Release 5 Preview #3

Diagnosticreport-example-ghp.json

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

Raw JSON (canonical form + also see JSON Format Specification)

An Example of a report with multiple specimen and panels

{
  "resourceType": "Bundle",
  "id": "ghp",
  "type": "collection",
  "entry": [
    {
      "fullUrl": "https://example.com/base/DiagnosticReport/ghp",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "ghp",
        "meta": {
          "lastUpdated": "2015-08-16T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2><span>General Health Profile</span> </h2><table><tr><td>Subject</td><td><b>Duck D Donald (OFFICIAL)</b> ?? DoB Unknown ( Medical record number: 123456 (USUAL))</td></tr><tr><td>When For</td><td>Aug 16, 2015 6:40:17 AM</td></tr><tr><td>Reported</td><td>Aug 17, 2015 6:40:17 AM</td></tr><tr><td>Identifier:</td><td> id: ghp-example</td></tr></table><p><b>Report Details</b></p><table><tr><td><b>Code</b></td><td><b>Value</b></td></tr><tr><td><i><a>Observation</a></i></td></tr><tr><td><i><a>Observation</a></i></td></tr><tr><td><i><a>Observation</a></i></td></tr></table></div>"
        },
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "ghp-example"
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://acme.com/labs/reports",
              "code": "GHP",
              "display": "General Health Profile"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "effectiveDateTime": "2015-08-16T06:40:17Z",
        "issued": "2015-08-17T06:40:17Z",
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "specimen": [
          {
            "reference": "Specimen/rtt",
            "display": "Red Top Tube"
          },
          {
            "reference": "Specimen/ltt",
            "display": "Lavender Top Tube"
          },
          {
            "reference": "Specimen/urine",
            "display": "Urine Sample"
          }
        ],
        "result": [
          {
            "reference": "Observation/p1",
            "display": "Chemistry Panel"
          },
          {
            "reference": "Observation/p2",
            "display": "CBC"
          },
          {
            "reference": "Observation/p3",
            "display": "Urinalysis"
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Specimen/rtt",
      "resource": {
        "resourceType": "Specimen",
        "id": "rtt",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>accessionIdentifier</b>: id: 20150816-00124</p><p><b>type</b>: <span>Serum sample</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><h3>Collections</h3><table><tr><td>-</td><td><b>Collector</b></td><td><b>Collected[x]</b></td></tr><tr><td>*</td><td><a>Generated Summary: UZI-nummer: 12345678902 (OFFICIAL), BIG-nummer: 12345678902 (OFFICIAL); active; Luigi Maas(OFFICIAL); Phone: +31715269111; gender: male; birthDate: 1960-06-12</a></td><td>Aug 16, 2015 6:40:17 AM</td></tr></table><h3>Containers</h3><table><tr><td>-</td><td><b>Type</b></td></tr><tr><td>*</td><td><span>Serum Separator Tube</span></td></tr></table></div>"
        },
        "accessionIdentifier": {
          "system": "http://acme.com/labs/accession-ids",
          "value": "20150816-00124"
        },
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "119364003",
              "display": "Serum sample"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "collection": {
          "collector": {
            "reference": "Practitioner/f202"
          },
          "collectedDateTime": "2015-08-16T06:40:17Z"
        },
        "container": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://acme.com/labs",
                  "code": "SST",
                  "display": "Serum Separator Tube"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Specimen/ltt",
      "resource": {
        "resourceType": "Specimen",
        "id": "ltt",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>accessionIdentifier</b>: id: 20150816-00124</p><p><b>type</b>: <span>Blood specimen with EDTA</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><h3>Collections</h3><table><tr><td>-</td><td><b>Collector</b></td><td><b>Collected[x]</b></td></tr><tr><td>*</td><td><a>Generated Summary: UZI-nummer: 12345678902 (OFFICIAL), BIG-nummer: 12345678902 (OFFICIAL); active; Luigi Maas(OFFICIAL); Phone: +31715269111; gender: male; birthDate: 1960-06-12</a></td><td>Aug 16, 2015 6:40:17 AM</td></tr></table><h3>Containers</h3><table><tr><td>-</td><td><b>Type</b></td></tr><tr><td>*</td><td><span>Lavender Top Tube</span></td></tr></table></div>"
        },
        "accessionIdentifier": {
          "system": "http://acme.com/labs/accession-ids",
          "value": "20150816-00124"
        },
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "445295009",
              "display": "Blood specimen with EDTA"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "collection": {
          "collector": {
            "reference": "Practitioner/f202"
          },
          "collectedDateTime": "2015-08-16T06:40:17Z"
        },
        "container": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://acme.com/labs",
                  "code": "LTT",
                  "display": "Lavender Top Tube"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Specimen/urine",
      "resource": {
        "resourceType": "Specimen",
        "id": "urine",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>accessionIdentifier</b>: id: 20150816-00124</p><p><b>type</b>: <span>Urine specimen</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><h3>Collections</h3><table><tr><td>-</td><td><b>Collector</b></td><td><b>Collected[x]</b></td></tr><tr><td>*</td><td><a>Generated Summary: UZI-nummer: 12345678902 (OFFICIAL), BIG-nummer: 12345678902 (OFFICIAL); active; Luigi Maas(OFFICIAL); Phone: +31715269111; gender: male; birthDate: 1960-06-12</a></td><td>Aug 16, 2015 6:40:17 AM</td></tr></table><h3>Containers</h3><table><tr><td>-</td><td><b>Type</b></td></tr><tr><td>*</td><td><span>100mL sterile cup</span></td></tr></table></div>"
        },
        "accessionIdentifier": {
          "system": "http://acme.com/labs/accession-ids",
          "value": "20150816-00124"
        },
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "122575003",
              "display": "Urine specimen"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "collection": {
          "collector": {
            "reference": "Practitioner/f202"
          },
          "collectedDateTime": "2015-08-16T06:40:17Z"
        },
        "container": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://acme.com/labs",
                  "code": "UCUP",
                  "display": "100mL sterile cup"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/p2",
      "resource": {
        "resourceType": "Observation",
        "id": "p2",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Complete blood count (hemogram) panel - Blood by Automated count</span></p><p><b>effective</b>: Aug 16, 2015 6:40:17 AM</p><p><b>issued</b>: Aug 17, 2015 6:40:17 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>specimen</b>: <a>Lavender Top Tube</a></p><p><b>hasMember</b>: </p><ul><li><a>Observation/r1</a></li><li><a>Observation/r2</a></li><li><a>Observation/r3</a></li><li><a>Observation/r4</a></li><li><a>Observation/r5</a></li><li><a>Observation/r6</a></li><li><a>Observation/r7</a></li><li><a>Observation/r8</a></li><li><a>Observation/r9</a></li><li><a>Observation/r10</a></li><li><a>Observation/r11</a></li><li><a>Observation/r12</a></li><li><a>Observation/r13</a></li><li><a>Observation/r14</a></li><li><a>Observation/r15</a></li><li><a>Observation/r16</a></li><li><a>Observation/r17</a></li></ul></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "58410-2",
              "display": "Complete blood count (hemogram) panel - Blood by Automated count"
            }
          ]
        },
        "effectiveDateTime": "2015-08-16T06:40:17Z",
        "issued": "2015-08-17T06:40:17Z",
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "specimen": {
          "reference": "Specimen/ltt",
          "display": "Lavender Top Tube"
        },
        "hasMember": [
          {
            "reference": "Observation/r1"
          },
          {
            "reference": "Observation/r2"
          },
          {
            "reference": "Observation/r3"
          },
          {
            "reference": "Observation/r4"
          },
          {
            "reference": "Observation/r5"
          },
          {
            "reference": "Observation/r6"
          },
          {
            "reference": "Observation/r7"
          },
          {
            "reference": "Observation/r8"
          },
          {
            "reference": "Observation/r9"
          },
          {
            "reference": "Observation/r10"
          },
          {
            "reference": "Observation/r11"
          },
          {
            "reference": "Observation/r12"
          },
          {
            "reference": "Observation/r13"
          },
          {
            "reference": "Observation/r14"
          },
          {
            "reference": "Observation/r15"
          },
          {
            "reference": "Observation/r16"
          },
          {
            "reference": "Observation/r17"
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/r1",
      "resource": {
        "resourceType": "Observation",
        "id": "r1",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Haemoglobin</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 176 g/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>135 g/L</td><td>180 g/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "718-7",
              "display": "Hemoglobin [Mass/volume] in Blood"
            }
          ],
          "text": "Haemoglobin"
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 176,
          "unit": "g/L",
          "system": "http://unitsofmeasure.org",
          "code": "g/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 135,
              "unit": "g/L",
              "system": "http://unitsofmeasure.org",
              "code": "g/L"
            },
            "high": {
              "value": 180,
              "unit": "g/L",
              "system": "http://unitsofmeasure.org",
              "code": "g/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/r2",
      "resource": {
        "resourceType": "Observation",
        "id": "r2",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Red Cell Count</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 5.9 x10*12/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>4.2 x10*12/L</td><td>6.0 x10*12/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "789-8",
              "display": "Erythrocytes [#/volume] in Blood by Automated count"
            }
          ],
          "text": "Red Cell Count"
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 5.9,
          "unit": "x10*12/L",
          "system": "http://unitsofmeasure.org",
          "code": "10*12/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 4.2,
              "unit": "x10*12/L",
              "system": "http://unitsofmeasure.org",
              "code": "10*12/L"
            },
            "high": {
              "value": 6.0,
              "unit": "x10*12/L",
              "system": "http://unitsofmeasure.org",
              "code": "10*12/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/r3",
      "resource": {
        "resourceType": "Observation",
        "id": "r3",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Haematocrit</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 55 %</p><p><b>interpretation</b>: <span>High</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>38 %</td><td>52 %</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "4544-3",
              "display": "Hematocrit [Volume Fraction] of Blood by Automated count"
            }
          ],
          "text": "Haematocrit"
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 55,
          "unit": "%"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "H"
              }
            ]
          }
        ],
        "referenceRange": [
          {
            "low": {
              "value": 38,
              "unit": "%"
            },
            "high": {
              "value": 52,
              "unit": "%"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/r4",
      "resource": {
        "resourceType": "Observation",
        "id": "r4",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Mean Cell Volume</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 99 fL</p><p><b>interpretation</b>: <span>High</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>80 fL</td><td>98 fL</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "787-2",
              "display": "Erythrocyte mean corpuscular volume [Entitic volume] by Automated count"
            }
          ],
          "text": "Mean Cell Volume"
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 99,
          "unit": "fL",
          "system": "http://unitsofmeasure.org",
          "code": "fL"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "H"
              }
            ]
          }
        ],
        "referenceRange": [
          {
            "low": {
              "value": 80,
              "unit": "fL",
              "system": "http://unitsofmeasure.org",
              "code": "fL"
            },
            "high": {
              "value": 98,
              "unit": "fL",
              "system": "http://unitsofmeasure.org",
              "code": "fL"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/r5",
      "resource": {
        "resourceType": "Observation",
        "id": "r5",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Mean Cell Haemoglobin</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 36 pg</p><p><b>interpretation</b>: <span>High</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>27 pg</td><td>35 pg</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "785-6",
              "display": "Erythrocyte mean corpuscular hemoglobin [Entitic mass] by Automated count"
            }
          ],
          "text": "Mean Cell Haemoglobin"
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 36,
          "unit": "pg",
          "system": "http://unitsofmeasure.org",
          "code": "pg"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "H"
              }
            ]
          }
        ],
        "referenceRange": [
          {
            "low": {
              "value": 27,
              "unit": "pg",
              "system": "http://unitsofmeasure.org",
              "code": "pg"
            },
            "high": {
              "value": 35,
              "unit": "pg",
              "system": "http://unitsofmeasure.org",
              "code": "pg"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/r6",
      "resource": {
        "resourceType": "Observation",
        "id": "r6",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Platelet Count</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 444 x10*9/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>150 x10*9/L</td><td>450 x10*9/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "777-3",
              "display": "Platelets [#/volume] in Blood by Automated count"
            }
          ],
          "text": "Platelet Count"
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 444,
          "unit": "x10*9/L",
          "system": "http://unitsofmeasure.org",
          "code": "10*9/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 150,
              "unit": "x10*9/L",
              "system": "http://unitsofmeasure.org",
              "code": "10*9/L"
            },
            "high": {
              "value": 450,
              "unit": "x10*9/L",
              "system": "http://unitsofmeasure.org",
              "code": "10*9/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/r7",
      "resource": {
        "resourceType": "Observation",
        "id": "r7",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>White Cell Count</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 4.6 x10*9/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>4.0 x10*9/L</td><td>11.0 x10*9/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "6690-2",
              "display": "Leukocytes [#/volume] in Blood by Automated count"
            }
          ],
          "text": "White Cell Count"
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 4.6,
          "unit": "x10*9/L",
          "system": "http://unitsofmeasure.org",
          "code": "10*9/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 4.0,
              "unit": "x10*9/L",
              "system": "http://unitsofmeasure.org",
              "code": "10*9/L"
            },
            "high": {
              "value": 11.0,
              "unit": "x10*9/L",
              "system": "http://unitsofmeasure.org",
              "code": "10*9/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/r8",
      "resource": {
        "resourceType": "Observation",
        "id": "r8",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Neutrophils</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 20 %</p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "770-8",
              "display": "Neutrophils/100 leukocytes in Blood by Automated count"
            }
          ],
          "text": "Neutrophils"
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 20,
          "unit": "%",
          "system": "http://unitsofmeasure.org",
          "code": "%"
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/r9",
      "resource": {
        "resourceType": "Observation",
        "id": "r9",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Neutrophils</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 0.9 x10*9/L</p><p><b>interpretation</b>: <span>Critical low</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>2.0 x10*9/L</td><td>7.5 x10*9/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "751-8",
              "display": "Neutrophils [#/volume] in Blood by Automated count"
            }
          ],
          "text": "Neutrophils"
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 0.9,
          "unit": "x10*9/L",
          "system": "http://unitsofmeasure.org",
          "code": "10*9/L"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "LL"
              }
            ]
          }
        ],
        "referenceRange": [
          {
            "low": {
              "value": 2.0,
              "unit": "x10*9/L",
              "system": "http://unitsofmeasure.org",
              "code": "10*9/L"
            },
            "high": {
              "value": 7.5,
              "unit": "x10*9/L",
              "system": "http://unitsofmeasure.org",
              "code": "10*9/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/r10",
      "resource": {
        "resourceType": "Observation",
        "id": "r10",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Lymphocytes</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 20 %</p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "736-9",
              "display": "Lymphocytes/100 leukocytes in Blood by Automated count"
            }
          ],
          "text": "Lymphocytes"
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 20,
          "unit": "%",
          "system": "http://unitsofmeasure.org",
          "code": "%"
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/r11",
      "resource": {
        "resourceType": "Observation",
        "id": "r11",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Lymphocytes</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 0.9 x10*9/L</p><p><b>interpretation</b>: <span>Low</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>1.1 x10*9/L</td><td>4.0 x10*9/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "731-0",
              "display": "Lymphocytes [#/volume] in Blood by Automated count"
            }
          ],
          "text": "Lymphocytes"
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 0.9,
          "unit": "x10*9/L",
          "system": "http://unitsofmeasure.org",
          "code": "10*9/L"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "L"
              }
            ]
          }
        ],
        "referenceRange": [
          {
            "low": {
              "value": 1.1,
              "unit": "x10*9/L",
              "system": "http://unitsofmeasure.org",
              "code": "10*9/L"
            },
            "high": {
              "value": 4.0,
              "unit": "x10*9/L",
              "system": "http://unitsofmeasure.org",
              "code": "10*9/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/r12",
      "resource": {
        "resourceType": "Observation",
        "id": "r12",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Monocytes</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 20 %</p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "5905-5",
              "display": "Monocytes/100 leukocytes in Blood by Automated count"
            }
          ],
          "text": "Monocytes"
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 20,
          "unit": "%",
          "system": "http://unitsofmeasure.org",
          "code": "%"
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/r13",
      "resource": {
        "resourceType": "Observation",
        "id": "r13",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Monocytes</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 0.9 x10*9/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>0.2 x10*9/L</td><td>1.0 x10*9/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "742-7",
              "display": "Monocytes [#/volume] in Blood by Automated count"
            }
          ],
          "text": "Monocytes"
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 0.9,
          "unit": "x10*9/L",
          "system": "http://unitsofmeasure.org",
          "code": "10*9/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0.2,
              "unit": "x10*9/L",
              "system": "http://unitsofmeasure.org",
              "code": "10*9/L"
            },
            "high": {
              "value": 1.0,
              "unit": "x10*9/L",
              "system": "http://unitsofmeasure.org",
              "code": "10*9/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/r14",
      "resource": {
        "resourceType": "Observation",
        "id": "r14",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Eosinophils</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 20 %</p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "713-8",
              "display": "Eosinophils/100 leukocytes in Blood by Automated count"
            }
          ],
          "text": "Eosinophils"
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 20,
          "unit": "%",
          "system": "http://unitsofmeasure.org",
          "code": "%"
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/r15",
      "resource": {
        "resourceType": "Observation",
        "id": "r15",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Eosinophils</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 0.92 x10*9/L</p><p><b>interpretation</b>: <span>Critical high</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>0.04 x10*9/L</td><td>0.40 x10*9/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "711-2",
              "display": "Eosinophils [#/volume] in Blood by Automated count"
            }
          ],
          "text": "Eosinophils"
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 0.92,
          "unit": "x10*9/L",
          "system": "http://unitsofmeasure.org",
          "code": "10*9/L"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "HH"
              }
            ]
          }
        ],
        "referenceRange": [
          {
            "low": {
              "value": 0.04,
              "unit": "x10*9/L",
              "system": "http://unitsofmeasure.org",
              "code": "10*9/L"
            },
            "high": {
              "value": 0.40,
              "unit": "x10*9/L",
              "system": "http://unitsofmeasure.org",
              "code": "10*9/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/r16",
      "resource": {
        "resourceType": "Observation",
        "id": "r16",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Basophils</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 20 %</p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "706-2",
              "display": "Basophils/100 leukocytes in Blood by Automated count"
            }
          ],
          "text": "Basophils"
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 20,
          "unit": "%",
          "system": "http://unitsofmeasure.org",
          "code": "%"
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/r17",
      "resource": {
        "resourceType": "Observation",
        "id": "r17",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Basophils</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 0.92 x10*9/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>High</b></td></tr><tr><td>*</td><td>0.21 x10*9/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "704-7",
              "display": "Basophils [#/volume] in Blood by Automated count"
            }
          ],
          "text": "Basophils"
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 0.92,
          "unit": "x10*9/L",
          "system": "http://unitsofmeasure.org",
          "code": "10*9/L"
        },
        "referenceRange": [
          {
            "high": {
              "value": 0.21,
              "unit": "x10*9/L",
              "system": "http://unitsofmeasure.org",
              "code": "10*9/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/p1",
      "resource": {
        "resourceType": "Observation",
        "id": "p1",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Comprehensive metabolic 2000 panel - Serum or Plasma</span></p><p><b>effective</b>: Aug 16, 2015 6:40:17 AM</p><p><b>issued</b>: Aug 17, 2015 6:40:17 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>specimen</b>: <a>Red Top Tube</a></p><p><b>hasMember</b>: </p><ul><li><a>Observation/o1</a></li><li><a>Observation/o2</a></li><li><a>Observation/o3</a></li><li><a>Observation/o4</a></li><li><a>Observation/o5</a></li><li><a>Observation/o6</a></li><li><a>Observation/o7</a></li><li><a>Observation/o8</a></li><li><a>Observation/o9</a></li><li><a>Observation/o10</a></li><li><a>Observation/o11</a></li><li><a>Observation/o12</a></li><li><a>Observation/o13</a></li><li><a>Observation/o14</a></li><li><a>Observation/o15</a></li><li><a>Observation/o16</a></li><li><a>Observation/o17</a></li><li><a>Observation/o18</a></li><li><a>Observation/o19</a></li><li><a>Observation/o20</a></li><li><a>Observation/o21</a></li><li><a>Observation/o22</a></li></ul></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "24323-8",
              "display": "Comprehensive metabolic 2000 panel - Serum or Plasma"
            }
          ]
        },
        "effectiveDateTime": "2015-08-16T06:40:17Z",
        "issued": "2015-08-17T06:40:17Z",
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "specimen": {
          "reference": "Specimen/rtt",
          "display": "Red Top Tube"
        },
        "hasMember": [
          {
            "reference": "Observation/o1"
          },
          {
            "reference": "Observation/o2"
          },
          {
            "reference": "Observation/o3"
          },
          {
            "reference": "Observation/o4"
          },
          {
            "reference": "Observation/o5"
          },
          {
            "reference": "Observation/o6"
          },
          {
            "reference": "Observation/o7"
          },
          {
            "reference": "Observation/o8"
          },
          {
            "reference": "Observation/o9"
          },
          {
            "reference": "Observation/o10"
          },
          {
            "reference": "Observation/o11"
          },
          {
            "reference": "Observation/o12"
          },
          {
            "reference": "Observation/o13"
          },
          {
            "reference": "Observation/o14"
          },
          {
            "reference": "Observation/o15"
          },
          {
            "reference": "Observation/o16"
          },
          {
            "reference": "Observation/o17"
          },
          {
            "reference": "Observation/o18"
          },
          {
            "reference": "Observation/o19"
          },
          {
            "reference": "Observation/o20"
          },
          {
            "reference": "Observation/o21"
          },
          {
            "reference": "Observation/o22"
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o1",
      "resource": {
        "resourceType": "Observation",
        "id": "o1",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Sodium [Moles/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 140 mmol/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>137 mmol/L</td><td>147 mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2951-2",
              "display": "Sodium [Moles/volume] in Serum or Plasma"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "104934005"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 140,
          "unit": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 137,
              "unit": "mmol/L"
            },
            "high": {
              "value": 147,
              "unit": "mmol/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o2",
      "resource": {
        "resourceType": "Observation",
        "id": "o2",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Potassium [Moles/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 4.2 mmol/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>3.5 mmol/L</td><td>5.0 mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2823-3",
              "display": "Potassium [Moles/volume] in Serum or Plasma"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "59573005"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 4.2,
          "unit": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 3.5,
              "unit": "mmol/L"
            },
            "high": {
              "value": 5.0,
              "unit": "mmol/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o3",
      "resource": {
        "resourceType": "Observation",
        "id": "o3",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Chloride [Moles/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 105 mmol/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>96 mmol/L</td><td>109 mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2075-0",
              "display": "Chloride [Moles/volume] in Serum or Plasma"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "46511006"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 105,
          "unit": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 96,
              "unit": "mmol/L"
            },
            "high": {
              "value": 109,
              "unit": "mmol/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o4",
      "resource": {
        "resourceType": "Observation",
        "id": "o4",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Bicarbonate [Moles/volume] in Serum</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 26 mmol/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>25 mmol/L</td><td>33 mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "1963-8",
              "display": "Bicarbonate [Moles/volume] in Serum"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "88645003"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 26,
          "unit": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 25,
              "unit": "mmol/L"
            },
            "high": {
              "value": 33,
              "unit": "mmol/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o5",
      "resource": {
        "resourceType": "Observation",
        "id": "o5",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Anion gap 4 in Serum or Plasma</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 13 mmol/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>4 mmol/L</td><td>17 mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "1863-0",
              "display": "Anion gap 4 in Serum or Plasma"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "271057005"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 13,
          "unit": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 4,
              "unit": "mmol/L"
            },
            "high": {
              "value": 17,
              "unit": "mmol/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o6",
      "resource": {
        "resourceType": "Observation",
        "id": "o6",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Glucose [Moles/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 7.4 mmol/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>3.0 mmol/L</td><td>7.7 mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "14749-6",
              "display": "Glucose [Moles/volume] in Serum or Plasma"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "36048009"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 7.4,
          "unit": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 3.0,
              "unit": "mmol/L"
            },
            "high": {
              "value": 7.7,
              "unit": "mmol/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o7",
      "resource": {
        "resourceType": "Observation",
        "id": "o7",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Urea nitrogen [Moles/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 4.7 mmol/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>2.0 mmol/L</td><td>7.0 mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "14937-7",
              "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "273967009"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 4.7,
          "unit": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 2.0,
              "unit": "mmol/L"
            },
            "high": {
              "value": 7.0,
              "unit": "mmol/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o8",
      "resource": {
        "resourceType": "Observation",
        "id": "o8",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Creatinine [Moles/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 0.09 mmol/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>0.04 mmol/L</td><td>0.11 mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "14682-9",
              "display": "Creatinine [Moles/volume] in Serum or Plasma"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "70901006"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 0.09,
          "unit": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0.04,
              "unit": "mmol/L"
            },
            "high": {
              "value": 0.11,
              "unit": "mmol/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o9",
      "resource": {
        "resourceType": "Observation",
        "id": "o9",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Urate [Moles/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 0.39 mmol/L</p><p><b>interpretation</b>: <span>High</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>0.14 mmol/L</td><td>0.35 mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "14933-6",
              "display": "Urate [Moles/volume] in Serum or Plasma"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "86228006"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 0.39,
          "unit": "mmol/L"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "H"
              }
            ]
          }
        ],
        "referenceRange": [
          {
            "low": {
              "value": 0.14,
              "unit": "mmol/L"
            },
            "high": {
              "value": 0.35,
              "unit": "mmol/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o10",
      "resource": {
        "resourceType": "Observation",
        "id": "o10",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Bilirubin.total [Moles/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 7 umol/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>2 umol/L</td><td>20 umol/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "14631-6",
              "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "27171005"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 7,
          "unit": "umol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 2,
              "unit": "umol/L"
            },
            "high": {
              "value": 20,
              "unit": "umol/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o11",
      "resource": {
        "resourceType": "Observation",
        "id": "o11",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Bilirubin.direct [Moles/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 3 umol/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>0 umol/L</td><td>8 umol/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "14629-0",
              "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "39748002"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 3,
          "unit": "umol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "unit": "umol/L"
            },
            "high": {
              "value": 8,
              "unit": "umol/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o12",
      "resource": {
        "resourceType": "Observation",
        "id": "o12",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 108 U/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>30 U/L</td><td>115 U/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "6768-6",
              "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "88810008"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 108,
          "unit": "U/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 30,
              "unit": "U/L"
            },
            "high": {
              "value": 115,
              "unit": "U/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o13",
      "resource": {
        "resourceType": "Observation",
        "id": "o13",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 35 U/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>0 U/L</td><td>45 U/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2324-2",
              "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "69480007"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 35,
          "unit": "U/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "unit": "U/L"
            },
            "high": {
              "value": 45,
              "unit": "U/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o14",
      "resource": {
        "resourceType": "Observation",
        "id": "o14",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 54 U/L</p><p><b>interpretation</b>: <span>High</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>0 U/L</td><td>45 U/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "1742-6",
              "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "34608000"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 54,
          "unit": "U/L"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "H"
              }
            ]
          }
        ],
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "unit": "U/L"
            },
            "high": {
              "value": 45,
              "unit": "U/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o15",
      "resource": {
        "resourceType": "Observation",
        "id": "o15",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 30 U/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>0 U/L</td><td>41 U/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "1920-8",
              "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "45896001"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 30,
          "unit": "U/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "unit": "U/L"
            },
            "high": {
              "value": 41,
              "unit": "U/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o16",
      "resource": {
        "resourceType": "Observation",
        "id": "o16",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 131 U/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>80 U/L</td><td>250 U/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2532-0",
              "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "11274001"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 131,
          "unit": "U/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 80,
              "unit": "U/L"
            },
            "high": {
              "value": 250,
              "unit": "U/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o17",
      "resource": {
        "resourceType": "Observation",
        "id": "o17",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Calcium [Moles/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 2.38 mmol/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>2.25 mmol/L</td><td>2.65 mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2000-8",
              "display": "Calcium [Moles/volume] in Serum or Plasma"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "71878006"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 2.38,
          "unit": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 2.25,
              "unit": "mmol/L"
            },
            "high": {
              "value": 2.65,
              "unit": "mmol/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o18",
      "resource": {
        "resourceType": "Observation",
        "id": "o18",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Calcium.ionized [Moles/volume] in Serum or Plasma by calculation</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 2.39 mmol/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>2.25 mmol/L</td><td>2.65 mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "13959-2",
              "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "166708003"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 2.39,
          "unit": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 2.25,
              "unit": "mmol/L"
            },
            "high": {
              "value": 2.65,
              "unit": "mmol/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o19",
      "resource": {
        "resourceType": "Observation",
        "id": "o19",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Phosphate [Moles/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 1.5 mmol/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>0.8 mmol/L</td><td>1.5 mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "14879-1",
              "display": "Phosphate [Moles/volume] in Serum or Plasma"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "104866001"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 1.5,
          "unit": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0.8,
              "unit": "mmol/L"
            },
            "high": {
              "value": 1.5,
              "unit": "mmol/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o20",
      "resource": {
        "resourceType": "Observation",
        "id": "o20",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Protein [Mass/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 67 g/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>60 g/L</td><td>82 g/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2885-2",
              "display": "Protein [Mass/volume] in Serum or Plasma"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "74040009"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 67,
          "unit": "g/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 60,
              "unit": "g/L"
            },
            "high": {
              "value": 82,
              "unit": "g/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o21",
      "resource": {
        "resourceType": "Observation",
        "id": "o21",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Albumin [Mass/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 42 g/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>35 g/L</td><td>50 g/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "1751-7",
              "display": "Albumin [Mass/volume] in Serum or Plasma"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "104485008"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 42,
          "unit": "g/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 35,
              "unit": "g/L"
            },
            "high": {
              "value": 50,
              "unit": "g/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/o22",
      "resource": {
        "resourceType": "Observation",
        "id": "o22",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Globulin [Mass/volume] in Serum by calculation</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 25 g/L</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>20 g/L</td><td>40 g/L</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "10834-0",
              "display": "Globulin [Mass/volume] in Serum by calculation"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "104979009"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 25,
          "unit": "g/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 20,
              "unit": "g/L"
            },
            "high": {
              "value": 40,
              "unit": "g/L"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/p3",
      "resource": {
        "resourceType": "Observation",
        "id": "p3",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Urinalysis macro (dipstick) panel - Urine</span></p><p><b>effective</b>: Aug 16, 2015 6:40:17 AM</p><p><b>issued</b>: Aug 17, 2015 6:40:17 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>specimen</b>: <a>Urine Sample</a></p><p><b>hasMember</b>: </p><ul><li><a>Observation/u1</a></li><li><a>Observation/u2</a></li><li><a>Observation/u3</a></li><li><a>Observation/u4</a></li><li><a>Observation/u5</a></li><li><a>Observation/u6</a></li><li><a>Observation/u7</a></li><li><a>Observation/u8</a></li><li><a>Observation/u9</a></li></ul></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "24357-6",
              "display": "Urinalysis macro (dipstick) panel - Urine"
            }
          ]
        },
        "effectiveDateTime": "2015-08-16T06:40:17Z",
        "issued": "2015-08-17T06:40:17Z",
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "specimen": {
          "reference": "Specimen/urine",
          "display": "Urine Sample"
        },
        "hasMember": [
          {
            "reference": "Observation/u1"
          },
          {
            "reference": "Observation/u2"
          },
          {
            "reference": "Observation/u3"
          },
          {
            "reference": "Observation/u4"
          },
          {
            "reference": "Observation/u5"
          },
          {
            "reference": "Observation/u6"
          },
          {
            "reference": "Observation/u7"
          },
          {
            "reference": "Observation/u8"
          },
          {
            "reference": "Observation/u9"
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/u1",
      "resource": {
        "resourceType": "Observation",
        "id": "u1",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>pH of Urine</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>effective</b>: Aug 16, 2015 6:40:17 AM</p><p><b>issued</b>: Aug 17, 2015 6:40:17 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 5.0 pH</p><p><b>specimen</b>: <a>Urine Sample</a></p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2756-5",
              "display": "pH of Urine"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "effectiveDateTime": "2015-08-16T06:40:17Z",
        "issued": "2015-08-17T06:40:17Z",
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 5.0,
          "unit": "pH"
        },
        "specimen": {
          "reference": "Specimen/urine",
          "display": "Urine Sample"
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/u2",
      "resource": {
        "resourceType": "Observation",
        "id": "u2",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Protein [Presence] in Urine</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>effective</b>: Aug 16, 2015 6:40:17 AM</p><p><b>issued</b>: Aug 17, 2015 6:40:17 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: <span>Negative</span></p><p><b>specimen</b>: <a>Urine Sample</a></p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2887-8",
              "display": "Protein [Presence] in Urine"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "effectiveDateTime": "2015-08-16T06:40:17Z",
        "issued": "2015-08-17T06:40:17Z",
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "260385009",
              "display": "Negative"
            }
          ]
        },
        "specimen": {
          "reference": "Specimen/urine",
          "display": "Urine Sample"
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/u3",
      "resource": {
        "resourceType": "Observation",
        "id": "u3",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Specific gravity of Urine</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>effective</b>: Aug 16, 2015 6:40:17 AM</p><p><b>issued</b>: Aug 17, 2015 6:40:17 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 1.009</p><p><b>specimen</b>: <a>Urine Sample</a></p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2965-2",
              "display": "Specific gravity of Urine"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "effectiveDateTime": "2015-08-16T06:40:17Z",
        "issued": "2015-08-17T06:40:17Z",
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 1.009
        },
        "specimen": {
          "reference": "Specimen/urine",
          "display": "Urine Sample"
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/u4",
      "resource": {
        "resourceType": "Observation",
        "id": "u4",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Erythrocytes [Presence] in Urine</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>effective</b>: Aug 16, 2015 6:40:17 AM</p><p><b>issued</b>: Aug 17, 2015 6:40:17 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: <span>Negative</span></p><p><b>specimen</b>: <a>Urine Sample</a></p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "33051-4",
              "display": "Erythrocytes [Presence] in Urine"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "effectiveDateTime": "2015-08-16T06:40:17Z",
        "issued": "2015-08-17T06:40:17Z",
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "260385009",
              "display": "Negative"
            }
          ]
        },
        "specimen": {
          "reference": "Specimen/urine",
          "display": "Urine Sample"
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/u5",
      "resource": {
        "resourceType": "Observation",
        "id": "u5",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Glucose [Presence] in Urine</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>effective</b>: Aug 16, 2015 6:40:17 AM</p><p><b>issued</b>: Aug 17, 2015 6:40:17 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: <span>Negative</span></p><p><b>specimen</b>: <a>Urine Sample</a></p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2349-9",
              "display": "Glucose [Presence] in Urine"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "effectiveDateTime": "2015-08-16T06:40:17Z",
        "issued": "2015-08-17T06:40:17Z",
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "260385009",
              "display": "Negative"
            }
          ]
        },
        "specimen": {
          "reference": "Specimen/urine",
          "display": "Urine Sample"
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/u6",
      "resource": {
        "resourceType": "Observation",
        "id": "u6",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Leukocytes [Presence] in Urine</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>effective</b>: Aug 16, 2015 6:40:17 AM</p><p><b>issued</b>: Aug 17, 2015 6:40:17 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: <span>Negative</span></p><p><b>specimen</b>: <a>Urine Sample</a></p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "33052-2",
              "display": "Leukocytes [Presence] in Urine"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "effectiveDateTime": "2015-08-16T06:40:17Z",
        "issued": "2015-08-17T06:40:17Z",
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "260385009",
              "display": "Negative"
            }
          ]
        },
        "specimen": {
          "reference": "Specimen/urine",
          "display": "Urine Sample"
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/u7",
      "resource": {
        "resourceType": "Observation",
        "id": "u7",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Leukocytes [#/volume] in Urine</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>effective</b>: Aug 16, 2015 6:40:17 AM</p><p><b>issued</b>: Aug 17, 2015 6:40:17 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: 1 /uL</p><p><b>specimen</b>: <a>Urine Sample</a></p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "30405-5",
              "display": "Leukocytes [#/volume] in Urine"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "effectiveDateTime": "2015-08-16T06:40:17Z",
        "issued": "2015-08-17T06:40:17Z",
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 1,
          "unit": "/uL"
        },
        "specimen": {
          "reference": "Specimen/urine",
          "display": "Urine Sample"
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/u8",
      "resource": {
        "resourceType": "Observation",
        "id": "u8",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Erythocytes [#/volume] in Urine</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>effective</b>: Aug 16, 2015 6:40:17 AM</p><p><b>issued</b>: Aug 17, 2015 6:40:17 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: &lt;1 /uL</p><p><b>specimen</b>: <a>Urine Sample</a></p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "30391-7",
              "display": "Erythocytes [#/volume] in Urine"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "effectiveDateTime": "2015-08-16T06:40:17Z",
        "issued": "2015-08-17T06:40:17Z",
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 1,
          "comparator": "<",
          "unit": "/uL"
        },
        "specimen": {
          "reference": "Specimen/urine",
          "display": "Urine Sample"
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/u9",
      "resource": {
        "resourceType": "Observation",
        "id": "u9",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>code</b>: <span>Epithelial cells.squamous [#/volume] in Urine sediment</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>effective</b>: Aug 16, 2015 6:40:17 AM</p><p><b>issued</b>: Aug 17, 2015 6:40:17 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc. Generated Summary: id: ClinLab; name: Clinical Lab; Phone: +1 555 234 1234, contact@labs.acme.org</a></p><p><b>value</b>: &lt;1 /mL</p><p><b>specimen</b>: <a>Urine Sample</a></p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "13654-9",
              "display": "Epithelial cells.squamous [#/volume] in Urine sediment"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pat2"
        },
        "effectiveDateTime": "2015-08-16T06:40:17Z",
        "issued": "2015-08-17T06:40:17Z",
        "performer": [
          {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        ],
        "valueQuantity": {
          "value": 1,
          "comparator": "<",
          "unit": "/mL"
        },
        "specimen": {
          "reference": "Specimen/urine",
          "display": "Urine Sample"
        }
      }
    }
  ]
}

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.