc; 1.3 mmol/L</li> <li> id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span> ; ????; Acme Laboratory, Inc; 67 g/L</li> <li> id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 39 g/L</li> <li> id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span> (Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement)</span> ; ????; Acme Laboratory, Inc; 28 g/L</li> <li> id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span> ; ????; Acme Laboratory, Inc; 8 umol/L; Low <span> (Details : {http://hl7.org/fhir/v2/0078 code 'L' = 'Low)</span> </li> <li> id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement)</span> ; ????; Acme Laboratory, Inc; 4.8 mmol/L</li> <li> id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement)</span> ; ????; Acme Laboratory, Inc; 2.2 mmol/L</li> </ul> </div> </text> <contained> 
          <Observation> 
            <id value="o1"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2951-2"/> 
                <display value="Sodium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104934005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="138"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="137"/> 
                <unit value="mmol/L"/> 
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                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="33"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o24"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.8"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.6"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="6.7"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o25"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14927-8"/> 
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104784006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="2.2"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.3"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="4.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <identifier> 
          <system value="http://acme.com/lab/reports"/> 
          <value value="5234342"/> 
        </identifier> 
        <status value="final"/> 
        <code> 
          <text value="SERUM CHEMISTRY"/> 
        </code> 
        <subject> 
          <reference value="Patient/2"/> 
        </subject> 
        <effectiveDateTime value="2004-12-08T07:45:17Z"/> 
        <issued value="2005-02-23T10:04:01Z"/> 
        <performer> 
          <actor> 
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
            <display value="Acme Laboratory, Inc"/> 
          </actor> 
        </performer> 
        <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> 
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/5"/> 
    <resource> 
      <DiagnosticReport> 
        <id value="5"/> 
        <meta> 
          <lastUpdated value="2012-04-14T10:35:23Z"/> 
        </meta> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : 5</p> <p> <b> meta</b> : </p> <p> <b> contained</b> : , , , , , , , , , , , , , , , , , , , , , , , , </p> <p> <b> identifier</b> : 5234342</p> <p> <b> status</b> : final</p> <p> <b> code</b> : SERUM CHEMISTRY <span> (Details )</span> </p> <p> <b> subject</b> : <a> Patient/3</a> </p> <p> <b> effective</b> : 15/12/2004 7:20:17 AM</p> <p> <b> issued</b> : 23/02/2005 10:04:01 AM</p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Acme Laboratory, Inc</a> </td> </tr> </table> <p> <b> result</b> : </p> <ul> <li> id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 142 mmol/L</li> <li> id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement)</span> ; ????; Acme Laboratory, Inc; 4.0 mmol/L</li> <li> id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement)</span> ; ????; Acme Laboratory, Inc; 105 mmol/L</li> <li> id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span> (Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span> ; ????; Acme Laboratory, Inc; 28 mmol/L</li> <li> id: o5; status: final; Anion gap 4 in Serum or Plasma <span> (Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span> ; ????; Acme Laboratory, Inc; 13 mmol/L</li> <li> id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement)</span> ; ????; Acme Laboratory, Inc; 5.2 mmol/L</li> <li> id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea level)</span> ; ????; Acme Laboratory, Inc; 6.4 mmol/L</li> <li> id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement)</span> ; ????; Acme Laboratory, Inc; 0.09 mmol/L</li> <li> id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span> ; ????; Acme Laboratory, Inc; 0.46 mmol/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis)</span> ; ????; Acme Laboratory, Inc; 13 umol/L</li> <li> id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002'
                   = 'Bilirubin, direct measurement)</span> ; ????; Acme Laboratory, Inc; 6 umol/L</li> <li> id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span> (Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span> ; ????; Acme Laboratory, Inc; 204 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span> ; ????; Acme Laboratory, Inc; 192 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 70 U/L; High <span> (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span> </li> <li> id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 26 U/L</li> <li> id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span> (Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span> ; ????; Acme Laboratory, Inc; 150 U/L</li> <li> id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.37 mmol/L</li> <li> id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span> (Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.47 mmol/L</li> <li> id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement)</span> ; ????; Acme Laboratory, Inc; 1.4 mmol/L</li> <li> id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span> ; ????; Acme Laboratory, Inc; 67 g/L</li> <li> id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 39 g/L</li> <li> id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span> (Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement)</span> ; ????; Acme Laboratory, Inc; 28 g/L</li> <li> id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span> ; ????; Acme Laboratory, Inc; 5 umol/L; Critically low <span> (Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span> </li> <li> id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement)</span> ; ????; Acme Laboratory, Inc; 4.4 mmol/L</li> <li> id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement)</span> ; ????; Acme Laboratory, Inc; 1.1 mmol/L</li> </ul> </div> </text> <contained> 
          <Observation> 
            <id value="o1"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2951-2"/> 
                <display value="Sodium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104934005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/3"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="142"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="137"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="147"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o2"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2823-3"/> 
                <display value="Potassium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="59573005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/3"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.0"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.5"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="5.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o3"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2075-0"/> 
                <display value="Chloride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="46511006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/3"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="105"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="96"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="109"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o4"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1963-8"/> 
                <display value="Bicarbonate [Moles/volume] in Serum"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="88645003"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/3"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="28"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="33"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o5"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1863-0"/> 
                <display value="Anion gap 4 in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="271057005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/3"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="13"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="4"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="17"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o6"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14749-6"/> 
                <display value="Glucose [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="36048009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/3"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="5.2"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.7"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o7"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14937-7"/> 
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="273967009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/3"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="6.4"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o8"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14682-9"/> 
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="70901006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/3"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.09"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.04"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="0.11"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o9"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14933-6"/> 
                <display value="Urate [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="86228006"/> 
              </coding> 
            </code> 
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<!--        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\||        -->
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        <meta> 
          <lastUpdated value="2012-04-14T10:35:23Z"/> 
        </meta> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : 6</p> <p> <b> meta</b> : </p> <p> <b> contained</b> : , , , , , , , , , , , , , , , , , , , , , , , , </p> <p> <b> identifier</b> : 5234342</p> <p> <b> status</b> : final</p> <p> <b> code</b> : SERUM CHEMISTRY <span> (Details )</span> </p> <p> <b> subject</b> : <a> Patient/4</a> </p> <p> <b> effective</b> : 22/12/2004 7:45:17 AM</p> <p> <b> issued</b> : 21/12/2004 12:00:01 AM</p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Acme Laboratory, Inc</a> </td> </tr> </table> <p> <b> result</b> : </p> <ul> <li> id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 142 mmol/L</li> <li> id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement)</span> ; ????; Acme Laboratory, Inc; 4.0 mmol/L</li> <li> id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement)</span> ; ????; Acme Laboratory, Inc; 107 mmol/L</li> <li> id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span> (Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span> ; ????; Acme Laboratory, Inc; 26 mmol/L</li> <li> id: o5; status: final; Anion gap 4 in Serum or Plasma <span> (Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span> ; ????; Acme Laboratory, Inc; 13 mmol/L</li> <li> id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement)</span> ; ????; Acme Laboratory, Inc; 6.3 mmol/L</li> <li> id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea level)</span> ; ????; Acme Laboratory, Inc; 6.7 mmol/L</li> <li> id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement)</span> ; ????; Acme Laboratory, Inc; 0.08 mmol/L</li> <li> id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span> ; ????; Acme Laboratory, Inc; 0.40 mmol/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis)</span> ; ????; Acme Laboratory, Inc; 9 umol/L</li> <li> id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002'
                   = 'Bilirubin, direct measurement)</span> ; ????; Acme Laboratory, Inc; 4 umol/L</li> <li> id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span> (Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span> ; ????; Acme Laboratory, Inc; 144 U/L; High <span> (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span> </li> <li> id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span> ; ????; Acme Laboratory, Inc; 106 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 30 U/L</li> <li> id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 18 U/L</li> <li> id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span> (Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span> ; ????; Acme Laboratory, Inc; 143 U/L</li> <li> id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.28 mmol/L</li> <li> id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span> (Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.32 mmol/L</li> <li> id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement)</span> ; ????; Acme Laboratory, Inc; 1.3 mmol/L</li> <li> id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span> ; ????; Acme Laboratory, Inc; 66 g/L</li> <li> id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 41 g/L</li> <li> id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span> (Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement)</span> ; ????; Acme Laboratory, Inc; 25 g/L</li> <li> id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span> ; ????; Acme Laboratory, Inc; 3 umol/L; Critically low <span> (Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span> </li> <li> id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement)</span> ; ????; Acme Laboratory, Inc; 4.0 mmol/L</li> <li> id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement)</span> ; ????; Acme Laboratory, Inc; 1.0 mmol/L</li> </ul> </div> </text> <contained> 
          <Observation> 
            <id value="o1"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2951-2"/> 
                <display value="Sodium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104934005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="142"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="137"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="147"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o2"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2823-3"/> 
                <display value="Potassium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="59573005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.0"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.5"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="5.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o3"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2075-0"/> 
                <display value="Chloride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="46511006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="107"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="96"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="109"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o4"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1963-8"/> 
                <display value="Bicarbonate [Moles/volume] in Serum"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="88645003"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="26"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="33"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o5"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1863-0"/> 
                <display value="Anion gap 4 in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="271057005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="13"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="4"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="17"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o6"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14749-6"/> 
                <display value="Glucose [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="36048009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="6.3"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.7"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o7"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14937-7"/> 
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="273967009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="6.7"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o8"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14682-9"/> 
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="70901006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.08"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.04"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="0.11"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o9"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14933-6"/> 
                <display value="Urate [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="86228006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.40"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0.14"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="0.35"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o10"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14631-6"/> 
                <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="27171005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="9"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="20"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o11"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14629-0"/> 
                <display value="Bilirubin.direct [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="39748002"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="8"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o12"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="6768-6"/> 
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="88810008"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="144"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="H"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="30"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="115"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o13"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2324-2"/> 
                <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="69480007"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="106"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="45"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o14"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1742-6"/> 
                <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="34608000"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="30"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="45"/> 
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            </referenceRange> 
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        </contained> 
        <contained> 
          <Observation> 
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            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1920-8"/> 
                <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="45896001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="18"/> 
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            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o16"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2532-0"/> 
                <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="11274001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="143"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="80"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="250"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o17"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2000-8"/> 
                <display value="Calcium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="71878006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="2.28"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="2.65"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o18"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="13959-2"/> 
                <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="166708003"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="2.32"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="2.65"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o19"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14879-1"/> 
                <display value="Phosphate [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104866001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="1.3"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.8"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="1.5"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o20"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2885-2"/> 
                <display value="Protein [Mass/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="74040009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="66"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="60"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="82"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o21"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="41"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="35"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="50"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o22"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="10834-0"/> 
                <display value="Globulin [Mass/volume] in Serum by calculation"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104979009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
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            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
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            <valueQuantity> 
              <value value="25"/> 
              <unit value="g/L"/> 
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              <low> 
                <value value="20"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="40"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o23"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="3"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="LL"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="10"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="33"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o24"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/4"/> 
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            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.0"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.6"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="6.7"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o25"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14927-8"/> 
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104784006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
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            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
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            <valueQuantity> 
              <value value="1.0"/> 
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              <high> 
                <value value="4.0"/> 
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            </referenceRange> 
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        </contained> 
        <identifier> 
          <system value="http://acme.com/lab/reports"/> 
          <value value="5234342"/> 
        </identifier> 
        <status value="final"/> 
        <code> 
          <text value="SERUM CHEMISTRY"/> 
        </code> 
        <subject> 
          <reference value="Patient/4"/> 
        </subject> 
        <effectiveDateTime value="2004-12-22T07:45:17Z"/> 
        <issued value="2004-12-21T00:00:01Z"/> 
        <performer> 
          <actor> 
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
            <display value="Acme Laboratory, Inc"/> 
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        <result> 
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        <result> 
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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> 
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/7"/> 
    <resource> 
      <DiagnosticReport> 
        <id value="7"/> 
        <meta> 
          <lastUpdated value="2012-04-14T10:35:23Z"/> 
        </meta> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : 7</p> <p> <b> meta</b> : </p> <p> <b> contained</b> : , , , , , , , , , , , , , , , , , , , , , , , </p> <p> <b> identifier</b> : 5234342</p> <p> <b> status</b> : final</p> <p> <b> code</b> : SERUM CHEMISTRY <span> (Details )</span> </p> <p> <b> subject</b> : <a> Patient/5</a> </p> <p> <b> effective</b> : 03/12/2004 9:45:17 AM</p> <p> <b> issued</b> : 03/12/2004 12:00:01 AM</p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Acme Laboratory, Inc</a> </td> </tr> </table> <p> <b> result</b> : </p> <ul> <li> id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 141 mmol/L</li> <li> id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement)</span> ; ????; Acme Laboratory, Inc; 4.2 mmol/L</li> <li> id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement)</span> ; ????; Acme Laboratory, Inc; 106 mmol/L</li> <li> id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span> (Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span> ; ????; Acme Laboratory, Inc; 29 mmol/L</li> <li> id: o5; status: final; Anion gap 4 in Serum or Plasma <span> (Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span> ; ????; Acme Laboratory, Inc; 10 mmol/L</li> <li> id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement)</span> ; ????; Acme Laboratory, Inc; 7.0 mmol/L</li> <li> id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea level)</span> ; ????; Acme Laboratory, Inc; 4.7 mmol/L</li> <li> id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement)</span> ; ????; Acme Laboratory, Inc; 0.05 mmol/L</li> <li> id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span> ; ????; Acme Laboratory, Inc; 0.32 mmol/L</li> <li> id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis)</span> ; ????; Acme Laboratory, Inc; 43 umol/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span> (Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span> ; ????; Acme Laboratory, Inc; 708 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span> ; ????; Acme Laboratory, Inc; 1131 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 475 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 176 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span> (Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span> ; ????; Acme Laboratory, Inc; 324 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.32 mmol/L</li> <li> id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span> (Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.45 mmol/L</li> <li> id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement)</span> ; ????; Acme Laboratory, Inc; 0.9 mmol/L</li> <li> id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span> ; ????; Acme Laboratory, Inc; 71 g/L</li> <li> id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 38 g/L</li> <li> id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span> (Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement)</span> ; ????; Acme Laboratory, Inc; 33 g/L</li> <li> id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span> ; ????; Acme Laboratory, Inc; 17 umol/L</li> <li> id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement)</span> ; ????; Acme Laboratory, Inc; 7.0 mmol/L; High <span> (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span> </li> <li> id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement)</span> ; ????; Acme Laboratory, Inc; 0.9 mmol/L</li> </ul> </div> </text> <contained> 
          <Observation> 
            <id value="o1"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2951-2"/> 
                <display value="Sodium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104934005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="141"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="137"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="147"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o2"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2823-3"/> 
                <display value="Potassium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="59573005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.2"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.5"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="5.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o3"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2075-0"/> 
                <display value="Chloride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="46511006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="106"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="96"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="109"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o4"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1963-8"/> 
                <display value="Bicarbonate [Moles/volume] in Serum"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="88645003"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="29"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="33"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o5"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1863-0"/> 
                <display value="Anion gap 4 in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="271057005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="10"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="4"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="17"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o6"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14749-6"/> 
                <display value="Glucose [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="36048009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="7.0"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.7"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o7"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14937-7"/> 
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="273967009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.7"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o8"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14682-9"/> 
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="70901006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.05"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.04"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="0.11"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o9"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14933-6"/> 
                <display value="Urate [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="86228006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.32"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.14"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="0.35"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o10"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14631-6"/> 
                <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="27171005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="43"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="2"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="20"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o11"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="6768-6"/> 
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="88810008"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="708"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="30"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="115"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o12"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2324-2"/> 
                <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="69480007"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="1131"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="45"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o13"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1742-6"/> 
                <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="34608000"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="475"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="45"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o14"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1920-8"/> 
                <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="45896001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="176"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="41"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o15"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2532-0"/> 
                <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="11274001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="324"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="80"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="250"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o16"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2000-8"/> 
                <display value="Calcium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="71878006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="2.32"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="2.65"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o17"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="13959-2"/> 
                <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="166708003"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="2.45"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="2.65"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o18"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14879-1"/> 
                <display value="Phosphate [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104866001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.9"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.8"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="1.5"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o19"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2885-2"/> 
                <display value="Protein [Mass/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="74040009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="71"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="60"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="82"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o20"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="38"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="35"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="50"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o21"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="10834-0"/> 
                <display value="Globulin [Mass/volume] in Serum by calculation"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104979009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="33"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="20"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="40"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o22"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="17"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="10"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="33"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o23"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="7.0"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="H"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="3.6"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="6.7"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o24"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14927-8"/> 
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104784006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.9"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.3"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="4.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <identifier> 
          <system value="http://acme.com/lab/reports"/> 
          <value value="5234342"/> 
        </identifier> 
        <status value="final"/> 
        <code> 
          <text value="SERUM CHEMISTRY"/> 
        </code> 
        <subject> 
          <reference value="Patient/5"/> 
        </subject> 
        <effectiveDateTime value="2004-12-03T09:45:17Z"/> 
        <issued value="2004-12-03T00:00:01Z"/> 
        <performer> 
          <actor> 
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
            <display value="Acme Laboratory, Inc"/> 
          </actor> 
        </performer> 
        <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> 
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/8"/> 
    <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"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : 8</p> <p> <b> meta</b> : </p> <p> <b> contained</b> : , , , , , , , , , , , , , , , , , , , , , , , </p> <p> <b> identifier</b> : 5234342</p> <p> <b> status</b> : final</p> <p> <b> code</b> : SERUM CHEMISTRY <span> (Details )</span> </p> <p> <b> subject</b> : <a> Patient/6</a> </p> <p> <b> effective</b> : 03/12/2004 8:30:17 PM</p> <p> <b> issued</b> : 23/02/2005 10:04:01 AM</p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Acme Laboratory, Inc</a> </td> </tr> </table> <p> <b> result</b> : </p> <ul> <li> id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 142 mmol/L</li> <li> id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement)</span> ; ????; Acme Laboratory, Inc; 3.6 mmol/L</li> <li> id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement)</span> ; ????; Acme Laboratory, Inc; 104 mmol/L</li> <li> id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span> (Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span> ; ????; Acme Laboratory, Inc; 30 mmol/L</li> <li> id: o5; status: final; Anion gap 4 in Serum or Plasma <span> (Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span> ; ????; Acme Laboratory, Inc; 12 mmol/L</li> <li> id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement)</span> ; ????; Acme Laboratory, Inc; 6.2 mmol/L</li> <li> id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea level)</span> ; ????; Acme Laboratory, Inc; 4.5 mmol/L</li> <li> id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement)</span> ; ????; Acme Laboratory, Inc; 0.06 mmol/L</li> <li> id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span> ; ????; Acme Laboratory, Inc; 0.37 mmol/L; High <span> (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span> </li> <li> id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis)</span> ; ????; Acme Laboratory, Inc; 50 umol/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span> (Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span> ; ????; Acme Laboratory, Inc; 684 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span> ; ????; Acme Laboratory, Inc; 1105 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 466 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 198 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span> (Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span> ; ????; Acme Laboratory, Inc; 323 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.32 mmol/L</li> <li> id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span> (Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.45 mmol/L</li> <li> id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement)</span> ; ????; Acme Laboratory, Inc; 0.9 mmol/L</li> <li> id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span> ; ????; Acme Laboratory, Inc; 70 g/L</li> <li> id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 38 g/L</li> <li> id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span> (Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement)</span> ; ????; Acme Laboratory, Inc; 32 g/L</li> <li> id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span> ; ????; Acme Laboratory, Inc; 11 umol/L</li> <li> id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement)</span> ; ????; Acme Laboratory, Inc; 6.9 mmol/L; High <span> (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span> </li> <li> id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement)</span> ; ????; Acme Laboratory, Inc; 1.9 mmol/L</li> </ul> </div> </text> <contained> 
          <Observation> 
            <id value="o1"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2951-2"/> 
                <display value="Sodium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104934005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/6"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="142"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="137"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="147"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o2"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2823-3"/> 
                <display value="Potassium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="59573005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/6"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="3.6"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.5"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="5.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o3"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2075-0"/> 
                <display value="Chloride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="46511006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/6"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="104"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="96"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="109"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o4"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1963-8"/> 
                <display value="Bicarbonate [Moles/volume] in Serum"/> 
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          <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> 
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/9"/> 
    <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"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : 9</p> <p> <b> meta</b> : </p> <p> <b> contained</b> : , , , , , , , , , , , , , , , , , , , , , , , </p> <p> <b> identifier</b> : 5234342</p> <p> <b> status</b> : final</p> <p> <b> code</b> : SERUM CHEMISTRY <span> (Details )</span> </p> <p> <b> subject</b> : <a> Patient/7</a> </p> <p> <b> effective</b> : 05/12/2004 7:15:17 AM</p> <p> <b> issued</b> : 23/02/2005 10:04:01 AM</p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Acme Laboratory, Inc</a> </td> </tr> </table> <p> <b> result</b> : </p> <ul> <li> id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 143 mmol/L</li> <li> id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement)</span> ; ????; Acme Laboratory, Inc; 4.3 mmol/L</li> <li> id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement)</span> ; ????; Acme Laboratory, Inc; 108 mmol/L</li> <li> id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span> (Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span> ; ????; Acme Laboratory, Inc; 25 mmol/L</li> <li> id: o5; status: final; Anion gap 4 in Serum or Plasma <span> (Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span> ; ????; Acme Laboratory, Inc; 14 mmol/L</li> <li> id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement)</span> ; ????; Acme Laboratory, Inc; 4.3 mmol/L</li> <li> id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea level)</span> ; ????; Acme Laboratory, Inc; 4.6 mmol/L</li> <li> id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement)</span> ; ????; Acme Laboratory, Inc; 0.06 mmol/L</li> <li> id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span> ; ????; Acme Laboratory, Inc; 0.41 mmol/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis)</span> ; ????; Acme Laboratory, Inc; 27 umol/L; High <span> (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span> </li> <li> id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span> (Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span> ; ????; Acme Laboratory, Inc; 631 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span> ; ????; Acme Laboratory, Inc; 956 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 398 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 120 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span> (Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span> ; ????; Acme Laboratory, Inc; 243 U/L</li> <li> id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.33 mmol/L</li> <li> id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span> (Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.52 mmol/L</li> <li> id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement)</span> ; ????; Acme Laboratory, Inc; 1.2 mmol/L</li> <li> id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span> ; ????; Acme Laboratory, Inc; 71 g/L</li> <li> id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 36 g/L</li> <li> id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span> (Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement)</span> ; ????; Acme Laboratory, Inc; 35 g/L</li> <li> id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span> ; ????; Acme Laboratory, Inc; 39 umol/L; High <span> (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span> </li> <li> id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement)</span> ; ????; Acme Laboratory, Inc; 6.8 mmol/L; High <span> (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span> </li> <li> id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement)</span> ; ????; Acme Laboratory, Inc; 1.5 mmol/L</li> </ul> </div> </text> <contained> 
          <Observation> 
            <id value="o1"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2951-2"/> 
                <display value="Sodium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104934005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="143"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="137"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="147"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o2"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2823-3"/> 
                <display value="Potassium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="59573005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.3"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.5"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="5.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o3"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2075-0"/> 
                <display value="Chloride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="46511006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="108"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="96"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="109"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o4"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1963-8"/> 
                <display value="Bicarbonate [Moles/volume] in Serum"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="88645003"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="25"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="33"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o5"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1863-0"/> 
                <display value="Anion gap 4 in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="271057005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="14"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="4"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="17"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o6"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14749-6"/> 
                <display value="Glucose [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="36048009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.3"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.7"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o7"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14937-7"/> 
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="273967009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.6"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o8"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14682-9"/> 
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="70901006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.06"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.04"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="0.11"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o9"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14933-6"/> 
                <display value="Urate [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="86228006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.41"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0.14"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="0.35"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o10"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14631-6"/> 
                <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="27171005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="27"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="H"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="2"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="20"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o11"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="6768-6"/> 
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="88810008"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="631"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="30"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="115"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o12"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2324-2"/> 
                <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="69480007"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="956"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="45"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o13"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1742-6"/> 
                <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="34608000"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="398"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="45"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o14"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1920-8"/> 
                <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="45896001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="120"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
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                <unit value="U/L"/> 
              </low> 
              <high> 
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                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o15"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2532-0"/> 
                <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="11274001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
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              <unit value="U/L"/> 
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                <unit value="U/L"/> 
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              <high> 
                <value value="250"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o16"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2000-8"/> 
                <display value="Calcium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="71878006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="2.33"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="2.65"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o17"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="13959-2"/> 
                <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="166708003"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="2.52"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="2.65"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o18"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14879-1"/> 
                <display value="Phosphate [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104866001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="1.2"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.8"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="1.5"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o19"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2885-2"/> 
                <display value="Protein [Mass/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="74040009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="71"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="60"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="82"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o20"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="36"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="35"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="50"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o21"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="10834-0"/> 
                <display value="Globulin [Mass/volume] in Serum by calculation"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104979009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="35"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="20"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="40"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o22"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="39"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="H"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="10"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="33"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o23"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="6.8"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="H"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="3.6"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="6.7"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o24"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14927-8"/> 
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104784006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/7"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="1.5"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.3"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="4.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <identifier> 
          <system value="http://acme.com/lab/reports"/> 
          <value value="5234342"/> 
        </identifier> 
        <status value="final"/> 
        <code> 
          <text value="SERUM CHEMISTRY"/> 
        </code> 
        <subject> 
          <reference value="Patient/7"/> 
        </subject> 
        <effectiveDateTime value="2004-12-05T07:15:17Z"/> 
        <issued value="2005-02-23T10:04:01Z"/> 
        <performer> 
          <actor> 
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
            <display value="Acme Laboratory, Inc"/> 
          </actor> 
        </performer> 
        <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> 
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/15"/> 
    <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"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : 15</p> <p> <b> meta</b> : </p> <p> <b> contained</b> : , , , , , , , , , , , , , , , , , , , , , , , , </p> <p> <b> identifier</b> : 5234342</p> <p> <b> status</b> : final</p> <p> <b> code</b> : SERUM CHEMISTRY <span> (Details )</span> </p> <p> <b> subject</b> : <a> Patient/8</a> </p> <p> <b> effective</b> : 27/01/2005 6:40:17 AM</p> <p> <b> issued</b> : 23/02/2005 10:04:01 AM</p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Acme Laboratory, Inc</a> </td> </tr> </table> <p> <b> result</b> : </p> <ul> <li> id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 140 mmol/L</li> <li> id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement)</span> ; ????; Acme Laboratory, Inc; 4.2 mmol/L</li> <li> id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement)</span> ; ????; Acme Laboratory, Inc; 105 mmol/L</li> <li> id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span> (Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span> ; ????; Acme Laboratory, Inc; 26 mmol/L</li> <li> id: o5; status: final; Anion gap 4 in Serum or Plasma <span> (Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span> ; ????; Acme Laboratory, Inc; 13 mmol/L</li> <li> id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement)</span> ; ????; Acme Laboratory, Inc; 7.4 mmol/L</li> <li> id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea level)</span> ; ????; Acme Laboratory, Inc; 4.7 mmol/L</li> <li> id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement)</span> ; ????; Acme Laboratory, Inc; 0.09 mmol/L</li> <li> id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span> ; ????; Acme Laboratory, Inc; 0.39 mmol/L; High <span> (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span> </li> <li> id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis)</span> ; ????; Acme Laboratory, Inc; 7 umol/L</li> <li> id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002'
                   = 'Bilirubin, direct measurement)</span> ; ????; Acme Laboratory, Inc; 3 umol/L</li> <li> id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span> (Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span> ; ????; Acme Laboratory, Inc; 108 U/L</li> <li> id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span> ; ????; Acme Laboratory, Inc; 35 U/L</li> <li> id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 54 U/L; High <span> (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span> </li> <li> id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 30 U/L</li> <li> id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span> (Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span> ; ????; Acme Laboratory, Inc; 131 U/L</li> <li> id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.38 mmol/L</li> <li> id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span> (Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.39 mmol/L</li> <li> id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement)</span> ; ????; Acme Laboratory, Inc; 1.5 mmol/L</li> <li> id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span> ; ????; Acme Laboratory, Inc; 67 g/L</li> <li> id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 42 g/L</li> <li> id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span> (Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement)</span> ; ????; Acme Laboratory, Inc; 25 g/L</li> <li> id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {[not stated] code '42950004' = '42950004)</span> ; ????; Acme Laboratory, Inc; 5 umol/L; Critically low <span> (Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span> </li> <li> id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement)</span> ; ????; Acme Laboratory, Inc; 3.8 mmol/L</li> <li> id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement)</span> ; ????; Acme Laboratory, Inc; 0.9 mmol/L</li> </ul> </div> </text> <contained> 
          <Observation> 
            <id value="o1"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2951-2"/> 
                <display value="Sodium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104934005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="140"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="137"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="147"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o2"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2823-3"/> 
                <display value="Potassium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="59573005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.2"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.5"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="5.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o3"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2075-0"/> 
                <display value="Chloride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="46511006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="105"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="96"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="109"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o4"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1963-8"/> 
                <display value="Bicarbonate [Moles/volume] in Serum"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="88645003"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="26"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="33"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o5"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1863-0"/> 
                <display value="Anion gap 4 in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="271057005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="13"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="4"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="17"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o6"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14749-6"/> 
                <display value="Glucose [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="36048009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="7.4"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.7"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o7"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14937-7"/> 
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="273967009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.7"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o8"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14682-9"/> 
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="70901006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.09"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.04"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="0.11"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o9"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14933-6"/> 
                <display value="Urate [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="86228006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.39"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="H"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0.14"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="0.35"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o10"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14631-6"/> 
                <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="27171005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="7"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="20"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o11"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14629-0"/> 
                <display value="Bilirubin.direct [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="39748002"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="3"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="8"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o12"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="6768-6"/> 
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="88810008"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="108"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="30"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="115"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o13"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2324-2"/> 
                <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="69480007"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="35"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="45"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o14"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1742-6"/> 
                <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="34608000"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="54"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="H"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="45"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o15"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1920-8"/> 
                <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="45896001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="30"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="41"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o16"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2532-0"/> 
                <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="11274001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="131"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="80"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="250"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o17"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2000-8"/> 
                <display value="Calcium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="71878006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="2.38"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="2.65"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o18"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="13959-2"/> 
                <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="166708003"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="2.39"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="2.65"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o19"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14879-1"/> 
                <display value="Phosphate [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104866001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="1.5"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.8"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="1.5"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o20"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2885-2"/> 
                <display value="Protein [Mass/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="74040009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="67"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="60"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="82"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o21"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="42"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="35"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="50"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o22"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="10834-0"/> 
                <display value="Globulin [Mass/volume] in Serum by calculation"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104979009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="25"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="20"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="40"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o23"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="5"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="LL"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="10"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="33"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o24"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="3.8"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.6"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="6.7"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o25"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14927-8"/> 
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104784006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/8"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.9"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.3"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="4.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <identifier> 
          <system value="http://acme.com/lab/reports"/> 
          <value value="5234342"/> 
        </identifier> 
        <status value="final"/> 
        <code> 
          <text value="SERUM CHEMISTRY"/> 
        </code> 
        <subject> 
          <reference value="Patient/8"/> 
        </subject> 
        <effectiveDateTime value="2005-01-27T06:40:17Z"/> 
        <issued value="2005-02-23T10:04:01Z"/> 
        <performer> 
          <actor> 
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
            <display value="Acme Laboratory, Inc"/> 
          </actor> 
        </performer> 
        <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> 
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/16"/> 
    <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"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : 16</p> <p> <b> meta</b> : </p> <p> <b> contained</b> : , , , , , , , , , , , , , , , , , , , , , , , , </p> <p> <b> identifier</b> : 5234342</p> <p> <b> status</b> : final</p> <p> <b> code</b> : SERUM CHEMISTRY <span> (Details )</span> </p> <p> <b> subject</b> : <a> Patient/9</a> </p> <p> <b> effective</b> : 08/12/2004 7:45:17 AM</p> <p> <b> issued</b> : 23/02/2005 10:04:01 AM</p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Acme Laboratory, Inc</a> </td> </tr> </table> <p> <b> result</b> : </p> <ul> <li> id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 138 mmol/L</li> <li> id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement)</span> ; ????; Acme Laboratory, Inc; 4.1 mmol/L</li> <li> id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement)</span> ; ????; Acme Laboratory, Inc; 103 mmol/L</li> <li> id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span> (Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span> ; ????; Acme Laboratory, Inc; 27 mmol/L</li> <li> id: o5; status: final; Anion gap 4 in Serum or Plasma <span> (Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span> ; ????; Acme Laboratory, Inc; 12 mmol/L</li> <li> id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement)</span> ; ????; Acme Laboratory, Inc; 6.8 mmol/L</li> <li> id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea level)</span> ; ????; Acme Laboratory, Inc; 8.2 mmol/L; High <span> (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span> </li> <li> id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement)</span> ; ????; Acme Laboratory, Inc; 0.07 mmol/L</li> <li> id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span> ; ????; Acme Laboratory, Inc; 0.42 mmol/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis)</span> ; ????; Acme Laboratory, Inc; 16 umol/L</li> <li> id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002'
                   = 'Bilirubin, direct measurement)</span> ; ????; Acme Laboratory, Inc; 8 umol/L</li> <li> id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span> (Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span> ; ????; Acme Laboratory, Inc; 369 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span> ; ????; Acme Laboratory, Inc; 438 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 263 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 87 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span> (Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span> ; ????; Acme Laboratory, Inc; 179 U/L</li> <li> id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.32 mmol/L</li> <li> id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span> (Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.42 mmol/L</li> <li> id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement)</span> ; ????; Acme Laboratory, Inc; 1.3 mmol/L</li> <li> id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span> ; ????; Acme Laboratory, Inc; 67 g/L</li> <li> id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 39 g/L</li> <li> id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span> (Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement)</span> ; ????; Acme Laboratory, Inc; 28 g/L</li> <li> id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span> ; ????; Acme Laboratory, Inc; 8 umol/L; Low <span> (Details : {http://hl7.org/fhir/v2/0078 code 'L' = 'Low)</span> </li> <li> id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement)</span> ; ????; Acme Laboratory, Inc; 4.8 mmol/L</li> <li> id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement)</span> ; ????; Acme Laboratory, Inc; 2.2 mmol/L</li> </ul> </div> </text> <contained> 
          <Observation> 
            <id value="o1"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2951-2"/> 
                <display value="Sodium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104934005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/9"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="138"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="137"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="147"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o2"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2823-3"/> 
                <display value="Potassium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="59573005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/9"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.1"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.5"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="5.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o3"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2075-0"/> 
                <display value="Chloride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="46511006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/9"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="103"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="96"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="109"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o4"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1963-8"/> 
                <display value="Bicarbonate [Moles/volume] in Serum"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="88645003"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/9"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="27"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="33"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o5"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1863-0"/> 
                <display value="Anion gap 4 in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="271057005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/9"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="12"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="4"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="17"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o6"/> 
            <status value="final"/> 
            <code> 
              <coding> 
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          <reference value="#o24"/> 
        </result> 
        <result> 
          <reference value="#o25"/> 
        </result> 
      </DiagnosticReport> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/17"/> 
    <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"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : 17</p> <p> <b> meta</b> : </p> <p> <b> contained</b> : , , , , , , , , , , , , , , , , , , , , , , , , </p> <p> <b> identifier</b> : 5234342</p> <p> <b> status</b> : final</p> <p> <b> code</b> : SERUM CHEMISTRY <span> (Details )</span> </p> <p> <b> subject</b> : <a> Patient/10</a> </p> <p> <b> effective</b> : 15/12/2004 7:20:17 AM</p> <p> <b> issued</b> : 23/02/2005 10:04:01 AM</p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Acme Laboratory, Inc</a> </td> </tr> </table> <p> <b> result</b> : </p> <ul> <li> id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 142 mmol/L</li> <li> id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement)</span> ; ????; Acme Laboratory, Inc; 4.0 mmol/L</li> <li> id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement)</span> ; ????; Acme Laboratory, Inc; 105 mmol/L</li> <li> id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span> (Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span> ; ????; Acme Laboratory, Inc; 28 mmol/L</li> <li> id: o5; status: final; Anion gap 4 in Serum or Plasma <span> (Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span> ; ????; Acme Laboratory, Inc; 13 mmol/L</li> <li> id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement)</span> ; ????; Acme Laboratory, Inc; 5.2 mmol/L</li> <li> id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea level)</span> ; ????; Acme Laboratory, Inc; 6.4 mmol/L</li> <li> id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement)</span> ; ????; Acme Laboratory, Inc; 0.09 mmol/L</li> <li> id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span> ; ????; Acme Laboratory, Inc; 0.46 mmol/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis)</span> ; ????; Acme Laboratory, Inc; 13 umol/L</li> <li> id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002'
                   = 'Bilirubin, direct measurement)</span> ; ????; Acme Laboratory, Inc; 6 umol/L</li> <li> id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span> (Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span> ; ????; Acme Laboratory, Inc; 204 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span> ; ????; Acme Laboratory, Inc; 192 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 70 U/L; High <span> (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span> </li> <li> id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 26 U/L</li> <li> id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span> (Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span> ; ????; Acme Laboratory, Inc; 150 U/L</li> <li> id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.37 mmol/L</li> <li> id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span> (Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.47 mmol/L</li> <li> id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement)</span> ; ????; Acme Laboratory, Inc; 1.4 mmol/L</li> <li> id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span> ; ????; Acme Laboratory, Inc; 67 g/L</li> <li> id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 39 g/L</li> <li> id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span> (Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement)</span> ; ????; Acme Laboratory, Inc; 28 g/L</li> <li> id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span> ; ????; Acme Laboratory, Inc; 5 umol/L; Critically low <span> (Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span> </li> <li> id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement)</span> ; ????; Acme Laboratory, Inc; 4.4 mmol/L</li> <li> id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement)</span> ; ????; Acme Laboratory, Inc; 1.1 mmol/L</li> </ul> </div> </text> <contained> 
          <Observation> 
            <id value="o1"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2951-2"/> 
                <display value="Sodium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104934005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/10"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="142"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="137"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="147"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o2"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2823-3"/> 
                <display value="Potassium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="59573005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/10"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.0"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.5"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="5.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o3"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2075-0"/> 
                <display value="Chloride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="46511006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/10"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="105"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="96"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="109"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o4"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1963-8"/> 
                <display value="Bicarbonate [Moles/volume] in Serum"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="88645003"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/10"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="28"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="33"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o5"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1863-0"/> 
                <display value="Anion gap 4 in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="271057005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/10"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="13"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="4"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="17"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o6"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14749-6"/> 
                <display value="Glucose [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="36048009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/10"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="5.2"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.7"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o7"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14937-7"/> 
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="273967009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/10"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="6.4"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o8"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14682-9"/> 
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="70901006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/10"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.09"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.04"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="0.11"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o9"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14933-6"/> 
                <display value="Urate [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="86228006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/10"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.46"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0.14"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="0.35"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o10"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14631-6"/> 
                <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="27171005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/10"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="13"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="20"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o11"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14629-0"/> 
                <display value="Bilirubin.direct [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="39748002"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/10"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="6"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="8"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o12"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="6768-6"/> 
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="88810008"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/10"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="204"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="30"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="115"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o13"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2324-2"/> 
                <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="69480007"/> 
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              <coding> 
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              <coding> 
                <system value="http://snomed.info/sct"/> 
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                <display value="Calcium [Moles/volume] in Serum or Plasma"/> 
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              <coding> 
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                <code value="71878006"/> 
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            <id value="o18"/> 
            <status value="final"/> 
            <code> 
              <coding> 
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                <code value="13959-2"/> 
                <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/> 
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              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="166708003"/> 
              </coding> 
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            <subject> 
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            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
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            </referenceRange> 
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        </contained> 
        <contained> 
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            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14879-1"/> 
                <display value="Phosphate [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104866001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/10"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
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        <contained> 
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            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2885-2"/> 
                <display value="Protein [Mass/volume] in Serum or Plasma"/> 
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              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="74040009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/10"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
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              <unit value="g/L"/> 
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            <status value="final"/> 
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              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1751-7"/> 
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              <coding> 
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                <code value="104485008"/> 
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            <subject> 
              <reference value="Patient/10"/> 
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            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
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              <high> 
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            <status value="final"/> 
            <code> 
              <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"/> 
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              <reference value="Patient/10"/> 
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            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
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              <high> 
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            <status value="final"/> 
            <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> 
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            <subject> 
              <reference value="Patient/10"/> 
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            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
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            <valueQuantity> 
              <value value="5"/> 
              <unit value="umol/L"/> 
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            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="LL"/> 
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                <unit value="umol/L"/> 
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              <high> 
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                <unit value="umol/L"/> 
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        <contained> 
          <Observation> 
            <id value="o24"/> 
            <status value="final"/> 
            <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"/> 
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              <reference value="Patient/10"/> 
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            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
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              <value value="4.4"/> 
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              <high> 
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                <code value="14927-8"/> 
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/> 
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              <coding> 
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              <high> 
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        <identifier> 
          <system value="http://acme.com/lab/reports"/> 
          <value value="5234342"/> 
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        <status value="final"/> 
        <code> 
          <text value="SERUM CHEMISTRY"/> 
        </code> 
        <subject> 
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        <effectiveDateTime value="2004-12-15T07:20:17Z"/> 
        <issued value="2005-02-23T10:04:01Z"/> 
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
            <display value="Acme Laboratory, Inc"/> 
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  </entry> 
<!--        OBX|28|FT|TXT^^AUSPDI||                                Units  Ref Range\.br\ \.br\
     SERUM CHEMISTRY\.br\ Sodium                 142      mmol/L 137-147\.br\ Serum Potassium
          4.0      mmol/L 3.5-5.0\.br\ Chloride               105      mmol/L 96-109\.br\
   Bicarbonate            28       mmol/L 25-33\.br\ Other Anions           13       mmol/L
   4-17\.br\ Glucose                5.2      mmol/L 3.0-7.7\.br\ Urea                   6.4
        mmol/L 2.0-7.0\.br\ Serum Creatinine       0.09     mmol/L 0.04-0.11\.br\ Serum Uric
   Acid        0.46 +++ mmol/L 0.14-0.35\.br\ Total Bilirubin        13       umol/L 2-20\.br\
   Direct Bilirubin       6        umol/L 0-8\.br\ Alkaline phosphatase [Enzymatic activity/volume]
   in Serum or Plasma 204 +++  U/L    30-115\.br\ Gamma G.T.             192 +++  U/L   
   0-45\.br\ ALT                    70 +     U/L    0-45\.br\ AST                    26 
        U/L    0-41\.br\ LD                     150      U/L    80-250\.br\ Serum Calcium
            2.37     mmol/L 2.25-2.65\.br\ Corrected Calcium      2.47     mmol/L 2.25-2.65\.br\
   Serum Phosphate        1.4      mmol/L 0.8-1.5\.br\ Total Protein          67       g/L
      60-82\.br\ Serum Albumin          39       g/L    35-50\.br\ Globulins            
    28       g/L    20-40\.br\ Iron                   5 - -     umol/L 10-33\.br\ Cholesterol
              4.4      mmol/L 3.6-6.7\.br\ \.br\ Revised NHF cholesterol guidelines (Nov.,2001):\.br\
     Target below 4.0 mmol/L if high risk patient.\.br\   Consider lipid lowering treatment
   if cholesterol above 6.0 mmol/L\.br\   and no other risk factor of CHD.\.br\ \.br\ Triglycerides
            1.1      mmol/L 0.3-4.0\.br\||        -->
  <entry> 
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/18"/> 
    <resource> 
      <DiagnosticReport> 
        <id value="18"/> 
        <meta> 
          <lastUpdated value="2012-04-14T10:35:23Z"/> 
        </meta> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : 18</p> <p> <b> meta</b> : </p> <p> <b> contained</b> : , , , , , , , , , , , , , , , , , , , , , , , , </p> <p> <b> identifier</b> : 5234342</p> <p> <b> status</b> : final</p> <p> <b> code</b> : SERUM CHEMISTRY <span> (Details )</span> </p> <p> <b> subject</b> : <a> Patient/1</a> </p> <p> <b> effective</b> : 22/12/2004 7:45:17 AM</p> <p> <b> issued</b> : 23/02/2005 10:04:01 AM</p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Acme Laboratory, Inc</a> </td> </tr> </table> <p> <b> result</b> : </p> <ul> <li> id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 142 mmol/L</li> <li> id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement)</span> ; ????; Acme Laboratory, Inc; 4.0 mmol/L</li> <li> id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement)</span> ; ????; Acme Laboratory, Inc; 107 mmol/L</li> <li> id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span> (Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span> ; ????; Acme Laboratory, Inc; 26 mmol/L</li> <li> id: o5; status: final; Anion gap 4 in Serum or Plasma <span> (Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span> ; ????; Acme Laboratory, Inc; 13 mmol/L</li> <li> id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement)</span> ; ????; Acme Laboratory, Inc; 6.3 mmol/L</li> <li> id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea level)</span> ; ????; Acme Laboratory, Inc; 6.7 mmol/L</li> <li> id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement)</span> ; ????; Acme Laboratory, Inc; 0.08 mmol/L</li> <li> id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span> ; ????; Acme Laboratory, Inc; 0.40 mmol/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis)</span> ; ????; Acme Laboratory, Inc; 9 umol/L</li> <li> id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002'
                   = 'Bilirubin, direct measurement)</span> ; ????; Acme Laboratory, Inc; 4 umol/L</li> <li> id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span> (Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span> ; ????; Acme Laboratory, Inc; 144 U/L; High <span> (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span> </li> <li> id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span> ; ????; Acme Laboratory, Inc; 106 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 30 U/L</li> <li> id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 18 U/L</li> <li> id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span> (Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span> ; ????; Acme Laboratory, Inc; 143 U/L</li> <li> id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.28 mmol/L</li> <li> id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span> (Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.32 mmol/L</li> <li> id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement)</span> ; ????; Acme Laboratory, Inc; 1.3 mmol/L</li> <li> id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span> ; ????; Acme Laboratory, Inc; 66 g/L</li> <li> id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 41 g/L</li> <li> id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span> (Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement)</span> ; ????; Acme Laboratory, Inc; 25 g/L</li> <li> id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span> ; ????; Acme Laboratory, Inc; 3 umol/L; Critically low <span> (Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span> </li> <li> id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement)</span> ; ????; Acme Laboratory, Inc; 4.0 mmol/L</li> <li> id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement)</span> ; ????; Acme Laboratory, Inc; 1.0 mmol/L</li> </ul> </div> </text> <contained> 
          <Observation> 
            <id value="o1"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2951-2"/> 
                <display value="Sodium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104934005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="142"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="137"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="147"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o2"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2823-3"/> 
                <display value="Potassium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="59573005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.0"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.5"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="5.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o3"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2075-0"/> 
                <display value="Chloride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="46511006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="107"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="96"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="109"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o4"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1963-8"/> 
                <display value="Bicarbonate [Moles/volume] in Serum"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="88645003"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="26"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="33"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o5"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1863-0"/> 
                <display value="Anion gap 4 in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="271057005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="13"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="4"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="17"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o6"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14749-6"/> 
                <display value="Glucose [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="36048009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="6.3"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.7"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o7"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14937-7"/> 
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="273967009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="6.7"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o8"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14682-9"/> 
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="70901006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.08"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.04"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="0.11"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o9"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14933-6"/> 
                <display value="Urate [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="86228006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.40"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0.14"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="0.35"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o10"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14631-6"/> 
                <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="27171005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="9"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="20"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o11"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14629-0"/> 
                <display value="Bilirubin.direct [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="39748002"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="8"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o12"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="6768-6"/> 
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="88810008"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="144"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="H"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="30"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="115"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o13"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2324-2"/> 
                <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="69480007"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="106"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="45"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o14"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1742-6"/> 
                <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="34608000"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="30"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="45"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o15"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1920-8"/> 
                <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="45896001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="18"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="41"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o16"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2532-0"/> 
                <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="11274001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="143"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="80"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="250"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o17"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2000-8"/> 
                <display value="Calcium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="71878006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="2.28"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="2.65"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o18"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="13959-2"/> 
                <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="166708003"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="2.32"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="2.65"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o19"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14879-1"/> 
                <display value="Phosphate [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104866001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="1.3"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.8"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="1.5"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o20"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2885-2"/> 
                <display value="Protein [Mass/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="74040009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="66"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="60"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="82"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o21"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="41"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="35"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="50"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o22"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="10834-0"/> 
                <display value="Globulin [Mass/volume] in Serum by calculation"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104979009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
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            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="25"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="20"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="40"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o23"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="3"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="LL"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="10"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="33"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o24"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.0"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.6"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="6.7"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o25"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14927-8"/> 
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104784006"/> 
              </coding> 
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              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
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              </low> 
              <high> 
                <value value="4.0"/> 
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              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <identifier> 
          <system value="http://acme.com/lab/reports"/> 
          <value value="5234342"/> 
        </identifier> 
        <status value="final"/> 
        <code> 
          <text value="SERUM CHEMISTRY"/> 
        </code> 
        <subject> 
          <reference value="Patient/1"/> 
        </subject> 
        <effectiveDateTime value="2004-12-22T07:45:17Z"/> 
        <issued value="2005-02-23T10:04:01Z"/> 
        <performer> 
          <actor> 
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
            <display value="Acme Laboratory, Inc"/> 
          </actor> 
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        <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> 
        <result> 
          <reference value="#o7"/> 
        </result> 
        <result> 
          <reference value="#o8"/> 
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        <result> 
          <reference value="#o9"/> 
        </result> 
        <result> 
          <reference value="#o10"/> 
        </result> 
        <result> 
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        <result> 
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        <result> 
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        <result> 
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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> 
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/19"/> 
    <resource> 
      <DiagnosticReport> 
        <id value="19"/> 
        <meta> 
          <lastUpdated value="2012-04-14T10:35:23Z"/> 
        </meta> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : 19</p> <p> <b> meta</b> : </p> <p> <b> contained</b> : , , , , , , , , , , , , , , , , , , , , , , , </p> <p> <b> identifier</b> : 5234342</p> <p> <b> status</b> : final</p> <p> <b> code</b> : SERUM CHEMISTRY <span> (Details )</span> </p> <p> <b> subject</b> : <a> Patient/2</a> </p> <p> <b> effective</b> : 03/12/2004 9:45:17 AM</p> <p> <b> issued</b> : 23/02/2005 10:04:01 AM</p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Acme Laboratory, Inc</a> </td> </tr> </table> <p> <b> result</b> : </p> <ul> <li> id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 141 mmol/L</li> <li> id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement)</span> ; ????; Acme Laboratory, Inc; 4.2 mmol/L</li> <li> id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement)</span> ; ????; Acme Laboratory, Inc; 106 mmol/L</li> <li> id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span> (Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span> ; ????; Acme Laboratory, Inc; 29 mmol/L</li> <li> id: o5; status: final; Anion gap 4 in Serum or Plasma <span> (Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span> ; ????; Acme Laboratory, Inc; 10 mmol/L</li> <li> id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement)</span> ; ????; Acme Laboratory, Inc; 7.0 mmol/L</li> <li> id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea level)</span> ; ????; Acme Laboratory, Inc; 4.7 mmol/L</li> <li> id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement)</span> ; ????; Acme Laboratory, Inc; 0.05 mmol/L</li> <li> id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span> ; ????; Acme Laboratory, Inc; 0.32 mmol/L</li> <li> id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis)</span> ; ????; Acme Laboratory, Inc; 43 umol/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span> (Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span> ; ????; Acme Laboratory, Inc; 708 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span> ; ????; Acme Laboratory, Inc; 1131 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 475 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 176 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span> (Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span> ; ????; Acme Laboratory, Inc; 324 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.32 mmol/L</li> <li> id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span> (Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.45 mmol/L</li> <li> id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement)</span> ; ????; Acme Laboratory, Inc; 0.9 mmol/L</li> <li> id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span> ; ????; Acme Laboratory, Inc; 71 g/L</li> <li> id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 38 g/L</li> <li> id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span> (Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement)</span> ; ????; Acme Laboratory, Inc; 33 g/L</li> <li> id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span> ; ????; Acme Laboratory, Inc; 17 umol/L</li> <li> id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement)</span> ; ????; Acme Laboratory, Inc; 7.0 mmol/L; High <span> (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span> </li> <li> id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement)</span> ; ????; Acme Laboratory, Inc; 0.9 mmol/L</li> </ul> </div> </text> <contained> 
          <Observation> 
            <id value="o1"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2951-2"/> 
                <display value="Sodium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104934005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="141"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="137"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="147"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o2"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2823-3"/> 
                <display value="Potassium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="59573005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.2"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.5"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="5.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o3"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2075-0"/> 
                <display value="Chloride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="46511006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="106"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="96"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="109"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o4"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1963-8"/> 
                <display value="Bicarbonate [Moles/volume] in Serum"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="88645003"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="29"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="33"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o5"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1863-0"/> 
                <display value="Anion gap 4 in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="271057005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="10"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="4"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="17"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o6"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14749-6"/> 
                <display value="Glucose [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="36048009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="7.0"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.7"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o7"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14937-7"/> 
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="273967009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.7"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o8"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14682-9"/> 
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="70901006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.05"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.04"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="0.11"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o9"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14933-6"/> 
                <display value="Urate [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="86228006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.32"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.14"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="0.35"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o10"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14631-6"/> 
                <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="27171005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="43"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="2"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="20"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o11"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="6768-6"/> 
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="88810008"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="708"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="30"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="115"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o12"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2324-2"/> 
                <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="69480007"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="1131"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="45"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o13"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1742-6"/> 
                <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="34608000"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="475"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="45"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o14"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1920-8"/> 
                <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="45896001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="176"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="41"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o15"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2532-0"/> 
                <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="11274001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="324"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="80"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="250"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o16"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2000-8"/> 
                <display value="Calcium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="71878006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="2.32"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="2.65"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o17"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="13959-2"/> 
                <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="166708003"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="2.45"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="2.65"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o18"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14879-1"/> 
                <display value="Phosphate [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104866001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.9"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.8"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="1.5"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o19"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2885-2"/> 
                <display value="Protein [Mass/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="74040009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="71"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="60"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="82"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o20"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="38"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="35"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="50"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o21"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="10834-0"/> 
                <display value="Globulin [Mass/volume] in Serum by calculation"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104979009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="33"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="20"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="40"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o22"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="17"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="10"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="33"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o23"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="7.0"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="H"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="3.6"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="6.7"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o24"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14927-8"/> 
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104784006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/2"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.9"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.3"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="4.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <identifier> 
          <system value="http://acme.com/lab/reports"/> 
          <value value="5234342"/> 
        </identifier> 
        <status value="final"/> 
        <code> 
          <text value="SERUM CHEMISTRY"/> 
        </code> 
        <subject> 
          <reference value="Patient/2"/> 
        </subject> 
        <effectiveDateTime value="2004-12-03T09:45:17Z"/> 
        <issued value="2005-02-23T10:04:01Z"/> 
        <performer> 
          <actor> 
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
            <display value="Acme Laboratory, Inc"/> 
          </actor> 
        </performer> 
        <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> 
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/20"/> 
    <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"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : 20</p> <p> <b> meta</b> : </p> <p> <b> contained</b> : , , , , , , , , , , , , , , , , , , , , , , , </p> <p> <b> identifier</b> : 5234342</p> <p> <b> status</b> : final</p> <p> <b> code</b> : SERUM CHEMISTRY <span> (Details )</span> </p> <p> <b> subject</b> : <a> Patient/3</a> </p> <p> <b> effective</b> : 03/12/2004 8:30:17 PM</p> <p> <b> issued</b> : 23/02/2005 10:04:01 AM</p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Acme Laboratory, Inc</a> </td> </tr> </table> <p> <b> result</b> : </p> <ul> <li> id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 142 mmol/L</li> <li> id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement)</span> ; ????; Acme Laboratory, Inc; 3.6 mmol/L</li> <li> id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement)</span> ; ????; Acme Laboratory, Inc; 104 mmol/L</li> <li> id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span> (Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span> ; ????; Acme Laboratory, Inc; 30 mmol/L</li> <li> id: o5; status: final; Anion gap 4 in Serum or Plasma <span> (Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span> ; ????; Acme Laboratory, Inc; 12 mmol/L</li> <li> id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement)</span> ; ????; Acme Laboratory, Inc; 6.2 mmol/L</li> <li> id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea level)</span> ; ????; Acme Laboratory, Inc; 4.5 mmol/L</li> <li> id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement)</span> ; ????; Acme Laboratory, Inc; 0.06 mmol/L</li> <li> id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span> ; ????; Acme Laboratory, Inc; 0.37 mmol/L; High <span> (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span> </li> <li> id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis)</span> ; ????; Acme Laboratory, Inc; 50 umol/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span> (Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span> ; ????; Acme Laboratory, Inc; 684 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span> ; ????; Acme Laboratory, Inc; 1105 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 466 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 198 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span> (Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span> ; ????; Acme Laboratory, Inc; 323 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.32 mmol/L</li> <li> id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span> (Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.45 mmol/L</li> <li> id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement)</span> ; ????; Acme Laboratory, Inc; 0.9 mmol/L</li> <li> id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span> ; ????; Acme Laboratory, Inc; 70 g/L</li> <li> id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 38 g/L</li> <li> id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span> (Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement)</span> ; ????; Acme Laboratory, Inc; 32 g/L</li> <li> id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span> ; ????; Acme Laboratory, Inc; 11 umol/L</li> <li> id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement)</span> ; ????; Acme Laboratory, Inc; 6.9 mmol/L; High <span> (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span> </li> <li> id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement)</span> ; ????; Acme Laboratory, Inc; 1.9 mmol/L</li> </ul> </div> </text> <contained> 
          <Observation> 
            <id value="o1"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2951-2"/> 
                <display value="Sodium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104934005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/3"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="142"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="137"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="147"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o2"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2823-3"/> 
                <display value="Potassium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="59573005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/3"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="3.6"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.5"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="5.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o3"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2075-0"/> 
                <display value="Chloride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="46511006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/3"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="104"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="96"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="109"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o4"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1963-8"/> 
                <display value="Bicarbonate [Moles/volume] in Serum"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="88645003"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/3"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="30"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="33"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o5"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1863-0"/> 
                <display value="Anion gap 4 in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="271057005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/3"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="12"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="4"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="17"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o6"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14749-6"/> 
                <display value="Glucose [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="36048009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/3"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="6.2"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.7"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o7"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14937-7"/> 
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="273967009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/3"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.5"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o8"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14682-9"/> 
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="70901006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/3"/> 
            </subject> 
            <performer> 
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  </entry> 
  <entry> 
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/21"/> 
    <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"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : 21</p> <p> <b> meta</b> : </p> <p> <b> contained</b> : , , , , , , , , , , , , , , , , , , , , , , , </p> <p> <b> identifier</b> : 5234342</p> <p> <b> status</b> : final</p> <p> <b> code</b> : SERUM CHEMISTRY <span> (Details )</span> </p> <p> <b> subject</b> : <a> Patient/4</a> </p> <p> <b> effective</b> : 05/12/2004 7:15:17 AM</p> <p> <b> issued</b> : 23/02/2005 10:04:01 AM</p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Acme Laboratory, Inc</a> </td> </tr> </table> <p> <b> result</b> : </p> <ul> <li> id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as
                   'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 143 mmol/L</li> <li> id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given
                   as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium
                   measurement)</span> ; ????; Acme Laboratory, Inc; 4.3 mmol/L</li> <li> id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given
                   as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride
                   measurement)</span> ; ????; Acme Laboratory, Inc; 108 mmol/L</li> <li> id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span> (Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate
                   [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span> ; ????; Acme Laboratory, Inc; 25 mmol/L</li> <li> id: o5; status: final; Anion gap 4 in Serum or Plasma <span> (Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap
                   4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span> ; ????; Acme Laboratory, Inc; 14 mmol/L</li> <li> id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given
                   as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose
                   measurement)</span> ; ????; Acme Laboratory, Inc; 4.3 mmol/L</li> <li> id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma',
                   given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009'
                   = 'Serum urea level)</span> ; ????; Acme Laboratory, Inc; 4.6 mmol/L</li> <li> id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given
                   as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine
                   measurement)</span> ; ????; Acme Laboratory, Inc; 0.06 mmol/L</li> <li> id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as
                   'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span> ; ????; Acme Laboratory, Inc; 0.41 mmol/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma',
                   given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005'
                   = 'Urinalysis)</span> ; ????; Acme Laboratory, Inc; 27 umol/L; High <span> (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span> </li> <li> id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
                 <span> (Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span> ; ????; Acme Laboratory, Inc; 631 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span> ; ????; Acme Laboratory, Inc; 956 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in
                   Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 398 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum
                 or Plasma <span> (Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume]
                   in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span> ; ????; Acme Laboratory, Inc; 120 U/L; Critically high <span> (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span> </li> <li> id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or
                 Plasma <span> (Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in
                   Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum
                   or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span> ; ????; Acme Laboratory, Inc; 243 U/L</li> <li> id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as
                   'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.33 mmol/L</li> <li> id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
                 <span> (Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma
                   by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'};
                   {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span> ; ????; Acme Laboratory, Inc; 2.52 mmol/L</li> <li> id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given
                   as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate
                   measurement)</span> ; ????; Acme Laboratory, Inc; 1.2 mmol/L</li> <li> id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as
                   'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span> ; ????; Acme Laboratory, Inc; 71 g/L</li> <li> id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span> (Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as
                   'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement,
                   serum)</span> ; ????; Acme Laboratory, Inc; 36 g/L</li> <li> id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span> (Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given
                   as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total
                   globulins measurement)</span> ; ????; Acme Laboratory, Inc; 35 g/L</li> <li> id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as
                   'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span> ; ????; Acme Laboratory, Inc; 39 umol/L; High <span> (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span> </li> <li> id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given
                   as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol
                   measurement)</span> ; ????; Acme Laboratory, Inc; 6.8 mmol/L; High <span> (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span> </li> <li> id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span> (Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given
                   as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids,
                   triglycerides measurement)</span> ; ????; Acme Laboratory, Inc; 1.5 mmol/L</li> </ul> </div> </text> <contained> 
          <Observation> 
            <id value="o1"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2951-2"/> 
                <display value="Sodium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104934005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="143"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="137"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="147"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o2"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2823-3"/> 
                <display value="Potassium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="59573005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.3"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.5"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="5.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o3"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2075-0"/> 
                <display value="Chloride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="46511006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="108"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="96"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="109"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o4"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1963-8"/> 
                <display value="Bicarbonate [Moles/volume] in Serum"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="88645003"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="25"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="33"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o5"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1863-0"/> 
                <display value="Anion gap 4 in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="271057005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="14"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="4"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="17"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o6"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14749-6"/> 
                <display value="Glucose [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="36048009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.3"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="3.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.7"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o7"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14937-7"/> 
                <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="273967009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4.6"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.0"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="7.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o8"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14682-9"/> 
                <display value="Creatinine [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="70901006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.06"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.04"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="0.11"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o9"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14933-6"/> 
                <display value="Urate [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="86228006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.41"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0.14"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="0.35"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o10"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14631-6"/> 
                <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="27171005"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="27"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="H"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="2"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="20"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o11"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="6768-6"/> 
                <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="88810008"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="631"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="30"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="115"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o12"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2324-2"/> 
                <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="69480007"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="956"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="45"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o13"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1742-6"/> 
                <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="34608000"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="398"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="45"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o14"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="1920-8"/> 
                <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="45896001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="120"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="HH"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="0"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="41"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o15"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2532-0"/> 
                <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="11274001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="243"/> 
              <unit value="U/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="80"/> 
                <unit value="U/L"/> 
              </low> 
              <high> 
                <value value="250"/> 
                <unit value="U/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o16"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2000-8"/> 
                <display value="Calcium [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="71878006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="2.33"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="2.65"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o17"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="13959-2"/> 
                <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="166708003"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="2.52"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="2.25"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="2.65"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o18"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14879-1"/> 
                <display value="Phosphate [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104866001"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="1.2"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.8"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="1.5"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o19"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="2885-2"/> 
                <display value="Protein [Mass/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="74040009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="71"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="60"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="82"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o20"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="36"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="35"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="50"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o21"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="10834-0"/> 
                <display value="Globulin [Mass/volume] in Serum by calculation"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104979009"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="35"/> 
              <unit value="g/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="20"/> 
                <unit value="g/L"/> 
              </low> 
              <high> 
                <value value="40"/> 
                <unit value="g/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o22"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="39"/> 
              <unit value="umol/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="H"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="10"/> 
                <unit value="umol/L"/> 
              </low> 
              <high> 
                <value value="33"/> 
                <unit value="umol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o23"/> 
            <status value="final"/> 
            <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> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="6.8"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="H"/> 
              </coding> 
            </interpretation> 
            <referenceRange> 
              <low> 
                <value value="3.6"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="6.7"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o24"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="14927-8"/> 
                <display value="Triglyceride [Moles/volume] in Serum or Plasma"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="104784006"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/4"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="1.5"/> 
              <unit value="mmol/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="0.3"/> 
                <unit value="mmol/L"/> 
              </low> 
              <high> 
                <value value="4.0"/> 
                <unit value="mmol/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <identifier> 
          <system value="http://acme.com/lab/reports"/> 
          <value value="5234342"/> 
        </identifier> 
        <status value="final"/> 
        <code> 
          <text value="SERUM CHEMISTRY"/> 
        </code> 
        <subject> 
          <reference value="Patient/4"/> 
        </subject> 
        <effectiveDateTime value="2004-12-05T07:15:17Z"/> 
        <issued value="2005-02-23T10:04:01Z"/> 
        <performer> 
          <actor> 
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
            <display value="Acme Laboratory, Inc"/> 
          </actor> 
        </performer> 
        <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> 
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/25"/> 
    <resource> 
      <DiagnosticReport> 
        <id value="25"/> 
        <meta> 
          <lastUpdated value="2012-04-14T10:35:23Z"/> 
        </meta> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : 25</p> <p> <b> meta</b> : </p> <p> <b> contained</b> : , , , , , , , , , , , , , , , , , </p> <p> <b> identifier</b> : 5234342</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Microbial susceptibility tests Set <span> (Details : {LOINC code '18769-0' = 'Microbial susceptibility tests Set', given as 'Microbial
                 susceptibility tests Set'})</span> </p> <p> <b> subject</b> : <a> Patient/5</a> </p> <p> <b> effective</b> : 07/11/2005 9:44:17 PM</p> <p> <b> issued</b> : 07/11/2005 11:38:01 PM</p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Acme Laboratory, Inc</a> </td> </tr> </table> <p> <b> specimen</b> : URINE, CLEAN CATCH/MIDSTREAM</p> <p> <b> result</b> : </p> <ul> <li> id: o1; status: final; Microorganism identified in Unspecified specimen by Culture <span> (Details : {LOINC code '11475-1' = 'Microorganism identified in Unspecified specimen by
                   Culture', given as 'Microorganism identified in Unspecified specimen by Culture'})</span> ; ????; Acme Laboratory, Inc; KLEBSIELLA PNEUMONIAE <span> (Details )</span> </li> <li> id: o2; status: final; Microorganism [#/volume] in Unspecified specimen by Viability count
                 <span> (Details : {LOINC code '43161-9' = 'Microorganism [#/volume] in Unspecified specimen by
                   Viability count', given as 'Microorganism [#/volume] in Unspecified specimen by Viability
                   count'})</span> ; ????; Acme Laboratory, Inc; 20000 CFU/ML</li> <li> id: o3; status: final; AMPICILLIN/SULBACTAM <span> (Details : {http://example.org/local code 'AMS' = 'AMS', given as 'AMPICILLIN/SULBACTAM'})</span> ; ????; Acme Laboratory, Inc; 4 U; Susceptible <span> (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span> </li> <li> id: o4; status: final; AMPICILLIN <span> (Details : {http://example.org/local code 'AM' = 'AM', given as 'AMPICILLIN'})</span> ; ????; Acme Laboratory, Inc; 16 U; Resistant <span> (Details : {http://hl7.org/fhir/v2/0078 code 'R' = 'Resistant)</span> </li> <li> id: o5; status: final; AZTREONAM <span> (Details : {http://example.org/local code 'ATM' = 'ATM', given as 'AZTREONAM'})</span> ; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span> (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span> </li> <li> id: o6; status: final; CEFAZOLIN <span> (Details : {http://example.org/local code 'CFZ' = 'CFZ', given as 'CEFAZOLIN'})</span> ; ????; Acme Laboratory, Inc; &lt;=4 U; Susceptible <span> (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span> </li> <li> id: o7; status: final; CEFEPIME <span> (Details : {http://example.org/local code 'FEP' = 'FEP', given as 'CEFEPIME'})</span> ; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span> (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span> </li> <li> id: o8; status: final; CEFOTETAN <span> (Details : {http://example.org/local code 'CTN' = 'CTN', given as 'CEFOTETAN'})</span> ; ????; Acme Laboratory, Inc; &lt;=4 U; Susceptible <span> (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span> </li> <li> id: o9; status: final; CEFTAZIDIME <span> (Details : {http://example.org/local code 'TAZ' = 'TAZ', given as 'CEFTAZIDIME'})</span> ; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span> (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span> </li> <li> id: o10; status: final; CEFTRIAXONE <span> (Details : {http://example.org/local code 'CRO' = 'CRO', given as 'CEFTRIAXONE'})</span> ; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span> (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span> </li> <li> id: o11; status: final; CIPROFLOXACIN <span> (Details : {http://example.org/local code 'CIPRO' = 'CIPRO', given as 'CIPROFLOXACIN'})</span> ; ????; Acme Laboratory, Inc; &lt;=0.25 U; Susceptible <span> (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span> </li> <li> id: o12; status: final; GENTAMICIN <span> (Details : {http://example.org/local code 'GM' = 'GM', given as 'GENTAMICIN'})</span> ; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span> (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span> </li> <li> id: o13; status: final; IMIPENEM <span> (Details : {http://example.org/local code 'IPM' = 'IPM', given as 'IMIPENEM'})</span> ; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span> (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span> </li> <li> id: o14; status: final; LEVOFLOXACIN <span> (Details : {http://example.org/local code 'LVX' = 'LVX', given as 'LEVOFLOXACIN'})</span> ; ????; Acme Laboratory, Inc; &lt;=0.25 U; Susceptible <span> (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span> </li> <li> id: o15; status: final; NITROFURANTOIN <span> (Details : {http://example.org/local code 'NIT' = 'NIT', given as 'NITROFURANTOIN'})</span> ; ????; Acme Laboratory, Inc; 32 U; Susceptible <span> (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span> </li> <li> id: o16; status: final; PIPERACILLIN/TAZOBAC <span> (Details : {http://example.org/local code 'PTZ' = 'PTZ', given as 'PIPERACILLIN/TAZOBAC'})</span> ; ????; Acme Laboratory, Inc; &lt;=4 U; Susceptible <span> (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span> </li> <li> id: o17; status: final; TRIMETH/SULFA <span> (Details : {http://example.org/local code 'TRSUV' = 'TRSUV', given as 'TRIMETH/SULFA'})</span> ; ????; Acme Laboratory, Inc; &lt;=20 U; Susceptible <span> (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span> </li> <li> id: o18; status: final; TOBRAMYCIN <span> (Details : {http://example.org/local code 'TOB' = 'TOB', given as 'TOBRAMYCIN'})</span> ; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span> (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span> </li> </ul> </div> </text> <contained> 
          <Observation> 
            <id value="o1"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="11475-1"/> 
                <display value="Microorganism identified in Unspecified specimen by Culture"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueCodeableConcept> 
              <text value="KLEBSIELLA PNEUMONIAE"/> 
            </valueCodeableConcept> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o2"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="43161-9"/> 
                <display value="Microorganism [#/volume] in Unspecified specimen by Viability count"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="20000"/> 
              <unit value="CFU/ML"/> 
            </valueQuantity> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o3"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://example.org/local"/> 
                <code value="AMS"/> 
                <display value="AMPICILLIN/SULBACTAM"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4"/> 
              <unit value="U"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="S"/> 
              </coding> 
            </interpretation> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o4"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://example.org/local"/> 
                <code value="AM"/> 
                <display value="AMPICILLIN"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="16"/> 
              <unit value="U"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="R"/> 
              </coding> 
            </interpretation> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o5"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://example.org/local"/> 
                <code value="ATM"/> 
                <display value="AZTREONAM"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="1"/> 
              <comparator value="&lt;="/> 
              <unit value="U"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="S"/> 
              </coding> 
            </interpretation> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o6"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://example.org/local"/> 
                <code value="CFZ"/> 
                <display value="CEFAZOLIN"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4"/> 
              <comparator value="&lt;="/> 
              <unit value="U"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="S"/> 
              </coding> 
            </interpretation> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o7"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://example.org/local"/> 
                <code value="FEP"/> 
                <display value="CEFEPIME"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="1"/> 
              <comparator value="&lt;="/> 
              <unit value="U"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="S"/> 
              </coding> 
            </interpretation> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o8"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://example.org/local"/> 
                <code value="CTN"/> 
                <display value="CEFOTETAN"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4"/> 
              <comparator value="&lt;="/> 
              <unit value="U"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="S"/> 
              </coding> 
            </interpretation> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o9"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://example.org/local"/> 
                <code value="TAZ"/> 
                <display value="CEFTAZIDIME"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="1"/> 
              <comparator value="&lt;="/> 
              <unit value="U"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="S"/> 
              </coding> 
            </interpretation> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o10"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://example.org/local"/> 
                <code value="CRO"/> 
                <display value="CEFTRIAXONE"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="1"/> 
              <comparator value="&lt;="/> 
              <unit value="U"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="S"/> 
              </coding> 
            </interpretation> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o11"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://example.org/local"/> 
                <code value="CIPRO"/> 
                <display value="CIPROFLOXACIN"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.25"/> 
              <comparator value="&lt;="/> 
              <unit value="U"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="S"/> 
              </coding> 
            </interpretation> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o12"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://example.org/local"/> 
                <code value="GM"/> 
                <display value="GENTAMICIN"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="1"/> 
              <comparator value="&lt;="/> 
              <unit value="U"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="S"/> 
              </coding> 
            </interpretation> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o13"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://example.org/local"/> 
                <code value="IPM"/> 
                <display value="IMIPENEM"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="1"/> 
              <comparator value="&lt;="/> 
              <unit value="U"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="S"/> 
              </coding> 
            </interpretation> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o14"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://example.org/local"/> 
                <code value="LVX"/> 
                <display value="LEVOFLOXACIN"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="0.25"/> 
              <comparator value="&lt;="/> 
              <unit value="U"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="S"/> 
              </coding> 
            </interpretation> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o15"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://example.org/local"/> 
                <code value="NIT"/> 
                <display value="NITROFURANTOIN"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="32"/> 
              <unit value="U"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="S"/> 
              </coding> 
            </interpretation> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o16"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://example.org/local"/> 
                <code value="PTZ"/> 
                <display value="PIPERACILLIN/TAZOBAC"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="4"/> 
              <comparator value="&lt;="/> 
              <unit value="U"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="S"/> 
              </coding> 
            </interpretation> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o17"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://example.org/local"/> 
                <code value="TRSUV"/> 
                <display value="TRIMETH/SULFA"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="20"/> 
              <comparator value="&lt;="/> 
              <unit value="U"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="S"/> 
              </coding> 
            </interpretation> 
          </Observation> 
        </contained> 
        <contained> 
          <Observation> 
            <id value="o18"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://example.org/local"/> 
                <code value="TOB"/> 
                <display value="TOBRAMYCIN"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/5"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="1"/> 
              <comparator value="&lt;="/> 
              <unit value="U"/> 
            </valueQuantity> 
            <interpretation> 
              <coding> 
                <system value="http://hl7.org/fhir/v2/0078"/> 
                <code value="S"/> 
              </coding> 
            </interpretation> 
          </Observation> 
        </contained> 
        <identifier> 
          <system value="http://acme.com/lab/reports"/> 
          <value value="5234342"/> 
        </identifier> 
        <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="18769-0"/> 
            <display value="Microbial susceptibility tests Set"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/5"/> 
        </subject> 
        <effectiveDateTime value="2005-11-07T21:44:17Z"/> 
        <issued value="2005-11-07T23:38:01Z"/> 
        <performer> 
          <actor> 
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
            <display value="Acme Laboratory, Inc"/> 
          </actor> 
        </performer> 
        <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> 
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/26"/> 
    <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"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : 26</p> <p> <b> meta</b> : </p> <p> <b> contained</b> : </p> <p> <b> identifier</b> : 5234342</p> <p> <b> status</b> : final</p> <p> <b> code</b> : RPR <span> (Details : {http://acme.com/labs/reports code '142080' = '142080', given as 'Rapid Plasma
                 Reagin'})</span> </p> <p> <b> subject</b> : <a> Patient/6</a> </p> <p> <b> effective</b> : 07/03/2005 2:02:17 PM</p> <p> <b> issued</b> : 07/03/2005 2:02:01 PM</p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Acme Laboratory, Inc</a> </td> </tr> </table> <p> <b> result</b> : id: o1; status: final; Reagin Ab [Presence] in Serum by RPR <span> (Details : {LOINC code '20507-0' = 'Reagin Ab [Presence] in Serum by RPR', given as 'Reagin
                 Ab [Presence] in Serum by RPR'})</span> ; ????; Acme Laboratory, Inc; value: Non-reactive</p> </div> </text> <contained> 
          <Observation> 
            <id value="o1"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="20507-0"/> 
                <display value="Reagin Ab [Presence] in Serum by RPR"/> 
              </coding> 
            </code> 
            <subject> 
              <reference value="Patient/6"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueString value="Non-reactive"/> 
          </Observation> 
        </contained> 
        <identifier> 
          <system value="http://acme.com/lab/reports"/> 
          <value value="5234342"/> 
        </identifier> 
        <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.com/labs/reports"/> 
            <code value="142080"/> 
            <display value="Rapid Plasma Reagin"/> 
          </coding> 
          <text value="RPR"/> 
        </code> 
        <subject> 
          <reference value="Patient/6"/> 
        </subject> 
        <effectiveDateTime value="2005-03-07T14:02:17Z"/> 
        <issued value="2005-03-07T14:02:01Z"/> 
        <performer> 
          <actor> 
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
            <display value="Acme Laboratory, Inc"/> 
          </actor> 
        </performer> 
        <result> 
          <reference value="#o1"/> 
        </result> 
      </DiagnosticReport> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="http://hl7.org/fhir/DiagnosticReport/27"/> 
    <resource> 
      <DiagnosticReport> 
        <id value="27"/> 
        <meta> 
          <lastUpdated value="2012-05-23T14:27:01Z"/> 
        </meta> 
        <text> 
          <status value="generated"/> 
          <div xmlns="http://www.w3.org/1999/xhtml">
            <table> 
              <tr> 
                <td> hsCRP</td> 
                <td> 2.8</td> 
                <td> mg/L</td> 
                <td> 1.0-3.0</td> 
              </tr> 
            </table> 
          </div> 
        </text> 
        <contained> 
          <Observation> 
            <id value="o1"/> 
            <status value="final"/> 
            <code> 
              <coding> 
                <system value="http://loinc.org"/> 
                <code value="30522-7"/> 
                <display value="C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method"/> 
              </coding> 
              <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="55235003"/> 
              </coding> 
              <text value="hsCRP"/> 
            </code> 
            <subject> 
              <reference value="Patient/1"/> 
            </subject> 
            <performer> 
              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
              <display value="Acme Laboratory, Inc"/> 
            </performer> 
            <valueQuantity> 
              <value value="2.8"/> 
              <unit value="mg/L"/> 
            </valueQuantity> 
            <referenceRange> 
              <low> 
                <value value="1.0"/> 
                <unit value="mg/L"/> 
              </low> 
              <high> 
                <value value="3.0"/> 
                <unit value="mg/L"/> 
              </high> 
            </referenceRange> 
          </Observation> 
        </contained> 
        <identifier> 
          <system value="http://acme.com/lab/reports"/> 
          <value value="23412355"/> 
        </identifier> 
        <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.com/labs/reports"/> 
            <code value="bchem2"/> 
            <display value="Specialist Biochemistry"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/1"/> 
        </subject> 
        <effectiveDateTime value="2012-05-21T10:45:00Z"/> 
        <issued value="2012-05-23T14:27:01Z"/> 
        <performer> 
          <actor> 
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
            <display value="Acme Laboratory, Inc"/> 
          </actor> 
        </performer> 
        <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.