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
Various reports gathered from v2 messages
{ "resourceType": "Bundle", "id": "72ac8493-52ac-41bd-8d5d-7258c289b5ea", "meta": { "lastUpdated": "2012-04-14T10:35:23Z" }, "type": "collection", "entry": [ { "fullUrl": "http://hl7.org/fhir/DiagnosticReport/3", "resource": { "resourceType": "DiagnosticReport", "id": "3", "meta": { "lastUpdated": "2012-04-14T10:35:23Z" }, "text": { "status": "generated", "div": "<div>\n <table>\n <tr>\n <td>Sodium</td>\n <td>140</td>\n <td>mmol/L</td>\n <td>137-147</td>\n </tr>\n <tr>\n <td>Serum Potassium</td>\n <td>4.2</td>\n <td>mmol/L</td>\n <td>3.5-5.0</td>\n </tr>\n <tr>\n <td>Chloride</td>\n <td>105</td>\n <td>mmol/L</td>\n <td>96-109</td>\n </tr>\n <tr>\n <td>Bicarbonate</td>\n <td>26</td>\n <td>mmol/L</td>\n <td>25-33</td>\n </tr>\n <tr>\n <td>Other Anions</td>\n <td>13</td>\n <td>mmol/L</td>\n <td>4-17</td>\n </tr>\n <tr>\n <td>Glucose</td>\n <td>7.4</td>\n <td>mmol/L</td>\n <td>3.0-7.7</td>\n </tr>\n <tr>\n <td>Urea</td>\n <td>4.7</td>\n <td>mmol/L</td>\n <td>2.0-7.0</td>\n </tr>\n <tr>\n <td>Serum Creatinine</td>\n <td>0.09</td>\n <td>mmol/L</td>\n <td>0.04-0.11</td>\n </tr>\n <tr>\n <td>Serum Uric Acid</td>\n <td>0.39</td>\n <td>mmol/L</td>\n <td>0.14-0.35</td>\n <td>\n <b>+</b>\n </td>\n </tr>\n <tr>\n <td>Total Bilirubin</td>\n <td>7</td>\n <td>umol/L</td>\n <td>2-20</td>\n </tr>\n <tr>\n <td>Direct Bilirubin</td>\n <td>3</td>\n <td>umol/L</td>\n <td>0-8</td>\n </tr>\n <tr>\n <td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td>\n <td>108</td>\n <td>U/L</td>\n <td>30-115</td>\n </tr>\n <tr>\n <td>Gamma G.T.</td>\n <td>35</td>\n <td>U/L</td>\n <td>0-45</td>\n </tr>\n <tr>\n <td>ALT</td>\n <td>54</td>\n <td>U/L</td>\n <td>0-45</td>\n <td>\n <b>+</b>\n </td>\n </tr>\n <tr>\n <td>AST</td>\n <td>30</td>\n <td>U/L</td>\n <td>0-41</td>\n </tr>\n <tr>\n <td>LD</td>\n <td>131</td>\n <td>U/L</td>\n <td>80-250</td>\n </tr>\n <tr>\n <td>Serum Calcium</td>\n <td>2.38</td>\n <td>mmol/L</td>\n <td>2.25-2.65</td>\n </tr>\n <tr>\n <td>Corrected Calcium</td>\n <td>2.39</td>\n <td>mmol/L</td>\n <td>2.25-2.65</td>\n </tr>\n <tr>\n <td>Serum Phosphate</td>\n <td>1.5</td>\n <td>mmol/L</td>\n <td>0.8-1.5</td>\n </tr>\n <tr>\n <td>Total Protein</td>\n <td>67</td>\n <td>g/L</td>\n <td>60-82</td>\n </tr>\n <tr>\n <td>Serum Albumin</td>\n <td>42</td>\n <td>g/L</td>\n <td>35-50</td>\n </tr>\n <tr>\n <td>Globulins</td>\n <td>25</td>\n <td>g/L</td>\n <td>20-40</td>\n </tr>\n <tr>\n <td>Iron</td>\n <td>5</td>\n <td>umol/L</td>\n <td>10-33</td>\n <td>\n <b>--</b>\n </td>\n </tr>\n <tr>\n <td>Cholesterol</td>\n <td>3.8</td>\n <td>mmol/L</td>\n <td>3.6-6.7</td>\n </tr>\n <tr>\n <td> </td>\n <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>\n </tr>\n <tr>\n <td>Triglycerides</td>\n <td>0.9</td>\n <td>mmol/L</td>\n <td>0.3-4.0</td>\n </tr>\n <tr>\n <td>HDL Cholesterol</td>\n <td>1.2</td>\n <td>mmol/L</td>\n <td>1.0-2.0</td>\n </tr>\n </table>\n </div>" }, "contained": [ { "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/1" }, "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/1" }, "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/1" }, "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/1" }, "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/1" }, "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/1" }, "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/1" }, "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/1" }, "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/1" }, "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/1" }, "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/1" }, "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/1" }, "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/1" }, "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/1" }, "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/1" }, "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/1" }, "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/1" }, "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/1" }, "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/1" }, "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/1" }, "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/1" }, "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/1" }, "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": "o23", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14798-3", "display": "Iron [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "42950004" } ] }, "subject": { "reference": "Patient/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 5, "unit": "umol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "LL" } ] }, "referenceRange": [ { "low": { "value": 10, "unit": "umol/L" }, "high": { "value": 33, "unit": "umol/L" } } ] }, { "resourceType": "Observation", "id": "o24", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14647-2", "display": "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "77068002" } ] }, "subject": { "reference": "Patient/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 3.8, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 3.6, "unit": "mmol/L" }, "high": { "value": 6.7, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o25", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14927-8", "display": "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "104784006" } ] }, "subject": { "reference": "Patient/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.9, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 0.3, "unit": "mmol/L" }, "high": { "value": 4.0, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o26", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "2085-9", "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "17888004" } ] }, "subject": { "reference": "Patient/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1.0, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 1.0, "unit": "mmol/L" }, "high": { "value": 2.0, "unit": "mmol/L" } } ] } ], "identifier": [ { "system": "http://acme.com/lab/reports", "value": "5234342" } ], "status": "final", "code": { "coding": [ { "system": "http://acme.com/labs/reports", "code": "25T", "display": "E/LFT (MASTER)" } ] }, "subject": { "reference": "Patient/1" }, "effectiveDateTime": "2005-01-27T06:40:17Z", "issued": "2005-01-27T06:40:01Z", "performer": { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" }, "result": [ { "reference": "#o1" }, { "reference": "#o2" }, { "reference": "#o3" }, { "reference": "#o4" }, { "reference": "#o5" }, { "reference": "#o6" }, { "reference": "#o7" }, { "reference": "#o8" }, { "reference": "#o9" }, { "reference": "#o10" }, { "reference": "#o11" }, { "reference": "#o12" }, { "reference": "#o13" }, { "reference": "#o14" }, { "reference": "#o15" }, { "reference": "#o16" }, { "reference": "#o17" }, { "reference": "#o18" }, { "reference": "#o19" }, { "reference": "#o20" }, { "reference": "#o21" }, { "reference": "#o22" }, { "reference": "#o23" }, { "reference": "#o24" }, { "reference": "#o25" }, { "reference": "#o26" } ] } }, { "fullUrl": "http://hl7.org/fhir/DiagnosticReport/4", "resource": { "resourceType": "DiagnosticReport", "id": "4", "meta": { "lastUpdated": "2012-04-14T10:35:23Z" }, "text": { "status": "generated", "div": "<div><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 6:45:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/2; 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' = '59573005)</span>; Patient/2; 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' = '46511006)</span>; Patient/2; 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' = '88645003)</span>; Patient/2; 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' = '271057005)</span>; Patient/2; 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' = '36048009)</span>; Patient/2; 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' = '273967009)</span>; Patient/2; 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' = '70901006)</span>; Patient/2; 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' = '86228006)</span>; Patient/2; 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' = '27171005)</span>; Patient/2; 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' = '39748002)</span>; Patient/2; 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' = '88810008)</span>; Patient/2; 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' = '69480007)</span>; Patient/2; 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' = '34608000)</span>; Patient/2; 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' = '45896001)</span>; Patient/2; 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' = '11274001)</span>; Patient/2; 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' = '71878006)</span>; Patient/2; 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' = '166708003)</span>; Patient/2; 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' = '104866001)</span>; Patient/2; 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' = '74040009)</span>; Patient/2; 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' = '104485008)</span>; Patient/2; 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' = '104979009)</span>; Patient/2; 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' = '42950004)</span>; Patient/2; 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' = '77068002)</span>; Patient/2; 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' = '104784006)</span>; Patient/2; Acme Laboratory, Inc; 2.2 mmol/L</li></ul></div>" }, "contained": [ { "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 138, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.1, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 103, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 27, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 12, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 6.8, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 8.2, "unit": "mmol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "H" } ] }, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.07, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.42, "unit": "mmol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 16, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 8, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 369, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 438, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 263, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 87, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 179, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.32, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.42, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1.3, "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/2" }, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 39, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 28, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 20, "unit": "g/L" }, "high": { "value": 40, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o23", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14798-3", "display": "Iron [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "42950004" } ] }, "subject": { "reference": "Patient/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 8, "unit": "umol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "L" } ] }, "referenceRange": [ { "low": { "value": 10, "unit": "umol/L" }, "high": { "value": 33, "unit": "umol/L" } } ] }, { "resourceType": "Observation", "id": "o24", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14647-2", "display": "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "77068002" } ] }, "subject": { "reference": "Patient/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.8, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 3.6, "unit": "mmol/L" }, "high": { "value": 6.7, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o25", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14927-8", "display": "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "104784006" } ] }, "subject": { "reference": "Patient/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.2, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 0.3, "unit": "mmol/L" }, "high": { "value": 4.0, "unit": "mmol/L" } } ] } ], "identifier": [ { "system": "http://acme.com/lab/reports", "value": "5234342" } ], "status": "final", "code": { "text": "SERUM CHEMISTRY" }, "subject": { "reference": "Patient/2" }, "effectiveDateTime": "2004-12-08T07:45:17Z", "issued": "2005-02-23T10:04:01Z", "performer": { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" }, "result": [ { "reference": "#o1" }, { "reference": "#o2" }, { "reference": "#o3" }, { "reference": "#o4" }, { "reference": "#o5" }, { "reference": "#o6" }, { "reference": "#o7" }, { "reference": "#o8" }, { "reference": "#o9" }, { "reference": "#o10" }, { "reference": "#o11" }, { "reference": "#o12" }, { "reference": "#o13" }, { "reference": "#o14" }, { "reference": "#o15" }, { "reference": "#o16" }, { "reference": "#o17" }, { "reference": "#o18" }, { "reference": "#o19" }, { "reference": "#o20" }, { "reference": "#o21" }, { "reference": "#o22" }, { "reference": "#o23" }, { "reference": "#o24" }, { "reference": "#o25" } ] } }, { "fullUrl": "http://hl7.org/fhir/DiagnosticReport/5", "resource": { "resourceType": "DiagnosticReport", "id": "5", "meta": { "lastUpdated": "2012-04-14T10:35:23Z" }, "text": { "status": "generated", "div": "<div><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 6:20:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/3; 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' = '59573005)</span>; Patient/3; 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' = '46511006)</span>; Patient/3; 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' = '88645003)</span>; Patient/3; 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' = '271057005)</span>; Patient/3; 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' = '36048009)</span>; Patient/3; 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' = '273967009)</span>; Patient/3; 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' = '70901006)</span>; Patient/3; 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' = '86228006)</span>; Patient/3; 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' = '27171005)</span>; Patient/3; 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' = '39748002)</span>; Patient/3; 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' = '88810008)</span>; Patient/3; 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' = '69480007)</span>; Patient/3; 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' = '34608000)</span>; Patient/3; 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' = '45896001)</span>; Patient/3; 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' = '11274001)</span>; Patient/3; 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' = '71878006)</span>; Patient/3; 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' = '166708003)</span>; Patient/3; 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' = '104866001)</span>; Patient/3; 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' = '74040009)</span>; Patient/3; 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' = '104485008)</span>; Patient/3; 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' = '104979009)</span>; Patient/3; 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' = '42950004)</span>; Patient/3; 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' = '77068002)</span>; Patient/3; 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' = '104784006)</span>; Patient/3; Acme Laboratory, Inc; 1.1 mmol/L</li></ul></div>" }, "contained": [ { "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 142, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.0, "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/3" }, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 28, "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/3" }, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 5.2, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 6.4, "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/3" }, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.46, "unit": "mmol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 13, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 6, "unit": "umol/L" }, "referenceRange": [ { "low": { "value": 0.1, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 204, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 192, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 70, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 26, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 150, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.37, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.47, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1.4, "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/3" }, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 39, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 28, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 20, "unit": "g/L" }, "high": { "value": 40, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o23", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14798-3", "display": "Iron [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "42950004" } ] }, "subject": { "reference": "Patient/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 5, "unit": "umol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "LL" } ] }, "referenceRange": [ { "low": { "value": 10, "unit": "umol/L" }, "high": { "value": 33, "unit": "umol/L" } } ] }, { "resourceType": "Observation", "id": "o24", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14647-2", "display": "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "77068002" } ] }, "subject": { "reference": "Patient/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.4, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 3.6, "unit": "mmol/L" }, "high": { "value": 6.7, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o25", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14927-8", "display": "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "104784006" } ] }, "subject": { "reference": "Patient/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1.1, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 0.3, "unit": "mmol/L" }, "high": { "value": 4.0, "unit": "mmol/L" } } ] } ], "identifier": [ { "system": "http://acme.com/lab/reports", "value": "5234342" } ], "status": "final", "code": { "text": "SERUM CHEMISTRY" }, "subject": { "reference": "Patient/3" }, "effectiveDateTime": "2004-12-15T07:20:17Z", "issued": "2005-02-23T10:04:01Z", "performer": { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" }, "result": [ { "reference": "#o1" }, { "reference": "#o2" }, { "reference": "#o3" }, { "reference": "#o4" }, { "reference": "#o5" }, { "reference": "#o6" }, { "reference": "#o7" }, { "reference": "#o8" }, { "reference": "#o9" }, { "reference": "#o10" }, { "reference": "#o11" }, { "reference": "#o12" }, { "reference": "#o13" }, { "reference": "#o14" }, { "reference": "#o15" }, { "reference": "#o16" }, { "reference": "#o17" }, { "reference": "#o18" }, { "reference": "#o19" }, { "reference": "#o20" }, { "reference": "#o21" }, { "reference": "#o22" }, { "reference": "#o23" }, { "reference": "#o24" }, { "reference": "#o25" } ] } }, { "fhir_comments": [ " 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\\|| " ], "fullUrl": "http://hl7.org/fhir/DiagnosticReport/6", "resource": { "resourceType": "DiagnosticReport", "id": "6", "meta": { "lastUpdated": "2012-04-14T10:35:23Z" }, "text": { "status": "generated", "div": "<div><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 6:45:17 PM</p><p><b>issued</b>: 21/12/2004 11:00:01 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/4; 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' = '59573005)</span>; Patient/4; 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' = '46511006)</span>; Patient/4; 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' = '88645003)</span>; Patient/4; 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' = '271057005)</span>; Patient/4; 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' = '36048009)</span>; Patient/4; 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' = '273967009)</span>; Patient/4; 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' = '70901006)</span>; Patient/4; 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' = '86228006)</span>; Patient/4; 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' = '27171005)</span>; Patient/4; 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' = '39748002)</span>; Patient/4; 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' = '88810008)</span>; Patient/4; 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' = '69480007)</span>; Patient/4; 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' = '34608000)</span>; Patient/4; 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' = '45896001)</span>; Patient/4; 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' = '11274001)</span>; Patient/4; 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' = '71878006)</span>; Patient/4; 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' = '166708003)</span>; Patient/4; 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' = '104866001)</span>; Patient/4; 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' = '74040009)</span>; Patient/4; 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' = '104485008)</span>; Patient/4; 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' = '104979009)</span>; Patient/4; 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' = '42950004)</span>; Patient/4; 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' = '77068002)</span>; Patient/4; 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' = '104784006)</span>; Patient/4; Acme Laboratory, Inc; 1.0 mmol/L</li></ul></div>" }, "contained": [ { "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 142, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.0, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 107, "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/4" }, "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/4" }, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 6.3, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 6.7, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.08, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.40, "unit": "mmol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 9, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 144, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "H" } ] }, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 106, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/4" }, "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": 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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 18, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 143, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.28, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.32, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1.3, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 66, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 41, "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/4" }, "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": "o23", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14798-3", "display": "Iron [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "42950004" } ] }, "subject": { "reference": "Patient/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 3, "unit": "umol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "LL" } ] }, "referenceRange": [ { "low": { "value": 10, "unit": "umol/L" }, "high": { "value": 33, "unit": "umol/L" } } ] }, { "resourceType": "Observation", "id": "o24", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14647-2", "display": "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "77068002" } ] }, "subject": { "reference": "Patient/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.0, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 3.6, "unit": "mmol/L" }, "high": { "value": 6.7, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o25", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14927-8", "display": "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "104784006" } ] }, "subject": { "reference": "Patient/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1.0, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 0.3, "unit": "mmol/L" }, "high": { "value": 4.0, "unit": "mmol/L" } } ] } ], "identifier": [ { "system": "http://acme.com/lab/reports", "value": "5234342" } ], "status": "final", "code": { "text": "SERUM CHEMISTRY" }, "subject": { "reference": "Patient/4" }, "effectiveDateTime": "2004-12-22T07:45:17Z", "issued": "2004-12-21T00:00:01Z", "performer": { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" }, "result": [ { "reference": "#o1" }, { "reference": "#o2" }, { "reference": "#o3" }, { "reference": "#o4" }, { "reference": "#o5" }, { "reference": "#o6" }, { "reference": "#o7" }, { "reference": "#o8" }, { "reference": "#o9" }, { "reference": "#o10" }, { "reference": "#o11" }, { "reference": "#o12" }, { "reference": "#o13" }, { "reference": "#o14" }, { "reference": "#o15" }, { "reference": "#o16" }, { "reference": "#o17" }, { "reference": "#o18" }, { "reference": "#o19" }, { "reference": "#o20" }, { "reference": "#o21" }, { "reference": "#o22" }, { "reference": "#o23" }, { "reference": "#o24" }, { "reference": "#o25" } ] } }, { "fhir_comments": [ " 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\\204 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\\|| " ], "fullUrl": "http://hl7.org/fhir/DiagnosticReport/7", "resource": { "resourceType": "DiagnosticReport", "id": "7", "meta": { "lastUpdated": "2012-04-14T10:35:23Z" }, "text": { "status": "generated", "div": "<div><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 8:45:17 PM</p><p><b>issued</b>: 03/12/2004 11:00:01 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/5; 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' = '59573005)</span>; Patient/5; 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' = '46511006)</span>; Patient/5; 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' = '88645003)</span>; Patient/5; 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' = '271057005)</span>; Patient/5; 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' = '36048009)</span>; Patient/5; 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' = '273967009)</span>; Patient/5; 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' = '70901006)</span>; Patient/5; 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' = '86228006)</span>; Patient/5; 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' = '27171005)</span>; Patient/5; 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' = '88810008)</span>; Patient/5; 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' = '69480007)</span>; Patient/5; 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' = '34608000)</span>; Patient/5; 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' = '45896001)</span>; Patient/5; 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' = '11274001)</span>; Patient/5; 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' = '71878006)</span>; Patient/5; 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' = '166708003)</span>; Patient/5; 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' = '104866001)</span>; Patient/5; 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' = '74040009)</span>; Patient/5; 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' = '104485008)</span>; Patient/5; 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' = '104979009)</span>; Patient/5; 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' = '42950004)</span>; Patient/5; 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' = '77068002)</span>; Patient/5; 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' = '104784006)</span>; Patient/5; Acme Laboratory, Inc; 0.9 mmol/L</li></ul></div>" }, "contained": [ { "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/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 141, "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/5" }, "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/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 106, "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/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 29, "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/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 10, "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/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 7.0, "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/5" }, "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/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.05, "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/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.32, "unit": "mmol/L" }, "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/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 43, "unit": "umol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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": "6768-6", "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "88810008" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 708, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 30, "unit": "U/L" }, "high": { "value": 115, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o12", "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/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1131, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 0, "unit": "U/L" }, "high": { "value": 45, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o13", "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/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 475, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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": "1920-8", "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "45896001" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 176, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 0, "unit": "U/L" }, "high": { "value": 41, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o15", "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/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 324, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 80, "unit": "U/L" }, "high": { "value": 250, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o16", "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/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.32, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 2.25, "unit": "mmol/L" }, "high": { "value": 2.65, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o17", "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/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.45, "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": "14879-1", "display": "Phosphate [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "104866001" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.9, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 0.8, "unit": "mmol/L" }, "high": { "value": 1.5, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o19", "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/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 71, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 60, "unit": "g/L" }, "high": { "value": 82, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o20", "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/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 38, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 35, "unit": "g/L" }, "high": { "value": 50, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o21", "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/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 33, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 20, "unit": "g/L" }, "high": { "value": 40, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o22", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14798-3", "display": "Iron [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "42950004" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 17, "unit": "umol/L" }, "referenceRange": [ { "low": { "value": 10, "unit": "umol/L" }, "high": { "value": 33, "unit": "umol/L" } } ] }, { "resourceType": "Observation", "id": "o23", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14647-2", "display": "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "77068002" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 7.0, "unit": "mmol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "H" } ] }, "referenceRange": [ { "low": { "value": 3.6, "unit": "mmol/L" }, "high": { "value": 6.7, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o24", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14927-8", "display": "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "104784006" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.9, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 0.3, "unit": "mmol/L" }, "high": { "value": 4.0, "unit": "mmol/L" } } ] } ], "identifier": [ { "system": "http://acme.com/lab/reports", "value": "5234342" } ], "status": "final", "code": { "text": "SERUM CHEMISTRY" }, "subject": { "reference": "Patient/5" }, "effectiveDateTime": "2004-12-03T09:45:17Z", "issued": "2004-12-03T00:00:01Z", "performer": { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" }, "result": [ { "reference": "#o1" }, { "reference": "#o2" }, { "reference": "#o3" }, { "reference": "#o4" }, { "reference": "#o5" }, { "reference": "#o6" }, { "reference": "#o7" }, { "reference": "#o8" }, { "reference": "#o9" }, { "reference": "#o10" }, { "reference": "#o11" }, { "reference": "#o12" }, { "reference": "#o13" }, { "reference": "#o14" }, { "reference": "#o15" }, { "reference": "#o16" }, { "reference": "#o17" }, { "reference": "#o18" }, { "reference": "#o19" }, { "reference": "#o20" }, { "reference": "#o21" }, { "reference": "#o22" }, { "reference": "#o23" }, { "reference": "#o24" } ] } }, { "fullUrl": "http://hl7.org/fhir/DiagnosticReport/8", "resource": { "resourceType": "DiagnosticReport", "id": "8", "meta": { "lastUpdated": "2012-04-14T10:35:23Z" }, "text": { "status": "generated", "div": "<div><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>: 04/12/2004 7:30:17 AM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/6; 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' = '59573005)</span>; Patient/6; 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' = '46511006)</span>; Patient/6; 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' = '88645003)</span>; Patient/6; 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' = '271057005)</span>; Patient/6; 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' = '36048009)</span>; Patient/6; 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' = '273967009)</span>; Patient/6; 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' = '70901006)</span>; Patient/6; 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' = '86228006)</span>; Patient/6; 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' = '27171005)</span>; Patient/6; 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' = '88810008)</span>; Patient/6; 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' = '69480007)</span>; Patient/6; 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' = '34608000)</span>; Patient/6; 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' = '45896001)</span>; Patient/6; 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' = '11274001)</span>; Patient/6; 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' = '71878006)</span>; Patient/6; 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' = '166708003)</span>; Patient/6; 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' = '104866001)</span>; Patient/6; 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' = '74040009)</span>; Patient/6; 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' = '104485008)</span>; Patient/6; 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' = '104979009)</span>; Patient/6; 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' = '42950004)</span>; Patient/6; 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' = '77068002)</span>; Patient/6; 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' = '104784006)</span>; Patient/6; Acme Laboratory, Inc; 1.9 mmol/L</li></ul></div>" }, "contained": [ { "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/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 142, "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/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 3.6, "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/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 104, "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/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 30, "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/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 12, "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/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 6.2, "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/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.5, "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/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.06, "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/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.37, "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/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 50, "unit": "umol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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": "6768-6", "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "88810008" } ] }, "subject": { "reference": "Patient/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 684, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 30, "unit": "U/L" }, "high": { "value": 115, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o12", "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/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1105, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 0, "unit": "U/L" }, "high": { "value": 45, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o13", "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/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 466, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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": "1920-8", "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "45896001" } ] }, "subject": { "reference": "Patient/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 198, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 0, "unit": "U/L" }, "high": { "value": 41, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o15", "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/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 323, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 80, "unit": "U/L" }, "high": { "value": 250, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o16", "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/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.32, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 2.25, "unit": "mmol/L" }, "high": { "value": 2.65, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o17", "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/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.45, "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": "14879-1", "display": "Phosphate [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "104866001" } ] }, "subject": { "reference": "Patient/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.9, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 0.8, "unit": "mmol/L" }, "high": { "value": 1.5, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o19", "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/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 70, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 60, "unit": "g/L" }, "high": { "value": 82, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o20", "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/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 38, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 35, "unit": "g/L" }, "high": { "value": 50, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o21", "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/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 32, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 20, "unit": "g/L" }, "high": { "value": 40, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o22", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14798-3", "display": "Iron [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "42950004" } ] }, "subject": { "reference": "Patient/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 11, "unit": "umol/L" }, "referenceRange": [ { "low": { "value": 10, "unit": "umol/L" }, "high": { "value": 33, "unit": "umol/L" } } ] }, { "resourceType": "Observation", "id": "o23", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14647-2", "display": "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "77068002" } ] }, "subject": { "reference": "Patient/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 6.9, "unit": "mmol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "H" } ] }, "referenceRange": [ { "low": { "value": 3.6, "unit": "mmol/L" }, "high": { "value": 6.7, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o24", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14927-8", "display": "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "104784006" } ] }, "subject": { "reference": "Patient/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1.9, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 0.3, "unit": "mmol/L" }, "high": { "value": 4.0, "unit": "mmol/L" } } ] } ], "identifier": [ { "system": "http://acme.com/lab/reports", "value": "5234342" } ], "status": "final", "code": { "text": "SERUM CHEMISTRY" }, "subject": { "reference": "Patient/6" }, "effectiveDateTime": "2004-12-03T20:30:17Z", "issued": "2005-02-23T10:04:01Z", "performer": { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" }, "result": [ { "reference": "#o1" }, { "reference": "#o2" }, { "reference": "#o3" }, { "reference": "#o4" }, { "reference": "#o5" }, { "reference": "#o6" }, { "reference": "#o7" }, { "reference": "#o8" }, { "reference": "#o9" }, { "reference": "#o10" }, { "reference": "#o11" }, { "reference": "#o12" }, { "reference": "#o13" }, { "reference": "#o14" }, { "reference": "#o15" }, { "reference": "#o16" }, { "reference": "#o17" }, { "reference": "#o18" }, { "reference": "#o19" }, { "reference": "#o20" }, { "reference": "#o21" }, { "reference": "#o22" }, { "reference": "#o23" }, { "reference": "#o24" } ] } }, { "fullUrl": "http://hl7.org/fhir/DiagnosticReport/9", "resource": { "resourceType": "DiagnosticReport", "id": "9", "meta": { "lastUpdated": "2012-04-14T10:35:23Z" }, "text": { "status": "generated", "div": "<div><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 6:15:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/7; 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' = '59573005)</span>; Patient/7; 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' = '46511006)</span>; Patient/7; 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' = '88645003)</span>; Patient/7; 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' = '271057005)</span>; Patient/7; 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' = '36048009)</span>; Patient/7; 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' = '273967009)</span>; Patient/7; 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' = '70901006)</span>; Patient/7; 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' = '86228006)</span>; Patient/7; 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' = '27171005)</span>; Patient/7; 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' = '88810008)</span>; Patient/7; 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' = '69480007)</span>; Patient/7; 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' = '34608000)</span>; Patient/7; 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' = '45896001)</span>; Patient/7; 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' = '11274001)</span>; Patient/7; 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' = '71878006)</span>; Patient/7; 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' = '166708003)</span>; Patient/7; 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' = '104866001)</span>; Patient/7; 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' = '74040009)</span>; Patient/7; 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' = '104485008)</span>; Patient/7; 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' = '104979009)</span>; Patient/7; 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' = '42950004)</span>; Patient/7; 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' = '77068002)</span>; Patient/7; 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' = '104784006)</span>; Patient/7; Acme Laboratory, Inc; 1.5 mmol/L</li></ul></div>" }, "contained": [ { "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/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 143, "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/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.3, "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/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 108, "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/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 25, "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/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 14, "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/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.3, "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/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.6, "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/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.06, "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/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.41, "unit": "mmol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 27, "unit": "umol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "H" } ] }, "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": "6768-6", "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "88810008" } ] }, "subject": { "reference": "Patient/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 631, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 30, "unit": "U/L" }, "high": { "value": 115, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o12", "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/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 956, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 0, "unit": "U/L" }, "high": { "value": 45, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o13", "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/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 398, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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": "1920-8", "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "45896001" } ] }, "subject": { "reference": "Patient/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 120, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 0, "unit": "U/L" }, "high": { "value": 41, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o15", "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/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 243, "unit": "U/L" }, "referenceRange": [ { "low": { "value": 80, "unit": "U/L" }, "high": { "value": 250, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o16", "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/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.33, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 2.25, "unit": "mmol/L" }, "high": { "value": 2.65, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o17", "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/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.52, "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": "14879-1", "display": "Phosphate [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "104866001" } ] }, "subject": { "reference": "Patient/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1.2, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 0.8, "unit": "mmol/L" }, "high": { "value": 1.5, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o19", "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/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 71, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 60, "unit": "g/L" }, "high": { "value": 82, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o20", "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/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 36, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 35, "unit": "g/L" }, "high": { "value": 50, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o21", "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/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 35, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 20, "unit": "g/L" }, "high": { "value": 40, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o22", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14798-3", "display": "Iron [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "42950004" } ] }, "subject": { "reference": "Patient/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 39, "unit": "umol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "H" } ] }, "referenceRange": [ { "low": { "value": 10, "unit": "umol/L" }, "high": { "value": 33, "unit": "umol/L" } } ] }, { "resourceType": "Observation", "id": "o23", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14647-2", "display": "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "77068002" } ] }, "subject": { "reference": "Patient/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 6.8, "unit": "mmol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "H" } ] }, "referenceRange": [ { "low": { "value": 3.6, "unit": "mmol/L" }, "high": { "value": 6.7, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o24", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14927-8", "display": "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "104784006" } ] }, "subject": { "reference": "Patient/7" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1.5, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 0.3, "unit": "mmol/L" }, "high": { "value": 4.0, "unit": "mmol/L" } } ] } ], "identifier": [ { "system": "http://acme.com/lab/reports", "value": "5234342" } ], "status": "final", "code": { "text": "SERUM CHEMISTRY" }, "subject": { "reference": "Patient/7" }, "effectiveDateTime": "2004-12-05T07:15:17Z", "issued": "2005-02-23T10:04:01Z", "performer": { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" }, "result": [ { "reference": "#o1" }, { "reference": "#o2" }, { "reference": "#o3" }, { "reference": "#o4" }, { "reference": "#o5" }, { "reference": "#o6" }, { "reference": "#o7" }, { "reference": "#o8" }, { "reference": "#o9" }, { "reference": "#o10" }, { "reference": "#o11" }, { "reference": "#o12" }, { "reference": "#o13" }, { "reference": "#o14" }, { "reference": "#o15" }, { "reference": "#o16" }, { "reference": "#o17" }, { "reference": "#o18" }, { "reference": "#o19" }, { "reference": "#o20" }, { "reference": "#o21" }, { "reference": "#o22" }, { "reference": "#o23" }, { "reference": "#o24" } ] } }, { "fullUrl": "http://hl7.org/fhir/DiagnosticReport/15", "resource": { "resourceType": "DiagnosticReport", "id": "15", "meta": { "lastUpdated": "2012-04-14T10:35:23Z" }, "text": { "status": "generated", "div": "<div><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 5:40:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/8; 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' = '59573005)</span>; Patient/8; 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' = '46511006)</span>; Patient/8; 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' = '88645003)</span>; Patient/8; 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' = '271057005)</span>; Patient/8; 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' = '36048009)</span>; Patient/8; 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' = '273967009)</span>; Patient/8; 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' = '70901006)</span>; Patient/8; 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' = '86228006)</span>; Patient/8; 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' = '27171005)</span>; Patient/8; 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' = '39748002)</span>; Patient/8; 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' = '88810008)</span>; Patient/8; 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' = '69480007)</span>; Patient/8; 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' = '34608000)</span>; Patient/8; 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' = '45896001)</span>; Patient/8; 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' = '11274001)</span>; Patient/8; 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' = '71878006)</span>; Patient/8; 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' = '166708003)</span>; Patient/8; 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' = '104866001)</span>; Patient/8; 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' = '74040009)</span>; Patient/8; 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' = '104485008)</span>; Patient/8; 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' = '104979009)</span>; Patient/8; 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' = '??)</span>; Patient/8; 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' = '77068002)</span>; Patient/8; 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' = '104784006)</span>; Patient/8; Acme Laboratory, Inc; 0.9 mmol/L</li></ul></div>" }, "contained": [ { "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/8" }, "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/8" }, "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/8" }, "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/8" }, "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/8" }, "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/8" }, "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/8" }, "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/8" }, "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/8" }, "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/8" }, "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/8" }, "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/8" }, "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/8" }, "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/8" }, "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/8" }, "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/8" }, "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/8" }, "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/8" }, "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/8" }, "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/8" }, "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/8" }, "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/8" }, "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": "o23", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14798-3", "display": "Iron [Moles/volume] in Serum or Plasma" }, { "code": "42950004" } ] }, "subject": { "reference": "Patient/8" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 5, "unit": "umol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "LL" } ] }, "referenceRange": [ { "low": { "value": 10, "unit": "umol/L" }, "high": { "value": 33, "unit": "umol/L" } } ] }, { "resourceType": "Observation", "id": "o24", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14647-2", "display": "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "77068002" } ] }, "subject": { "reference": "Patient/8" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 3.8, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 3.6, "unit": "mmol/L" }, "high": { "value": 6.7, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o25", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14927-8", "display": "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "104784006" } ] }, "subject": { "reference": "Patient/8" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.9, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 0.3, "unit": "mmol/L" }, "high": { "value": 4.0, "unit": "mmol/L" } } ] } ], "identifier": [ { "system": "http://acme.com/lab/reports", "value": "5234342" } ], "status": "final", "code": { "text": "SERUM CHEMISTRY" }, "subject": { "reference": "Patient/8" }, "effectiveDateTime": "2005-01-27T06:40:17Z", "issued": "2005-02-23T10:04:01Z", "performer": { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" }, "result": [ { "reference": "#o1" }, { "reference": "#o2" }, { "reference": "#o3" }, { "reference": "#o4" }, { "reference": "#o5" }, { "reference": "#o6" }, { "reference": "#o7" }, { "reference": "#o8" }, { "reference": "#o9" }, { "reference": "#o10" }, { "reference": "#o11" }, { "reference": "#o12" }, { "reference": "#o13" }, { "reference": "#o14" }, { "reference": "#o15" }, { "reference": "#o16" }, { "reference": "#o17" }, { "reference": "#o18" }, { "reference": "#o19" }, { "reference": "#o20" }, { "reference": "#o21" }, { "reference": "#o22" }, { "reference": "#o23" }, { "reference": "#o24" }, { "reference": "#o25" } ] } }, { "fullUrl": "http://hl7.org/fhir/DiagnosticReport/16", "resource": { "resourceType": "DiagnosticReport", "id": "16", "meta": { "lastUpdated": "2012-04-14T10:35:23Z" }, "text": { "status": "generated", "div": "<div><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 6:45:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/9; 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' = '59573005)</span>; Patient/9; 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' = '46511006)</span>; Patient/9; 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' = '88645003)</span>; Patient/9; 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' = '271057005)</span>; Patient/9; 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' = '36048009)</span>; Patient/9; 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' = '273967009)</span>; Patient/9; 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' = '70901006)</span>; Patient/9; 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' = '86228006)</span>; Patient/9; 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' = '27171005)</span>; Patient/9; 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' = '39748002)</span>; Patient/9; 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' = '88810008)</span>; Patient/9; 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' = '69480007)</span>; Patient/9; 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' = '34608000)</span>; Patient/9; 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' = '45896001)</span>; Patient/9; 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' = '11274001)</span>; Patient/9; 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' = '71878006)</span>; Patient/9; 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' = '166708003)</span>; Patient/9; 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' = '104866001)</span>; Patient/9; 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' = '74040009)</span>; Patient/9; 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' = '104485008)</span>; Patient/9; 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' = '104979009)</span>; Patient/9; 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' = '42950004)</span>; Patient/9; 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' = '77068002)</span>; Patient/9; 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' = '104784006)</span>; Patient/9; Acme Laboratory, Inc; 2.2 mmol/L</li></ul></div>" }, "contained": [ { "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/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 138, "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/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.1, "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/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 103, "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/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 27, "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/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 12, "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/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 6.8, "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/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 8.2, "unit": "mmol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "H" } ] }, "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/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.07, "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/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.42, "unit": "mmol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 16, "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/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 8, "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/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 369, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 438, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 263, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 87, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 179, "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/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.32, "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/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.42, "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/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1.3, "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/9" }, "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/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 39, "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/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 28, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 20, "unit": "g/L" }, "high": { "value": 40, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o23", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14798-3", "display": "Iron [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "42950004" } ] }, "subject": { "reference": "Patient/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 8, "unit": "umol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "L" } ] }, "referenceRange": [ { "low": { "value": 10, "unit": "umol/L" }, "high": { "value": 33, "unit": "umol/L" } } ] }, { "resourceType": "Observation", "id": "o24", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14647-2", "display": "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "77068002" } ] }, "subject": { "reference": "Patient/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.8, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 3.6, "unit": "mmol/L" }, "high": { "value": 6.7, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o25", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14927-8", "display": "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "104784006" } ] }, "subject": { "reference": "Patient/9" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.2, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 0.3, "unit": "mmol/L" }, "high": { "value": 4.0, "unit": "mmol/L" } } ] } ], "identifier": [ { "system": "http://acme.com/lab/reports", "value": "5234342" } ], "status": "final", "code": { "text": "SERUM CHEMISTRY" }, "subject": { "reference": "Patient/9" }, "effectiveDateTime": "2004-12-08T07:45:17Z", "issued": "2005-02-23T10:04:01Z", "performer": { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" }, "result": [ { "reference": "#o1" }, { "reference": "#o2" }, { "reference": "#o3" }, { "reference": "#o4" }, { "reference": "#o5" }, { "reference": "#o6" }, { "reference": "#o7" }, { "reference": "#o8" }, { "reference": "#o9" }, { "reference": "#o10" }, { "reference": "#o11" }, { "reference": "#o12" }, { "reference": "#o13" }, { "reference": "#o14" }, { "reference": "#o15" }, { "reference": "#o16" }, { "reference": "#o17" }, { "reference": "#o18" }, { "reference": "#o19" }, { "reference": "#o20" }, { "reference": "#o21" }, { "reference": "#o22" }, { "reference": "#o23" }, { "reference": "#o24" }, { "reference": "#o25" } ] } }, { "fullUrl": "http://hl7.org/fhir/DiagnosticReport/17", "resource": { "resourceType": "DiagnosticReport", "id": "17", "meta": { "lastUpdated": "2012-04-14T10:35:23Z" }, "text": { "status": "generated", "div": "<div><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 6:20:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/10; 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' = '59573005)</span>; Patient/10; 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' = '46511006)</span>; Patient/10; 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' = '88645003)</span>; Patient/10; 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' = '271057005)</span>; Patient/10; 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' = '36048009)</span>; Patient/10; 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' = '273967009)</span>; Patient/10; 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' = '70901006)</span>; Patient/10; 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' = '86228006)</span>; Patient/10; 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' = '27171005)</span>; Patient/10; 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' = '39748002)</span>; Patient/10; 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' = '88810008)</span>; Patient/10; 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' = '69480007)</span>; Patient/10; 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' = '34608000)</span>; Patient/10; 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' = '45896001)</span>; Patient/10; 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' = '11274001)</span>; Patient/10; 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' = '71878006)</span>; Patient/10; 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' = '166708003)</span>; Patient/10; 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' = '104866001)</span>; Patient/10; 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' = '74040009)</span>; Patient/10; 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' = '104485008)</span>; Patient/10; 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' = '104979009)</span>; Patient/10; 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' = '42950004)</span>; Patient/10; 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' = '77068002)</span>; Patient/10; 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' = '104784006)</span>; Patient/10; Acme Laboratory, Inc; 1.1 mmol/L</li></ul></div>" }, "contained": [ { "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/10" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 142, "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/10" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.0, "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/10" }, "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/10" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 28, "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/10" }, "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/10" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 5.2, "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/10" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 6.4, "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/10" }, "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/10" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.46, "unit": "mmol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/10" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 13, "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/10" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 6, "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/10" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 204, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/10" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 192, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/10" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 70, "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/10" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 26, "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/10" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 150, "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/10" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.37, "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/10" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.47, "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/10" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1.4, "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/10" }, "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/10" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 39, "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/10" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 28, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 20, "unit": "g/L" }, "high": { "value": 40, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o23", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14798-3", "display": "Iron [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "42950004" } ] }, "subject": { "reference": "Patient/10" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 5, "unit": "umol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "LL" } ] }, "referenceRange": [ { "low": { "value": 10, "unit": "umol/L" }, "high": { "value": 33, "unit": "umol/L" } } ] }, { "resourceType": "Observation", "id": "o24", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14647-2", "display": "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "77068002" } ] }, "subject": { "reference": "Patient/10" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.4, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 3.6, "unit": "mmol/L" }, "high": { "value": 6.7, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o25", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14927-8", "display": "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "104784006" } ] }, "subject": { "reference": "Patient/10" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1.1, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 0.3, "unit": "mmol/L" }, "high": { "value": 4.0, "unit": "mmol/L" } } ] } ], "identifier": [ { "system": "http://acme.com/lab/reports", "value": "5234342" } ], "status": "final", "code": { "text": "SERUM CHEMISTRY" }, "subject": { "reference": "Patient/10" }, "effectiveDateTime": "2004-12-15T07:20:17Z", "issued": "2005-02-23T10:04:01Z", "performer": { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" }, "result": [ { "reference": "#o1" }, { "reference": "#o2" }, { "reference": "#o3" }, { "reference": "#o4" }, { "reference": "#o5" }, { "reference": "#o6" }, { "reference": "#o7" }, { "reference": "#o8" }, { "reference": "#o9" }, { "reference": "#o10" }, { "reference": "#o11" }, { "reference": "#o12" }, { "reference": "#o13" }, { "reference": "#o14" }, { "reference": "#o15" }, { "reference": "#o16" }, { "reference": "#o17" }, { "reference": "#o18" }, { "reference": "#o19" }, { "reference": "#o20" }, { "reference": "#o21" }, { "reference": "#o22" }, { "reference": "#o23" }, { "reference": "#o24" }, { "reference": "#o25" } ] } }, { "fhir_comments": [ " 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\\|| " ], "fullUrl": "http://hl7.org/fhir/DiagnosticReport/18", "resource": { "resourceType": "DiagnosticReport", "id": "18", "meta": { "lastUpdated": "2012-04-14T10:35:23Z" }, "text": { "status": "generated", "div": "<div><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 6:45:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/1; 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' = '59573005)</span>; Patient/1; 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' = '46511006)</span>; Patient/1; 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' = '88645003)</span>; Patient/1; 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' = '271057005)</span>; Patient/1; 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' = '36048009)</span>; Patient/1; 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' = '273967009)</span>; Patient/1; 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' = '70901006)</span>; Patient/1; 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' = '86228006)</span>; Patient/1; 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' = '27171005)</span>; Patient/1; 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' = '39748002)</span>; Patient/1; 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' = '88810008)</span>; Patient/1; 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' = '69480007)</span>; Patient/1; 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' = '34608000)</span>; Patient/1; 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' = '45896001)</span>; Patient/1; 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' = '11274001)</span>; Patient/1; 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' = '71878006)</span>; Patient/1; 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' = '166708003)</span>; Patient/1; 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' = '104866001)</span>; Patient/1; 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' = '74040009)</span>; Patient/1; 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' = '104485008)</span>; Patient/1; 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' = '104979009)</span>; Patient/1; 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' = '42950004)</span>; Patient/1; 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' = '77068002)</span>; Patient/1; 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' = '104784006)</span>; Patient/1; Acme Laboratory, Inc; 1.0 mmol/L</li></ul></div>" }, "contained": [ { "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/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 142, "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/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.0, "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/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 107, "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/1" }, "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/1" }, "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/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 6.3, "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/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 6.7, "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/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.08, "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/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.40, "unit": "mmol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 9, "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/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4, "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/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 144, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "H" } ] }, "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/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 106, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/1" }, "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": 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/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 18, "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/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 143, "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/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.28, "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/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.32, "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/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1.3, "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/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 66, "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/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 41, "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/1" }, "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": "o23", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14798-3", "display": "Iron [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "42950004" } ] }, "subject": { "reference": "Patient/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 3, "unit": "umol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "LL" } ] }, "referenceRange": [ { "low": { "value": 10, "unit": "umol/L" }, "high": { "value": 33, "unit": "umol/L" } } ] }, { "resourceType": "Observation", "id": "o24", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14647-2", "display": "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "77068002" } ] }, "subject": { "reference": "Patient/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.0, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 3.6, "unit": "mmol/L" }, "high": { "value": 6.7, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o25", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14927-8", "display": "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "104784006" } ] }, "subject": { "reference": "Patient/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1.0, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 0.3, "unit": "mmol/L" }, "high": { "value": 4.0, "unit": "mmol/L" } } ] } ], "identifier": [ { "system": "http://acme.com/lab/reports", "value": "5234342" } ], "status": "final", "code": { "text": "SERUM CHEMISTRY" }, "subject": { "reference": "Patient/1" }, "effectiveDateTime": "2004-12-22T07:45:17Z", "issued": "2005-02-23T10:04:01Z", "performer": { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" }, "result": [ { "reference": "#o1" }, { "reference": "#o2" }, { "reference": "#o3" }, { "reference": "#o4" }, { "reference": "#o5" }, { "reference": "#o6" }, { "reference": "#o7" }, { "reference": "#o8" }, { "reference": "#o9" }, { "reference": "#o10" }, { "reference": "#o11" }, { "reference": "#o12" }, { "reference": "#o13" }, { "reference": "#o14" }, { "reference": "#o15" }, { "reference": "#o16" }, { "reference": "#o17" }, { "reference": "#o18" }, { "reference": "#o19" }, { "reference": "#o20" }, { "reference": "#o21" }, { "reference": "#o22" }, { "reference": "#o23" }, { "reference": "#o24" }, { "reference": "#o25" } ] } }, { "fhir_comments": [ " 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\\204 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\\|| " ], "fullUrl": "http://hl7.org/fhir/DiagnosticReport/19", "resource": { "resourceType": "DiagnosticReport", "id": "19", "meta": { "lastUpdated": "2012-04-14T10:35:23Z" }, "text": { "status": "generated", "div": "<div><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 8:45:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/2; 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' = '59573005)</span>; Patient/2; 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' = '46511006)</span>; Patient/2; 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' = '88645003)</span>; Patient/2; 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' = '271057005)</span>; Patient/2; 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' = '36048009)</span>; Patient/2; 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' = '273967009)</span>; Patient/2; 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' = '70901006)</span>; Patient/2; 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' = '86228006)</span>; Patient/2; 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' = '27171005)</span>; Patient/2; 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' = '88810008)</span>; Patient/2; 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' = '69480007)</span>; Patient/2; 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' = '34608000)</span>; Patient/2; 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' = '45896001)</span>; Patient/2; 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' = '11274001)</span>; Patient/2; 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' = '71878006)</span>; Patient/2; 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' = '166708003)</span>; Patient/2; 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' = '104866001)</span>; Patient/2; 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' = '74040009)</span>; Patient/2; 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' = '104485008)</span>; Patient/2; 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' = '104979009)</span>; Patient/2; 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' = '42950004)</span>; Patient/2; 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' = '77068002)</span>; Patient/2; 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' = '104784006)</span>; Patient/2; Acme Laboratory, Inc; 0.9 mmol/L</li></ul></div>" }, "contained": [ { "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 141, "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/2" }, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 106, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 29, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 10, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 7.0, "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/2" }, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.05, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.32, "unit": "mmol/L" }, "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 43, "unit": "umol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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": "6768-6", "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "88810008" } ] }, "subject": { "reference": "Patient/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 708, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 30, "unit": "U/L" }, "high": { "value": 115, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o12", "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1131, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 0, "unit": "U/L" }, "high": { "value": 45, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o13", "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 475, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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": "1920-8", "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "45896001" } ] }, "subject": { "reference": "Patient/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 176, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 0, "unit": "U/L" }, "high": { "value": 41, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o15", "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 324, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 80, "unit": "U/L" }, "high": { "value": 250, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o16", "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.32, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 2.25, "unit": "mmol/L" }, "high": { "value": 2.65, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o17", "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.45, "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": "14879-1", "display": "Phosphate [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "104866001" } ] }, "subject": { "reference": "Patient/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.9, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 0.8, "unit": "mmol/L" }, "high": { "value": 1.5, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o19", "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 71, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 60, "unit": "g/L" }, "high": { "value": 82, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o20", "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 38, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 35, "unit": "g/L" }, "high": { "value": 50, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o21", "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/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 33, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 20, "unit": "g/L" }, "high": { "value": 40, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o22", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14798-3", "display": "Iron [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "42950004" } ] }, "subject": { "reference": "Patient/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 17, "unit": "umol/L" }, "referenceRange": [ { "low": { "value": 10, "unit": "umol/L" }, "high": { "value": 33, "unit": "umol/L" } } ] }, { "resourceType": "Observation", "id": "o23", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14647-2", "display": "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "77068002" } ] }, "subject": { "reference": "Patient/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 7.0, "unit": "mmol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "H" } ] }, "referenceRange": [ { "low": { "value": 3.6, "unit": "mmol/L" }, "high": { "value": 6.7, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o24", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14927-8", "display": "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "104784006" } ] }, "subject": { "reference": "Patient/2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.9, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 0.3, "unit": "mmol/L" }, "high": { "value": 4.0, "unit": "mmol/L" } } ] } ], "identifier": [ { "system": "http://acme.com/lab/reports", "value": "5234342" } ], "status": "final", "code": { "text": "SERUM CHEMISTRY" }, "subject": { "reference": "Patient/2" }, "effectiveDateTime": "2004-12-03T09:45:17Z", "issued": "2005-02-23T10:04:01Z", "performer": { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" }, "result": [ { "reference": "#o1" }, { "reference": "#o2" }, { "reference": "#o3" }, { "reference": "#o4" }, { "reference": "#o5" }, { "reference": "#o6" }, { "reference": "#o7" }, { "reference": "#o8" }, { "reference": "#o9" }, { "reference": "#o10" }, { "reference": "#o11" }, { "reference": "#o12" }, { "reference": "#o13" }, { "reference": "#o14" }, { "reference": "#o15" }, { "reference": "#o16" }, { "reference": "#o17" }, { "reference": "#o18" }, { "reference": "#o19" }, { "reference": "#o20" }, { "reference": "#o21" }, { "reference": "#o22" }, { "reference": "#o23" }, { "reference": "#o24" } ] } }, { "fullUrl": "http://hl7.org/fhir/DiagnosticReport/20", "resource": { "resourceType": "DiagnosticReport", "id": "20", "meta": { "lastUpdated": "2012-04-14T10:35:23Z" }, "text": { "status": "generated", "div": "<div><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>: 04/12/2004 7:30:17 AM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/3; 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' = '59573005)</span>; Patient/3; 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' = '46511006)</span>; Patient/3; 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' = '88645003)</span>; Patient/3; 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' = '271057005)</span>; Patient/3; 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' = '36048009)</span>; Patient/3; 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' = '273967009)</span>; Patient/3; 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' = '70901006)</span>; Patient/3; 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' = '86228006)</span>; Patient/3; 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' = '27171005)</span>; Patient/3; 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' = '88810008)</span>; Patient/3; 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' = '69480007)</span>; Patient/3; 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' = '34608000)</span>; Patient/3; 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' = '45896001)</span>; Patient/3; 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' = '11274001)</span>; Patient/3; 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' = '71878006)</span>; Patient/3; 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' = '166708003)</span>; Patient/3; 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' = '104866001)</span>; Patient/3; 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' = '74040009)</span>; Patient/3; 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' = '104485008)</span>; Patient/3; 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' = '104979009)</span>; Patient/3; 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' = '42950004)</span>; Patient/3; 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' = '77068002)</span>; Patient/3; 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' = '104784006)</span>; Patient/3; Acme Laboratory, Inc; 1.9 mmol/L</li></ul></div>" }, "contained": [ { "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 142, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 3.6, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 104, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 30, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 12, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 6.2, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.5, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.06, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.37, "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 50, "unit": "umol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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": "6768-6", "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "88810008" } ] }, "subject": { "reference": "Patient/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 684, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 30, "unit": "U/L" }, "high": { "value": 115, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o12", "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1105, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 0, "unit": "U/L" }, "high": { "value": 45, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o13", "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 466, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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": "1920-8", "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "45896001" } ] }, "subject": { "reference": "Patient/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 198, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 0, "unit": "U/L" }, "high": { "value": 41, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o15", "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 323, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 80, "unit": "U/L" }, "high": { "value": 250, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o16", "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.32, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 2.25, "unit": "mmol/L" }, "high": { "value": 2.65, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o17", "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.45, "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": "14879-1", "display": "Phosphate [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "104866001" } ] }, "subject": { "reference": "Patient/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.9, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 0.8, "unit": "mmol/L" }, "high": { "value": 1.5, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o19", "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 70, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 60, "unit": "g/L" }, "high": { "value": 82, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o20", "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 38, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 35, "unit": "g/L" }, "high": { "value": 50, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o21", "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/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 32, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 20, "unit": "g/L" }, "high": { "value": 40, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o22", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14798-3", "display": "Iron [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "42950004" } ] }, "subject": { "reference": "Patient/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 11, "unit": "umol/L" }, "referenceRange": [ { "low": { "value": 10, "unit": "umol/L" }, "high": { "value": 33, "unit": "umol/L" } } ] }, { "resourceType": "Observation", "id": "o23", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14647-2", "display": "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "77068002" } ] }, "subject": { "reference": "Patient/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 6.9, "unit": "mmol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "H" } ] }, "referenceRange": [ { "low": { "value": 3.6, "unit": "mmol/L" }, "high": { "value": 6.7, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o24", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14927-8", "display": "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "104784006" } ] }, "subject": { "reference": "Patient/3" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1.9, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 0.3, "unit": "mmol/L" }, "high": { "value": 4.0, "unit": "mmol/L" } } ] } ], "identifier": [ { "system": "http://acme.com/lab/reports", "value": "5234342" } ], "status": "final", "code": { "text": "SERUM CHEMISTRY" }, "subject": { "reference": "Patient/3" }, "effectiveDateTime": "2004-12-03T20:30:17Z", "issued": "2005-02-23T10:04:01Z", "performer": { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" }, "result": [ { "reference": "#o1" }, { "reference": "#o2" }, { "reference": "#o3" }, { "reference": "#o4" }, { "reference": "#o5" }, { "reference": "#o6" }, { "reference": "#o7" }, { "reference": "#o8" }, { "reference": "#o9" }, { "reference": "#o10" }, { "reference": "#o11" }, { "reference": "#o12" }, { "reference": "#o13" }, { "reference": "#o14" }, { "reference": "#o15" }, { "reference": "#o16" }, { "reference": "#o17" }, { "reference": "#o18" }, { "reference": "#o19" }, { "reference": "#o20" }, { "reference": "#o21" }, { "reference": "#o22" }, { "reference": "#o23" }, { "reference": "#o24" } ] } }, { "fullUrl": "http://hl7.org/fhir/DiagnosticReport/21", "resource": { "resourceType": "DiagnosticReport", "id": "21", "meta": { "lastUpdated": "2012-04-14T10:35:23Z" }, "text": { "status": "generated", "div": "<div><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 6:15:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/4; 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' = '59573005)</span>; Patient/4; 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' = '46511006)</span>; Patient/4; 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' = '88645003)</span>; Patient/4; 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' = '271057005)</span>; Patient/4; 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' = '36048009)</span>; Patient/4; 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' = '273967009)</span>; Patient/4; 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' = '70901006)</span>; Patient/4; 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' = '86228006)</span>; Patient/4; 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' = '27171005)</span>; Patient/4; 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' = '88810008)</span>; Patient/4; 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' = '69480007)</span>; Patient/4; 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' = '34608000)</span>; Patient/4; 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' = '45896001)</span>; Patient/4; 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' = '11274001)</span>; Patient/4; 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' = '71878006)</span>; Patient/4; 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' = '166708003)</span>; Patient/4; 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' = '104866001)</span>; Patient/4; 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' = '74040009)</span>; Patient/4; 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' = '104485008)</span>; Patient/4; 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' = '104979009)</span>; Patient/4; 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' = '42950004)</span>; Patient/4; 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' = '77068002)</span>; Patient/4; 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' = '104784006)</span>; Patient/4; Acme Laboratory, Inc; 1.5 mmol/L</li></ul></div>" }, "contained": [ { "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 143, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.3, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 108, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 25, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 14, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.3, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.6, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.06, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.41, "unit": "mmol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 27, "unit": "umol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "H" } ] }, "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": "6768-6", "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "88810008" } ] }, "subject": { "reference": "Patient/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 631, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 30, "unit": "U/L" }, "high": { "value": 115, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o12", "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 956, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 0, "unit": "U/L" }, "high": { "value": 45, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o13", "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 398, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "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": "1920-8", "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "45896001" } ] }, "subject": { "reference": "Patient/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 120, "unit": "U/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 0, "unit": "U/L" }, "high": { "value": 41, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o15", "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 243, "unit": "U/L" }, "referenceRange": [ { "low": { "value": 80, "unit": "U/L" }, "high": { "value": 250, "unit": "U/L" } } ] }, { "resourceType": "Observation", "id": "o16", "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.33, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 2.25, "unit": "mmol/L" }, "high": { "value": 2.65, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o17", "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.52, "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": "14879-1", "display": "Phosphate [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "104866001" } ] }, "subject": { "reference": "Patient/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1.2, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 0.8, "unit": "mmol/L" }, "high": { "value": 1.5, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o19", "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 71, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 60, "unit": "g/L" }, "high": { "value": 82, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o20", "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 36, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 35, "unit": "g/L" }, "high": { "value": 50, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o21", "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/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 35, "unit": "g/L" }, "referenceRange": [ { "low": { "value": 20, "unit": "g/L" }, "high": { "value": 40, "unit": "g/L" } } ] }, { "resourceType": "Observation", "id": "o22", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14798-3", "display": "Iron [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "42950004" } ] }, "subject": { "reference": "Patient/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 39, "unit": "umol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "H" } ] }, "referenceRange": [ { "low": { "value": 10, "unit": "umol/L" }, "high": { "value": 33, "unit": "umol/L" } } ] }, { "resourceType": "Observation", "id": "o23", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14647-2", "display": "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "77068002" } ] }, "subject": { "reference": "Patient/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 6.8, "unit": "mmol/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "H" } ] }, "referenceRange": [ { "low": { "value": 3.6, "unit": "mmol/L" }, "high": { "value": 6.7, "unit": "mmol/L" } } ] }, { "resourceType": "Observation", "id": "o24", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "14927-8", "display": "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system": "http://snomed.info/sct", "code": "104784006" } ] }, "subject": { "reference": "Patient/4" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1.5, "unit": "mmol/L" }, "referenceRange": [ { "low": { "value": 0.3, "unit": "mmol/L" }, "high": { "value": 4.0, "unit": "mmol/L" } } ] } ], "identifier": [ { "system": "http://acme.com/lab/reports", "value": "5234342" } ], "status": "final", "code": { "text": "SERUM CHEMISTRY" }, "subject": { "reference": "Patient/4" }, "effectiveDateTime": "2004-12-05T07:15:17Z", "issued": "2005-02-23T10:04:01Z", "performer": { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" }, "result": [ { "reference": "#o1" }, { "reference": "#o2" }, { "reference": "#o3" }, { "reference": "#o4" }, { "reference": "#o5" }, { "reference": "#o6" }, { "reference": "#o7" }, { "reference": "#o8" }, { "reference": "#o9" }, { "reference": "#o10" }, { "reference": "#o11" }, { "reference": "#o12" }, { "reference": "#o13" }, { "reference": "#o14" }, { "reference": "#o15" }, { "reference": "#o16" }, { "reference": "#o17" }, { "reference": "#o18" }, { "reference": "#o19" }, { "reference": "#o20" }, { "reference": "#o21" }, { "reference": "#o22" }, { "reference": "#o23" }, { "reference": "#o24" } ] } }, { "fullUrl": "http://hl7.org/fhir/DiagnosticReport/25", "resource": { "resourceType": "DiagnosticReport", "id": "25", "meta": { "lastUpdated": "2012-04-14T10:35:23Z" }, "text": { "status": "generated", "div": "<div><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>: 08/11/2005 8:44:17 AM</p><p><b>issued</b>: 08/11/2005 10:38:01 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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>; Patient/5; 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>; Patient/5; 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>; Patient/5; 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>; Patient/5; 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>; Patient/5; Acme Laboratory, Inc; <=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>; Patient/5; Acme Laboratory, Inc; <=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>; Patient/5; Acme Laboratory, Inc; <=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>; Patient/5; Acme Laboratory, Inc; <=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>; Patient/5; Acme Laboratory, Inc; <=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>; Patient/5; Acme Laboratory, Inc; <=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>; Patient/5; Acme Laboratory, Inc; <=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>; Patient/5; Acme Laboratory, Inc; <=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>; Patient/5; Acme Laboratory, Inc; <=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>; Patient/5; Acme Laboratory, Inc; <=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>; Patient/5; 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>; Patient/5; Acme Laboratory, Inc; <=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>; Patient/5; Acme Laboratory, Inc; <=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>; Patient/5; Acme Laboratory, Inc; <=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li></ul></div>" }, "contained": [ { "resourceType": "Observation", "id": "o1", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "11475-1", "display": "Microorganism identified in Unspecified specimen by Culture" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueCodeableConcept": { "text": "KLEBSIELLA PNEUMONIAE" } }, { "resourceType": "Observation", "id": "o2", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "43161-9", "display": "Microorganism [#/volume] in Unspecified specimen by Viability count" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 20000, "unit": "CFU/ML" } }, { "resourceType": "Observation", "id": "o3", "status": "final", "code": { "coding": [ { "system": "http://example.org/local", "code": "AMS", "display": "AMPICILLIN/SULBACTAM" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4, "unit": "U" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "S" } ] } }, { "resourceType": "Observation", "id": "o4", "status": "final", "code": { "coding": [ { "system": "http://example.org/local", "code": "AM", "display": "AMPICILLIN" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 16, "unit": "U" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "R" } ] } }, { "resourceType": "Observation", "id": "o5", "status": "final", "code": { "coding": [ { "system": "http://example.org/local", "code": "ATM", "display": "AZTREONAM" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1, "comparator": "<=", "unit": "U" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "S" } ] } }, { "resourceType": "Observation", "id": "o6", "status": "final", "code": { "coding": [ { "system": "http://example.org/local", "code": "CFZ", "display": "CEFAZOLIN" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4, "comparator": "<=", "unit": "U" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "S" } ] } }, { "resourceType": "Observation", "id": "o7", "status": "final", "code": { "coding": [ { "system": "http://example.org/local", "code": "FEP", "display": "CEFEPIME" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1, "comparator": "<=", "unit": "U" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "S" } ] } }, { "resourceType": "Observation", "id": "o8", "status": "final", "code": { "coding": [ { "system": "http://example.org/local", "code": "CTN", "display": "CEFOTETAN" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4, "comparator": "<=", "unit": "U" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "S" } ] } }, { "resourceType": "Observation", "id": "o9", "status": "final", "code": { "coding": [ { "system": "http://example.org/local", "code": "TAZ", "display": "CEFTAZIDIME" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1, "comparator": "<=", "unit": "U" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "S" } ] } }, { "resourceType": "Observation", "id": "o10", "status": "final", "code": { "coding": [ { "system": "http://example.org/local", "code": "CRO", "display": "CEFTRIAXONE" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1, "comparator": "<=", "unit": "U" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "S" } ] } }, { "resourceType": "Observation", "id": "o11", "status": "final", "code": { "coding": [ { "system": "http://example.org/local", "code": "CIPRO", "display": "CIPROFLOXACIN" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.25, "comparator": "<=", "unit": "U" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "S" } ] } }, { "resourceType": "Observation", "id": "o12", "status": "final", "code": { "coding": [ { "system": "http://example.org/local", "code": "GM", "display": "GENTAMICIN" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1, "comparator": "<=", "unit": "U" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "S" } ] } }, { "resourceType": "Observation", "id": "o13", "status": "final", "code": { "coding": [ { "system": "http://example.org/local", "code": "IPM", "display": "IMIPENEM" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1, "comparator": "<=", "unit": "U" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "S" } ] } }, { "resourceType": "Observation", "id": "o14", "status": "final", "code": { "coding": [ { "system": "http://example.org/local", "code": "LVX", "display": "LEVOFLOXACIN" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.25, "comparator": "<=", "unit": "U" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "S" } ] } }, { "resourceType": "Observation", "id": "o15", "status": "final", "code": { "coding": [ { "system": "http://example.org/local", "code": "NIT", "display": "NITROFURANTOIN" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 32, "unit": "U" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "S" } ] } }, { "resourceType": "Observation", "id": "o16", "status": "final", "code": { "coding": [ { "system": "http://example.org/local", "code": "PTZ", "display": "PIPERACILLIN/TAZOBAC" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4, "comparator": "<=", "unit": "U" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "S" } ] } }, { "resourceType": "Observation", "id": "o17", "status": "final", "code": { "coding": [ { "system": "http://example.org/local", "code": "TRSUV", "display": "TRIMETH/SULFA" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 20, "comparator": "<=", "unit": "U" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "S" } ] } }, { "resourceType": "Observation", "id": "o18", "status": "final", "code": { "coding": [ { "system": "http://example.org/local", "code": "TOB", "display": "TOBRAMYCIN" } ] }, "subject": { "reference": "Patient/5" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 1, "comparator": "<=", "unit": "U" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "S" } ] } } ], "identifier": [ { "system": "http://acme.com/lab/reports", "value": "5234342" } ], "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "18769-0", "display": "Microbial susceptibility tests Set" } ] }, "subject": { "reference": "Patient/5" }, "effectiveDateTime": "2005-11-07T21:44:17Z", "issued": "2005-11-07T23:38:01Z", "performer": { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" }, "specimen": [ { "display": "URINE, CLEAN CATCH/MIDSTREAM" } ], "result": [ { "reference": "#o1" }, { "reference": "#o2" }, { "reference": "#o3" }, { "reference": "#o4" }, { "reference": "#o5" }, { "reference": "#o6" }, { "reference": "#o7" }, { "reference": "#o8" }, { "reference": "#o9" }, { "reference": "#o10" }, { "reference": "#o11" }, { "reference": "#o12" }, { "reference": "#o13" }, { "reference": "#o14" }, { "reference": "#o15" }, { "reference": "#o16" }, { "reference": "#o17" }, { "reference": "#o18" } ] } }, { "fullUrl": "http://hl7.org/fhir/DiagnosticReport/26", "resource": { "resourceType": "DiagnosticReport", "id": "26", "meta": { "lastUpdated": "2012-04-14T10:35:23Z" }, "text": { "status": "generated", "div": "<div><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' = '??', given as 'Rapid Plasma Reagin'})</span></p><p><b>subject</b>: <a>Patient/6</a></p><p><b>effective</b>: 08/03/2005 1:02:17 AM</p><p><b>issued</b>: 08/03/2005 1:02:01 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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>; Patient/6; Acme Laboratory, Inc; value: Non-reactive</p></div>" }, "contained": [ { "resourceType": "Observation", "id": "o1", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "20507-0", "display": "Reagin Ab [Presence] in Serum by RPR" } ] }, "subject": { "reference": "Patient/6" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueString": "Non-reactive" } ], "identifier": [ { "system": "http://acme.com/lab/reports", "value": "5234342" } ], "status": "final", "code": { "coding": [ { "system": "http://acme.com/labs/reports", "code": "142080", "display": "Rapid Plasma Reagin" } ], "text": "RPR" }, "subject": { "reference": "Patient/6" }, "effectiveDateTime": "2005-03-07T14:02:17Z", "issued": "2005-03-07T14:02:01Z", "performer": { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" }, "result": [ { "reference": "#o1" } ] } }, { "fullUrl": "http://hl7.org/fhir/DiagnosticReport/27", "resource": { "resourceType": "DiagnosticReport", "id": "27", "meta": { "lastUpdated": "2012-05-23T14:27:01Z" }, "text": { "status": "generated", "div": "<div>\n <table>\n <tr>\n <td>hsCRP</td>\n <td>2.8</td>\n <td>mg/L</td>\n <td>1.0-3.0</td>\n </tr>\n </table>\n </div>" }, "contained": [ { "resourceType": "Observation", "id": "o1", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "30522-7", "display": "C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method" }, { "system": "http://snomed.info/sct", "code": "55235003" } ], "text": "hsCRP" }, "subject": { "reference": "Patient/1" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 2.8, "unit": "mg/L" }, "referenceRange": [ { "low": { "value": 1.0, "unit": "mg/L" }, "high": { "value": 3.0, "unit": "mg/L" } } ] } ], "identifier": [ { "system": "http://acme.com/lab/reports", "value": "23412355" } ], "status": "final", "code": { "coding": [ { "system": "http://acme.com/labs/reports", "code": "bchem2", "display": "Specialist Biochemistry" } ] }, "subject": { "reference": "Patient/1" }, "effectiveDateTime": "2012-05-21T10:45:00Z", "issued": "2012-05-23T14:27:01Z", "performer": { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" }, "result": [ { "reference": "#o1" } ] } } ] }
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.