DSTU2

This page is part of the FHIR Specification (v1.0.2: DSTU 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Diagnosticreport-example-ghp.json

Raw JSON (canonical form)

An Example of a report with multiple specimen and panels

{
  "resourceType": "DiagnosticReport",
  "id": "ghp",
  "meta": {
    "lastUpdated": "2015-08-16T10:35:23Z"
  },
  "text": {
    "fhir_comments": [
      "   ************** CBC observation panel************************  "
    ],
    "status": "generated",
    "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: ghp</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: ghp-example</p><p><b>status</b>: final</p><p><b>code</b>: General Health Profile <span>(Details : {http://acme.com/labs/reports code 'GHP' = '??', given as 'General Health Profile'})</span></p><p><b>subject</b>: <a>Patient/pat2</a></p><p><b>effective</b>: 16/08/2015 4:40:17 PM</p><p><b>issued</b>: 17/08/2015 4:40:17 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><p><b>specimen</b>: </p><ul><li>Red Top Tube. Generated Summary: id: rtt; Serum sample <span>(Details : {SNOMED CT code '119364003' = '119364003', given as 'Serum sample'})</span>; Patient/pat2; 20150816-00124</li><li>Lavender Top Tube. Generated Summary: id: ltt; Blood specimen with EDTA <span>(Details : {SNOMED CT code '445295009' = '445295009', given as 'Blood specimen with EDTA'})</span>; Patient/pat2; 20150816-00124</li><li>Urine Sample. Generated Summary: id: urine; Urine specimen <span>(Details : {SNOMED CT code '122575003' = '122575003', given as 'Urine specimen'})</span>; Patient/pat2; 20150816-00124</li></ul><p><b>result</b>: </p><ul><li>Chemistry Panel. Generated Summary: id: p1; status: final; Comprehensive metabolic 2000 panel - Serum or Plasma <span>(Details : {LOINC code '24323-8' = 'Comprehensive metabolic 2000 panel - Serum or Plasma', given as 'Comprehensive metabolic 2000 panel - Serum or Plasma'})</span>; effective: 16/08/2015 4:40:17 PM; issued: 17/08/2015 4:40:17 PM; Acme Laboratory, Inc</li><li>CBC. Generated Summary: id: p2; status: final; Complete blood count (hemogram) panel - Blood by Automated count <span>(Details : {LOINC code '58410-2' = 'Complete blood count (hemogram) panel - Blood by Automated count', given as 'Complete blood count (hemogram) panel - Blood by Automated count'})</span>; effective: 16/08/2015 4:40:17 PM; issued: 17/08/2015 4:40:17 PM; Acme Laboratory, Inc</li><li>Urinalysis. Generated Summary: id: p3; status: final; Urinalysis macro (dipstick) panel - Urine <span>(Details : {LOINC code '24357-6' = 'Urinalysis macro (dipstick) panel - Urine', given as 'Urinalysis macro (dipstick) panel - Urine'})</span>; effective: 16/08/2015 4:40:17 PM; issued: 17/08/2015 4:40:17 PM; Acme Laboratory, Inc</li></ul></div>"
  },
  "contained": [
    {
      "resourceType": "Specimen",
      "id": "rtt",
      "type": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "119364003",
            "display": "Serum sample"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "accessionIdentifier": {
        "system": "http://acme.com/labs/accession-ids",
        "value": "20150816-00124"
      },
      "collection": {
        "collector": {
          "reference": "Practitioner/f202"
        },
        "collectedDateTime": "2015-08-16T06:40:17Z"
      },
      "container": [
        {
          "type": {
            "coding": [
              {
                "system": "http://acme.com/labs",
                "code": "SST",
                "display": "Serum Separator Tube"
              }
            ]
          }
        }
      ]
    },
    {
      "resourceType": "Specimen",
      "id": "ltt",
      "type": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "445295009",
            "display": "Blood specimen with EDTA"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "accessionIdentifier": {
        "system": "http://acme.com/labs/accession-ids",
        "value": "20150816-00124"
      },
      "collection": {
        "collector": {
          "reference": "Practitioner/f202"
        },
        "collectedDateTime": "2015-08-16T06:40:17Z"
      },
      "container": [
        {
          "type": {
            "coding": [
              {
                "system": "http://acme.com/labs",
                "code": "LTT",
                "display": "Lavender Top Tube"
              }
            ]
          }
        }
      ]
    },
    {
      "resourceType": "Specimen",
      "id": "urine",
      "type": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "122575003",
            "display": "Urine specimen"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "accessionIdentifier": {
        "system": "http://acme.com/labs/accession-ids",
        "value": "20150816-00124"
      },
      "collection": {
        "collector": {
          "reference": "Practitioner/f202"
        },
        "collectedDateTime": "2015-08-16T06:40:17Z"
      },
      "container": [
        {
          "type": {
            "coding": [
              {
                "system": "http://acme.com/labs",
                "code": "UCUP",
                "display": "100mL sterile cup"
              }
            ]
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "p2",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "58410-2",
            "display": "Complete blood count (hemogram) panel - Blood by Automated count"
          }
        ]
      },
      "effectiveDateTime": "2015-08-16T06:40:17Z",
      "issued": "2015-08-17T06:40:17Z",
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "specimen": {
        "reference": "#ltt",
        "display": "Lavender Top Tube"
      },
      "related": [
        {
          "type": "has-member",
          "target": {
            "reference": "#r1"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#r2"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#r3"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#r4"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#r5"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#r6"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#r7"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#r8"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#r9"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#r10"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#r11"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#r12"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#r13"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#r14"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#r15"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#r16"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#r17"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "r1",
      "_id": {
        "fhir_comments": [
          "    \n  all the data items (= Observations) are contained\n  in this diagnostic report. It would be equally\n    valid - and normal - for them to be separate trackable\n    items. However for the purposes of this example, it's\n  more convenient to have them here. For more discussion,\n  see under\"Contained Resources\" on the Resource Definitions\n  topic page      ",
          "      for users steeped in v2, each observation roughly corresponds with an\n    OBX, and the Diagnostic Report with an ORU_R01 message      "
        ]
      },
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "718-7",
            "display": "Hemoglobin [Mass/volume] in Blood"
          }
        ],
        "text": "Haemoglobin"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 176,
        "unit": "g/L",
        "system": "http://unitsofmeasure.org",
        "code": "g/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 135,
            "unit": "g/L",
            "system": "http://unitsofmeasure.org",
            "code": "g/L"
          },
          "high": {
            "value": 180,
            "unit": "g/L",
            "system": "http://unitsofmeasure.org",
            "code": "g/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "r2",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "789-8",
            "display": "Erythrocytes [#/volume] in Blood by Automated count"
          }
        ],
        "text": "Red Cell Count"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 5.9,
        "unit": "x10*12/L",
        "system": "http://unitsofmeasure.org",
        "code": "10*12/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 4.2,
            "unit": "x10*12/L",
            "system": "http://unitsofmeasure.org",
            "code": "10*12/L"
          },
          "high": {
            "value": 6.0,
            "unit": "x10*12/L",
            "system": "http://unitsofmeasure.org",
            "code": "10*12/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "r3",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "4544-3",
            "display": "Hematocrit [Volume Fraction] of Blood by Automated count"
          }
        ],
        "text": "Haematocrit"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 55,
        "unit": "%"
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "H"
          }
        ]
      },
      "referenceRange": [
        {
          "low": {
            "value": 38,
            "unit": "%"
          },
          "high": {
            "value": 52,
            "unit": "%"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "r4",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "787-2",
            "display": "Erythrocyte mean corpuscular volume [Entitic volume] by Automated count"
          }
        ],
        "text": "Mean Cell Volume"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 99,
        "unit": "fL",
        "system": "http://unitsofmeasure.org",
        "code": "fL"
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "H"
          }
        ]
      },
      "referenceRange": [
        {
          "low": {
            "value": 80,
            "unit": "fL",
            "system": "http://unitsofmeasure.org",
            "code": "fL"
          },
          "high": {
            "value": 98,
            "unit": "fL",
            "system": "http://unitsofmeasure.org",
            "code": "fL"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "r5",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "785-6",
            "display": "Erythrocyte mean corpuscular hemoglobin [Entitic mass] by Automated count"
          }
        ],
        "text": "Mean Cell Haemoglobin"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 36,
        "unit": "pg",
        "system": "http://unitsofmeasure.org",
        "code": "pg"
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "H"
          }
        ]
      },
      "referenceRange": [
        {
          "low": {
            "value": 27,
            "unit": "pg",
            "system": "http://unitsofmeasure.org",
            "code": "pg"
          },
          "high": {
            "value": 35,
            "unit": "pg",
            "system": "http://unitsofmeasure.org",
            "code": "pg"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "r6",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "777-3",
            "display": "Platelets [#/volume] in Blood by Automated count"
          }
        ],
        "text": "Platelet Count"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 444,
        "unit": "x10*9/L",
        "system": "http://unitsofmeasure.org",
        "code": "10*9/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 150,
            "unit": "x10*9/L",
            "system": "http://unitsofmeasure.org",
            "code": "10*9/L"
          },
          "high": {
            "value": 450,
            "unit": "x10*9/L",
            "system": "http://unitsofmeasure.org",
            "code": "10*9/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "r7",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "6690-2",
            "display": "Leukocytes [#/volume] in Blood by Automated count"
          }
        ],
        "text": "White Cell Count"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 4.6,
        "unit": "x10*9/L",
        "system": "http://unitsofmeasure.org",
        "code": "10*9/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 4.0,
            "unit": "x10*9/L",
            "system": "http://unitsofmeasure.org",
            "code": "10*9/L"
          },
          "high": {
            "value": 11.0,
            "unit": "x10*9/L",
            "system": "http://unitsofmeasure.org",
            "code": "10*9/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "r8",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "770-8",
            "display": "Neutrophils/100 leukocytes in Blood by Automated count"
          }
        ],
        "text": "Neutrophils"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 20,
        "unit": "%",
        "system": "http://unitsofmeasure.org",
        "code": "%"
      }
    },
    {
      "resourceType": "Observation",
      "id": "r9",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "751-8",
            "display": "Neutrophils [#/volume] in Blood by Automated count"
          }
        ],
        "text": "Neutrophils"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 0.9,
        "unit": "x10*9/L",
        "system": "http://unitsofmeasure.org",
        "code": "10*9/L"
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "LL"
          }
        ]
      },
      "referenceRange": [
        {
          "low": {
            "value": 2.0,
            "unit": "x10*9/L",
            "system": "http://unitsofmeasure.org",
            "code": "10*9/L"
          },
          "high": {
            "value": 7.5,
            "unit": "x10*9/L",
            "system": "http://unitsofmeasure.org",
            "code": "10*9/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "r10",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "736-9",
            "display": "Lymphocytes/100 leukocytes in Blood by Automated count"
          }
        ],
        "text": "Lymphocytes"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 20,
        "unit": "%",
        "system": "http://unitsofmeasure.org",
        "code": "%"
      }
    },
    {
      "resourceType": "Observation",
      "id": "r11",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "731-0",
            "display": "Lymphocytes [#/volume] in Blood by Automated count"
          }
        ],
        "text": "Lymphocytes"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 0.9,
        "unit": "x10*9/L",
        "system": "http://unitsofmeasure.org",
        "code": "10*9/L"
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "L"
          }
        ]
      },
      "referenceRange": [
        {
          "low": {
            "value": 1.1,
            "unit": "x10*9/L",
            "system": "http://unitsofmeasure.org",
            "code": "10*9/L"
          },
          "high": {
            "value": 4.0,
            "unit": "x10*9/L",
            "system": "http://unitsofmeasure.org",
            "code": "10*9/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "r12",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "5905-5",
            "display": "Monocytes/100 leukocytes in Blood by Automated count"
          }
        ],
        "text": "Monocytes"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 20,
        "unit": "%",
        "system": "http://unitsofmeasure.org",
        "code": "%"
      }
    },
    {
      "resourceType": "Observation",
      "id": "r13",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "742-7",
            "display": "Monocytes [#/volume] in Blood by Automated count"
          }
        ],
        "text": "Monocytes"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 0.9,
        "unit": "x10*9/L",
        "system": "http://unitsofmeasure.org",
        "code": "10*9/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 0.2,
            "unit": "x10*9/L",
            "system": "http://unitsofmeasure.org",
            "code": "10*9/L"
          },
          "high": {
            "value": 1.0,
            "unit": "x10*9/L",
            "system": "http://unitsofmeasure.org",
            "code": "10*9/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "r14",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "713-8",
            "display": "Eosinophils/100 leukocytes in Blood by Automated count"
          }
        ],
        "text": "Eosinophils"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 20,
        "unit": "%",
        "system": "http://unitsofmeasure.org",
        "code": "%"
      }
    },
    {
      "resourceType": "Observation",
      "id": "r15",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "711-2",
            "display": "Eosinophils [#/volume] in Blood by Automated count"
          }
        ],
        "text": "Eosinophils"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 0.92,
        "unit": "x10*9/L",
        "system": "http://unitsofmeasure.org",
        "code": "10*9/L"
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "HH"
          }
        ]
      },
      "referenceRange": [
        {
          "low": {
            "value": 0.04,
            "unit": "x10*9/L",
            "system": "http://unitsofmeasure.org",
            "code": "10*9/L"
          },
          "high": {
            "value": 0.40,
            "unit": "x10*9/L",
            "system": "http://unitsofmeasure.org",
            "code": "10*9/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "r16",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "706-2",
            "display": "Basophils/100 leukocytes in Blood by Automated count"
          }
        ],
        "text": "Basophils"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 20,
        "unit": "%",
        "system": "http://unitsofmeasure.org",
        "code": "%"
      }
    },
    {
      "resourceType": "Observation",
      "id": "r17",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "704-7",
            "display": "Basophils [#/volume] in Blood by Automated count"
          }
        ],
        "text": "Basophils"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 0.92,
        "unit": "x10*9/L",
        "system": "http://unitsofmeasure.org",
        "code": "10*9/L"
      },
      "referenceRange": [
        {
          "high": {
            "value": 0.21,
            "unit": "x10*9/L",
            "system": "http://unitsofmeasure.org",
            "code": "10*9/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "p1",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "24323-8",
            "display": "Comprehensive metabolic 2000 panel - Serum or Plasma"
          }
        ]
      },
      "effectiveDateTime": "2015-08-16T06:40:17Z",
      "issued": "2015-08-17T06:40:17Z",
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "specimen": {
        "reference": "#rtt",
        "display": "Red Top Tube"
      },
      "related": [
        {
          "type": "has-member",
          "target": {
            "reference": "#o1"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#o2"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#o3"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#o4"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#o5"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#o6"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#o7"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#o8"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#o9"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#o10"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#o11"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#o12"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#o13"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#o14"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#o15"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#o16"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#o17"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#o18"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#o19"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#o20"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#o21"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#o22"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o1",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "2951-2",
            "display": "Sodium [Moles/volume] in Serum or Plasma"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "104934005"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 140,
        "unit": "mmol/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 137,
            "unit": "mmol/L"
          },
          "high": {
            "value": 147,
            "unit": "mmol/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o2",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "2823-3",
            "display": "Potassium [Moles/volume] in Serum or Plasma"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "59573005"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 4.2,
        "unit": "mmol/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 3.5,
            "unit": "mmol/L"
          },
          "high": {
            "value": 5.0,
            "unit": "mmol/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o3",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "2075-0",
            "display": "Chloride [Moles/volume] in Serum or Plasma"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "46511006"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 105,
        "unit": "mmol/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 96,
            "unit": "mmol/L"
          },
          "high": {
            "value": 109,
            "unit": "mmol/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o4",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "1963-8",
            "display": "Bicarbonate [Moles/volume] in Serum"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "88645003"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 26,
        "unit": "mmol/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 25,
            "unit": "mmol/L"
          },
          "high": {
            "value": 33,
            "unit": "mmol/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o5",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "1863-0",
            "display": "Anion gap 4 in Serum or Plasma"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "271057005"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 13,
        "unit": "mmol/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 4,
            "unit": "mmol/L"
          },
          "high": {
            "value": 17,
            "unit": "mmol/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o6",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "14749-6",
            "display": "Glucose [Moles/volume] in Serum or Plasma"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "36048009"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 7.4,
        "unit": "mmol/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 3.0,
            "unit": "mmol/L"
          },
          "high": {
            "value": 7.7,
            "unit": "mmol/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o7",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "14937-7",
            "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "273967009"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 4.7,
        "unit": "mmol/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 2.0,
            "unit": "mmol/L"
          },
          "high": {
            "value": 7.0,
            "unit": "mmol/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o8",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "14682-9",
            "display": "Creatinine [Moles/volume] in Serum or Plasma"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "70901006"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 0.09,
        "unit": "mmol/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 0.04,
            "unit": "mmol/L"
          },
          "high": {
            "value": 0.11,
            "unit": "mmol/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o9",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "14933-6",
            "display": "Urate [Moles/volume] in Serum or Plasma"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "86228006"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 0.39,
        "unit": "mmol/L"
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "H"
          }
        ]
      },
      "referenceRange": [
        {
          "low": {
            "value": 0.14,
            "unit": "mmol/L"
          },
          "high": {
            "value": 0.35,
            "unit": "mmol/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o10",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "14631-6",
            "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "27171005"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 7,
        "unit": "umol/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 2,
            "unit": "umol/L"
          },
          "high": {
            "value": 20,
            "unit": "umol/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o11",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "14629-0",
            "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "39748002"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 3,
        "unit": "umol/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 0,
            "unit": "umol/L"
          },
          "high": {
            "value": 8,
            "unit": "umol/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o12",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "6768-6",
            "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "88810008"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 108,
        "unit": "U/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 30,
            "unit": "U/L"
          },
          "high": {
            "value": 115,
            "unit": "U/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o13",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "2324-2",
            "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "69480007"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 35,
        "unit": "U/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 0,
            "unit": "U/L"
          },
          "high": {
            "value": 45,
            "unit": "U/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o14",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "1742-6",
            "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "34608000"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 54,
        "unit": "U/L"
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "H"
          }
        ]
      },
      "referenceRange": [
        {
          "low": {
            "value": 0,
            "unit": "U/L"
          },
          "high": {
            "value": 45,
            "unit": "U/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o15",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "1920-8",
            "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "45896001"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 30,
        "unit": "U/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 0,
            "unit": "U/L"
          },
          "high": {
            "value": 41,
            "unit": "U/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o16",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "2532-0",
            "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "11274001"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 131,
        "unit": "U/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 80,
            "unit": "U/L"
          },
          "high": {
            "value": 250,
            "unit": "U/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o17",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "2000-8",
            "display": "Calcium [Moles/volume] in Serum or Plasma"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "71878006"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 2.38,
        "unit": "mmol/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 2.25,
            "unit": "mmol/L"
          },
          "high": {
            "value": 2.65,
            "unit": "mmol/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o18",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "13959-2",
            "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "166708003"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 2.39,
        "unit": "mmol/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 2.25,
            "unit": "mmol/L"
          },
          "high": {
            "value": 2.65,
            "unit": "mmol/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o19",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "14879-1",
            "display": "Phosphate [Moles/volume] in Serum or Plasma"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "104866001"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 1.5,
        "unit": "mmol/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 0.8,
            "unit": "mmol/L"
          },
          "high": {
            "value": 1.5,
            "unit": "mmol/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o20",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "2885-2",
            "display": "Protein [Mass/volume] in Serum or Plasma"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "74040009"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 67,
        "unit": "g/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 60,
            "unit": "g/L"
          },
          "high": {
            "value": 82,
            "unit": "g/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o21",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "1751-7",
            "display": "Albumin [Mass/volume] in Serum or Plasma"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "104485008"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 42,
        "unit": "g/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 35,
            "unit": "g/L"
          },
          "high": {
            "value": 50,
            "unit": "g/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "o22",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "10834-0",
            "display": "Globulin [Mass/volume] in Serum by calculation"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "104979009"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 25,
        "unit": "g/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 20,
            "unit": "g/L"
          },
          "high": {
            "value": 40,
            "unit": "g/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "p3",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "24357-6",
            "display": "Urinalysis macro (dipstick) panel - Urine"
          }
        ]
      },
      "effectiveDateTime": "2015-08-16T06:40:17Z",
      "issued": "2015-08-17T06:40:17Z",
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "specimen": {
        "reference": "#urine",
        "display": "Urine Sample"
      },
      "related": [
        {
          "type": "has-member",
          "target": {
            "reference": "#u1"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#u2"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#u3"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#u4"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#u5"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#u6"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#u7"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#u8"
          }
        },
        {
          "type": "has-member",
          "target": {
            "reference": "#u9"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "u1",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "2756-5",
            "display": "pH of Urine"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "effectiveDateTime": "2015-08-16T06:40:17Z",
      "issued": "2015-08-17T06:40:17Z",
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 5.0,
        "unit": "pH"
      },
      "specimen": {
        "reference": "#urine",
        "display": "Urine Sample"
      }
    },
    {
      "resourceType": "Observation",
      "id": "u2",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "2887-8",
            "display": "Protein [Presence] in Urine"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "effectiveDateTime": "2015-08-16T06:40:17Z",
      "issued": "2015-08-17T06:40:17Z",
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "260385009",
            "display": "Negative"
          }
        ]
      },
      "specimen": {
        "reference": "#urine",
        "display": "Urine Sample"
      }
    },
    {
      "resourceType": "Observation",
      "id": "u3",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "2965-2",
            "display": "Specific gravity of Urine"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "effectiveDateTime": "2015-08-16T06:40:17Z",
      "issued": "2015-08-17T06:40:17Z",
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 1.009
      },
      "specimen": {
        "reference": "#urine",
        "display": "Urine Sample"
      }
    },
    {
      "resourceType": "Observation",
      "id": "u4",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "33051-4",
            "display": "Erythrocytes [Presence] in Urine"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "effectiveDateTime": "2015-08-16T06:40:17Z",
      "issued": "2015-08-17T06:40:17Z",
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "260385009",
            "display": "Negative"
          }
        ]
      },
      "specimen": {
        "reference": "#urine",
        "display": "Urine Sample"
      }
    },
    {
      "resourceType": "Observation",
      "id": "u5",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "2349-9",
            "display": "Glucose [Presence] in Urine"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "effectiveDateTime": "2015-08-16T06:40:17Z",
      "issued": "2015-08-17T06:40:17Z",
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "260385009",
            "display": "Negative"
          }
        ]
      },
      "specimen": {
        "reference": "#urine",
        "display": "Urine Sample"
      }
    },
    {
      "resourceType": "Observation",
      "id": "u6",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "33052-2",
            "display": "Leukocytes [Presence] in Urine"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "effectiveDateTime": "2015-08-16T06:40:17Z",
      "issued": "2015-08-17T06:40:17Z",
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "260385009",
            "display": "Negative"
          }
        ]
      },
      "specimen": {
        "reference": "#urine",
        "display": "Urine Sample"
      }
    },
    {
      "resourceType": "Observation",
      "id": "u7",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "30405-5",
            "display": "Leukocytes [#/volume] in Urine"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "effectiveDateTime": "2015-08-16T06:40:17Z",
      "issued": "2015-08-17T06:40:17Z",
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 1,
        "unit": "/uL"
      },
      "specimen": {
        "reference": "#urine",
        "display": "Urine Sample"
      }
    },
    {
      "resourceType": "Observation",
      "id": "u8",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "30391-7",
            "display": "Erythocytes [#/volume] in Urine"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "effectiveDateTime": "2015-08-16T06:40:17Z",
      "issued": "2015-08-17T06:40:17Z",
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 1,
        "comparator": "<",
        "unit": "/uL"
      },
      "specimen": {
        "reference": "#urine",
        "display": "Urine Sample"
      }
    },
    {
      "resourceType": "Observation",
      "id": "u9",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "13654-9",
            "display": "Epithelial cells.squamous [#/volume] in Urine sediment"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "effectiveDateTime": "2015-08-16T06:40:17Z",
      "issued": "2015-08-17T06:40:17Z",
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 1,
        "comparator": "<",
        "unit": "/mL"
      },
      "specimen": {
        "reference": "#urine",
        "display": "Urine Sample"
      }
    }
  ],
  "identifier": [
    {
      "system": "http://acme.com/lab/reports",
      "value": "ghp-example"
    }
  ],
  "status": "final",
  "code": {
    "coding": [
      {
        "system": "http://acme.com/labs/reports",
        "code": "GHP",
        "display": "General Health Profile"
      }
    ]
  },
  "subject": {
    "reference": "Patient/pat2"
  },
  "effectiveDateTime": "2015-08-16T06:40:17Z",
  "issued": "2015-08-17T06:40:17Z",
  "performer": {
    "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
    "display": "Acme Laboratory, Inc"
  },
  "specimen": [
    {
      "reference": "#rtt",
      "display": "Red Top Tube"
    },
    {
      "reference": "#ltt",
      "display": "Lavender Top Tube"
    },
    {
      "reference": "#urine",
      "display": "Urine Sample"
    }
  ],
  "result": [
    {
      "reference": "#p1",
      "display": "Chemistry Panel"
    },
    {
      "reference": "#p2",
      "display": "CBC"
    },
    {
      "reference": "#p3",
      "display": "Urinalysis"
    }
  ]
}

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.