Release 5 Preview #3

Diagnosticreport-example-ghp.xml

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

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

An Example of a report with multiple specimen and panels (id = "ghp")

<?xml version="1.0" encoding="UTF-8"?>

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