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Diagnosticreport-examples-general.xml

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

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

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

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

<Bundle xmlns="http://hl7.org/fhir">
  <id value="72ac8493-52ac-41bd-8d5d-7258c289b5ea"/> 
  <meta> 
    <lastUpdated value="2012-04-14T10:35:23Z"/> 
  </meta> 
  <type value="collection"/> 
  <entry> 
    <fullUrl value="http://hl7.org/fhir/Bundle/3"/> 
    <resource> 
      <Bundle> 
        <id value="3"/> 
        <type value="collection"/> 
        <entry> 
          <fullUrl value="https://example.com/base/DiagnosticReport/3"/> 
          <resource> 
            <DiagnosticReport> 
              <id value="3"/> 
              <meta> 
                <lastUpdated value="2012-04-14T10:35:23Z"/> 
              </meta> 
              <text> 
                <status value="generated"/> 
                <div xmlns="http://www.w3.org/1999/xhtml">
                  <table> 
                    <tr> 
                      <td> Sodium</td> 
                      <td> 140</td> 
                      <td> mmol/L</td> 
                      <td> 137-147</td> 
                    </tr> 
                    <tr> 
                      <td> Serum Potassium</td> 
                      <td> 4.2</td> 
                      <td> mmol/L</td> 
                      <td> 3.5-5.0</td> 
                    </tr> 
                    <tr> 
                      <td> Chloride</td> 
                      <td> 105</td> 
                      <td> mmol/L</td> 
                      <td> 96-109</td> 
                    </tr> 
                    <tr> 
                      <td> Bicarbonate</td> 
                      <td> 26</td> 
                      <td> mmol/L</td> 
                      <td> 25-33</td> 
                    </tr> 
                    <tr> 
                      <td> Other Anions</td> 
                      <td> 13</td> 
                      <td> mmol/L</td> 
                      <td> 4-17</td> 
                    </tr> 
                    <tr> 
                      <td> Glucose</td> 
                      <td> 7.4</td> 
                      <td> mmol/L</td> 
                      <td> 3.0-7.7</td> 
                    </tr> 
                    <tr> 
                      <td> Urea</td> 
                      <td> 4.7</td> 
                      <td> mmol/L</td> 
                      <td> 2.0-7.0</td> 
                    </tr> 
                    <tr> 
                      <td> Serum Creatinine</td> 
                      <td> 0.09</td> 
                      <td> mmol/L</td> 
                      <td> 0.04-0.11</td> 
                    </tr> 
                    <tr> 
                      <td> Serum Uric Acid</td> 
                      <td> 0.39</td> 
                      <td> mmol/L</td> 
                      <td> 0.14-0.35</td> 
                      <td> 
                        <b> +</b> 
                      </td> 
                    </tr> 
                    <tr> 
                      <td> Total Bilirubin</td> 
                      <td> 7</td> 
                      <td> umol/L</td> 
                      <td> 2-20</td> 
                    </tr> 
                    <tr> 
                      <td> Direct Bilirubin</td> 
                      <td> 3</td> 
                      <td> umol/L</td> 
                      <td> 0-8</td> 
                    </tr> 
                    <tr> 
                      <td> Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td> 
                      <td> 108</td> 
                      <td> U/L</td> 
                      <td> 30-115</td> 
                    </tr> 
                    <tr> 
                      <td> Gamma G.T.</td> 
                      <td> 35</td> 
                      <td> U/L</td> 
                      <td> 0-45</td> 
                    </tr> 
                    <tr> 
                      <td> ALT</td> 
                      <td> 54</td> 
                      <td> U/L</td> 
                      <td> 0-45</td> 
                      <td> 
                        <b> +</b> 
                      </td> 
                    </tr> 
                    <tr> 
                      <td> AST</td> 
                      <td> 30</td> 
                      <td> U/L</td> 
                      <td> 0-41</td> 
                    </tr> 
                    <tr> 
                      <td> LD</td> 
                      <td> 131</td> 
                      <td> U/L</td> 
                      <td> 80-250</td> 
                    </tr> 
                    <tr> 
                      <td> Serum Calcium</td> 
                      <td> 2.38</td> 
                      <td> mmol/L</td> 
                      <td> 2.25-2.65</td> 
                    </tr> 
                    <tr> 
                      <td> Corrected Calcium</td> 
                      <td> 2.39</td> 
                      <td> mmol/L</td> 
                      <td> 2.25-2.65</td> 
                    </tr> 
                    <tr> 
                      <td> Serum Phosphate</td> 
                      <td> 1.5</td> 
                      <td> mmol/L</td> 
                      <td> 0.8-1.5</td> 
                    </tr> 
                    <tr> 
                      <td> Total Protein</td> 
                      <td> 67</td> 
                      <td> g/L</td> 
                      <td> 60-82</td> 
                    </tr> 
                    <tr> 
                      <td> Serum Albumin</td> 
                      <td> 42</td> 
                      <td> g/L</td> 
                      <td> 35-50</td> 
                    </tr> 
                    <tr> 
                      <td> Globulins</td> 
                      <td> 25</td> 
                      <td> g/L</td> 
                      <td> 20-40</td> 
                    </tr> 
                    <tr> 
                      <td> Iron</td> 
                      <td> 5</td> 
                      <td> umol/L</td> 
                      <td> 10-33</td> 
                      <td> 
                        <b> --</b> 
                      </td> 
                    </tr> 
                    <tr> 
                      <td> Cholesterol</td> 
                      <td> 3.8</td> 
                      <td> mmol/L</td> 
                      <td> 3.6-6.7</td> 
                    </tr> 
                    <tr> 
                      <td>  </td> 
                      <td colspan="4">Revised NHF cholesterol guidelines (Nov.,2001): Target below 4.0 mmol/L if high risk patient.
                         Consider lipid lowering treatment if cholesterol above 6.0 mmol/L, and no other risk factor
                         of CHD.</td> 
                    </tr> 
                    <tr> 
                      <td> Triglycerides</td> 
                      <td> 0.9</td> 
                      <td> mmol/L</td> 
                      <td> 0.3-4.0</td> 
                    </tr> 
                    <tr> 
                      <td> HDL Cholesterol</td> 
                      <td> 1.2</td> 
                      <td> mmol/L</td> 
                      <td> 1.0-2.0</td> 
                    </tr> 
                  </table> 
                </div> 
              </text> 
              <identifier> 
                <system value="http://acme.com/lab/reports"/> 
                <value value="5234342"/> 
              </identifier> 
              <status value="final"/> 
              <code> 
                <coding> 
                  <system value="http://acme.com/labs/reports"/> 
                  <code value="25T"/> 
                  <display value="E/LFT (MASTER)"/> 
                </coding> 
              </code> 
              <subject> 
                <reference value="Patient/1"/> 
              </subject> 
              <effectiveDateTime value="2005-01-27T06:40:17Z"/> 
              <issued value="2005-01-27T06:40:01Z"/> 
              <performer> 
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
                <display value="Acme Laboratory, Inc"/> 
              </performer> 
              <result> 
                <reference value="Observation/o1-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o2-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o3-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o4-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o5-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o6-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o7-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o8-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o9-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o10-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o11-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o12-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o13-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o14-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o15-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o16-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o17-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o18-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o19-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o20-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o21-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o22-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o23-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o24-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o25-3"/> 
              </result> 
              <result> 
                <reference value="Observation/o26-3"/> 
              </result> 
            </DiagnosticReport> 
          </resource> 
        </entry> 
        <entry> 
          <fullUrl value="https://example.com/base/Observation/o1-3"/> 
          <resource> 
            <Observation> 
              <id value="o1-3"/> 
              <status value="final"/> 
              <code> 
                <coding> 
                  <system value="http://loinc.org"/> 
                  <code value="2951-2"/> 
                  <display value="Sodium [Moles/volume] in Serum or Plasma"/> 
                </coding> 
                <coding> 
                  <system value="http://snomed.info/sct"/> 
                  <code value="104934005"/> 
                </coding> 
              </code> 
              <subject> 
                <reference value="Patient/1"/> 
              </subject> 
              <performer> 
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
                <display value="Acme Laboratory, Inc"/> 
              </performer> 
              <valueQuantity> 
                <value value="140"/> 
                <unit value="mmol/L"/> 
              </valueQuantity> 
              <referenceRange> 
                <low> 
                  <value value="137"/> 
                  <unit value="mmol/L"/> 
                </low> 
                <high> 
                  <value value="147"/> 
                  <unit value="mmol/L"/> 
                </high> 
              </referenceRange> 
            </Observation> 
          </resource> 
        </entry> 
        <entry> 
          <fullUrl value="https://example.com/base/Observation/o2-3"/> 
          <resource> 
            <Observation> 
              <id value="o2-3"/> 
              <status value="final"/> 
              <code> 
                <coding> 
                  <system value="http://loinc.org"/> 
                  <code value="2823-3"/> 
                  <display value="Potassium [Moles/volume] in Serum or Plasma"/> 
                </coding> 
                <coding> 
                  <system value="http://snomed.info/sct"/> 
                  <code value="59573005"/> 
                </coding> 
              </code> 
              <subject> 
                <reference value="Patient/1"/> 
              </subject> 
              <performer> 
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
                <display value="Acme Laboratory, Inc"/> 
              </performer> 
              <valueQuantity> 
                <value value="4.2"/> 
                <unit value="mmol/L"/> 
              </valueQuantity> 
              <referenceRange> 
                <low> 
                  <value value="3.5"/> 
                  <unit value="mmol/L"/> 
                </low> 
                <high> 
                  <value value="5.0"/> 
                  <unit value="mmol/L"/> 
                </high> 
              </referenceRange> 
            </Observation> 
          </resource> 
        </entry> 
        <entry> 
          <fullUrl value="https://example.com/base/Observation/o3-3"/> 
          <resource> 
            <Observation> 
              <id value="o3-3"/> 
              <status value="final"/> 
              <code> 
                <coding> 
                  <system value="http://loinc.org"/> 
                  <code value="2075-0"/> 
                  <display value="Chloride [Moles/volume] in Serum or Plasma"/> 
                </coding> 
                <coding> 
                  <system value="http://snomed.info/sct"/> 
                  <code value="46511006"/> 
                </coding> 
              </code> 
              <subject> 
                <reference value="Patient/1"/> 
              </subject> 
              <performer> 
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
                <display value="Acme Laboratory, Inc"/> 
              </performer> 
              <valueQuantity> 
                <value value="105"/> 
                <unit value="mmol/L"/> 
              </valueQuantity> 
              <referenceRange> 
                <low> 
                  <value value="96"/> 
                  <unit value="mmol/L"/> 
                </low> 
                <high> 
                  <value value="109"/> 
                  <unit value="mmol/L"/> 
                </high> 
              </referenceRange> 
            </Observation> 
          </resource> 
        </entry> 
        <entry> 
          <fullUrl value="https://example.com/base/Observation/o4-3"/> 
          <resource> 
            <Observation> 
              <id value="o4-3"/> 
              <status value="final"/> 
              <code> 
                <coding> 
                  <system value="http://loinc.org"/> 
                  <code value="1963-8"/> 
                  <display value="Bicarbonate [Moles/volume] in Serum"/> 
                </coding> 
                <coding> 
                  <system value="http://snomed.info/sct"/> 
                  <code value="88645003"/> 
                </coding> 
              </code> 
              <subject> 
                <reference value="Patient/1"/> 
              </subject> 
              <performer> 
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
                <display value="Acme Laboratory, Inc"/> 
              </performer> 
              <valueQuantity> 
                <value value="26"/> 
                <unit value="mmol/L"/> 
              </valueQuantity> 
              <referenceRange> 
                <low> 
                  <value value="25"/> 
                  <unit value="mmol/L"/> 
                </low> 
                <high> 
                  <value value="33"/> 
                  <unit value="mmol/L"/> 
                </high> 
              </referenceRange> 
            </Observation> 
          </resource> 
        </entry> 
        <entry> 
          <fullUrl value="https://example.com/base/Observation/o5-3"/> 
          <resource> 
            <Observation> 
              <id value="o5-3"/> 
              <status value="final"/> 
              <code> 
                <coding> 
                  <system value="http://loinc.org"/> 
                  <code value="1863-0"/> 
                  <display value="Anion gap 4 in Serum or Plasma"/> 
                </coding> 
                <coding> 
                  <system value="http://snomed.info/sct"/> 
                  <code value="271057005"/> 
                </coding> 
              </code> 
              <subject> 
                <reference value="Patient/1"/> 
              </subject> 
              <performer> 
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
                <display value="Acme Laboratory, Inc"/> 
              </performer> 
              <valueQuantity> 
                <value value="13"/> 
                <unit value="mmol/L"/> 
              </valueQuantity> 
              <referenceRange> 
                <low> 
                  <value value="4"/> 
                  <unit value="mmol/L"/> 
                </low> 
                <high> 
                  <value value="17"/> 
                  <unit value="mmol/L"/> 
                </high> 
              </referenceRange> 
            </Observation> 
          </resource> 
        </entry> 
        <entry> 
          <fullUrl value="https://example.com/base/Observation/o6-3"/> 
          <resource> 
            <Observation> 
              <id value="o6-3"/> 
              <status value="final"/> 
              <code> 
                <coding> 
                  <system value="http://loinc.org"/> 
                  <code value="14749-6"/> 
                  <display value="Glucose [Moles/volume] in Serum or Plasma"/> 
                </coding> 
                <coding> 
                  <system value="http://snomed.info/sct"/> 
                  <code value="36048009"/> 
                </coding> 
              </code> 
              <subject> 
                <reference value="Patient/1"/> 
              </subject> 
              <performer> 
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
                <display value="Acme Laboratory, Inc"/> 
              </performer> 
              <valueQuantity> 
                <value value="7.4"/> 
                <unit value="mmol/L"/> 
              </valueQuantity> 
              <referenceRange> 
                <low> 
                  <value value="3.0"/> 
                  <unit value="mmol/L"/> 
                </low> 
                <high> 
                  <value value="7.7"/> 
                  <unit value="mmol/L"/> 
                </high> 
              </referenceRange> 
            </Observation> 
          </resource> 
        </entry> 
        <entry> 
          <fullUrl value="https://example.com/base/Observation/o7-3"/> 
          <resource> 
            <Observation> 
              <id value="o7-3"/> 
              <status value="final"/> 
              <code> 
                <coding> 
                  <system value="http://loinc.org"/> 
                  <code value="14937-7"/> 
                  <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/> 
                </coding> 
                <coding> 
                  <system value="http://snomed.info/sct"/> 
                  <code value="273967009"/> 
                </coding> 
              </code> 
              <subject> 
                <reference value="Patient/1"/> 
              </subject> 
              <performer> 
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
                <display value="Acme Laboratory, Inc"/> 
              </performer> 
              <valueQuantity> 
                <value value="4.7"/> 
                <unit value="mmol/L"/> 
              </valueQuantity> 
              <referenceRange> 
                <low> 
                  <value value="2.0"/> 
                  <unit value="mmol/L"/> 
                </low> 
                <high> 
                  <value value="7.0"/> 
                  <unit value="mmol/L"/> 
                </high> 
              </referenceRange> 
            </Observation> 
          </resource> 
        </entry> 
        <entry> 
          <fullUrl value="https://example.com/base/Observation/o8-3"/> 
          <resource> 
            <Observation> 
              <id value="o8-3"/> 
              <status value="final"/> 
              <code> 
                <coding> 
                  <system value="http://loinc.org"/> 
                  <code value="14682-9"/> 
                  <display value="Creatinine [Moles/volume] in Serum or Plasma"/> 
                </coding> 
                <coding> 
                  <system value="http://snomed.info/sct"/> 
                  <code value="70901006"/> 
                </coding> 
              </code> 
              <subject> 
                <reference value="Patient/1"/> 
              </subject> 
              <performer> 
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
                <display value="Acme Laboratory, Inc"/> 
              </performer> 
              <valueQuantity> 
                <value value="0.09"/> 
                <unit value="mmol/L"/> 
              </valueQuantity> 
              <referenceRange> 
                <low> 
                  <value value="0.04"/> 
                  <unit value="mmol/L"/> 
                </low> 
                <high> 
                  <value value="0.11"/> 
                  <unit value="mmol/L"/> 
                </high> 
              </referenceRange> 
            </Observation> 
          </resource> 
        </entry> 
        <entry> 
          <fullUrl value="https://example.com/base/Observation/o9-3"/> 
          <resource> 
            <Observation> 
              <id value="o9-3"/> 
              <status value="final"/> 
              <code> 
                <coding> 
                  <system value="http://loinc.org"/> 
                  <code value="14933-6"/> 
                  <display value="Urate [Moles/volume] in Serum or Plasma"/> 
                </coding> 
                <coding> 
                  <system value="http://snomed.info/sct"/> 
                  <code value="86228006"/> 
                </coding> 
              </code> 
              <subject> 
                <reference value="Patient/1"/> 
              </subject> 
              <performer> 
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
                <display value="Acme Laboratory, Inc"/> 
              </performer> 
              <valueQuantity> 
                <value value="0.39"/> 
                <unit value="mmol/L"/> 
              </valueQuantity> 
              <interpretation> 
                <coding> 
                  <system value="http://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/o10-3"/> 
          <resource> 
            <Observation> 
              <id value="o10-3"/> 
              <status value="final"/> 
              <code> 
                <coding> 
                  <system value="http://loinc.org"/> 
                  <code value="14631-6"/> 
                  <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/> 
                </coding> 
                <coding> 
                  <system value="http://snomed.info/sct"/> 
                  <code value="27171005"/> 
                </coding> 
              </code> 
              <subject> 
                <reference value="Patient/1"/> 
              </subject> 
              <performer> 
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
                <display value="Acme Laboratory, Inc"/> 
              </performer> 
              <valueQuantity> 
                <value value="7"/> 
                <unit value="umol/L"/> 
              </valueQuantity> 
              <referenceRange> 
                <low> 
                  <value value="2"/> 
                  <unit value="umol/L"/> 
                </low> 
                <high> 
                  <value value="20"/> 
                  <unit value="umol/L"/> 
                </high> 
              </referenceRange> 
            </Observation> 
          </resource> 
        </entry> 
        <entry> 
          <fullUrl value="https://example.com/base/Observation/o11-3"/> 
          <resource> 
            <Observation> 
              <id value="o11-3"/> 
              <status value="final"/> 
              <code> 
                <coding> 
                  <system value="http://loinc.org"/> 
                  <code value="14629-0"/> 
                  <display value="Bilirubin.direct [Moles/volume] in Serum or Plasma"/> 
                </coding> 
                <coding> 
                  <system value="http://snomed.info/sct"/> 
                  <code value="39748002"/> 
                </coding> 
              </code> 
              <subject> 
                <reference value="Patient/1"/> 
              </subject> 
              <performer> 
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
                <display value="Acme Laboratory, Inc"/> 
              </performer> 
              <valueQuantity> 
                <value value="3"/> 
                <unit value="umol/L"/> 
              </valueQuantity> 
              <referenceRange> 
                <low> 
                  <value value="0"/> 
                  <unit value="umol/L"/> 
                </low> 
                <high> 
                  <value value="8"/> 
                  <unit value="umol/L"/> 
                </high> 
              </referenceRange> 
            </Observation> 
          </resource> 
        </entry> 
        <entry> 
          <fullUrl value="https://example.com/base/Observation/o12-3"/> 
          <resource> 
            <Observation> 
              <id value="o12-3"/> 
              <status value="final"/> 
              <code> 
                <coding> 
                  <system value="http://loinc.org"/> 
                  <code value="6768-6"/> 
                  <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/> 
                </coding> 
                <coding> 
                  <system value="http://snomed.info/sct"/> 
                  <code value="88810008"/> 
                </coding> 
              </code> 
              <subject> 
                <reference value="Patient/1"/> 
              </subject> 
              <performer> 
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
                <display value="Acme Laboratory, Inc"/> 
              </performer> 
              <valueQuantity> 
                <value value="108"/> 
                <unit value="U/L"/> 
              </valueQuantity> 
              <referenceRange> 
                <low> 
                  <value value="30"/> 
                  <unit value="U/L"/> 
                </low> 
                <high> 
                  <value value="115"/> 
                  <unit value="U/L"/> 
                </high> 
              </referenceRange> 
            </Observation> 
          </resource> 
        </entry> 
        <entry> 
          <fullUrl value="https://example.com/base/Observation/o13-3"/> 
          <resource> 
            <Observation> 
              <id value="o13-3"/> 
              <status value="final"/> 
              <code> 
                <coding> 
                  <system value="http://loinc.org"/> 
                  <code value="2324-2"/> 
                  <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/> 
                </coding> 
                <coding> 
                  <system value="http://snomed.info/sct"/> 
                  <code value="69480007"/> 
                </coding> 
              </code> 
              <subject> 
                <reference value="Patient/1"/> 
              </subject> 
              <performer> 
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
                <display value="Acme Laboratory, Inc"/> 
              </performer> 
              <valueQuantity> 
                <value value="35"/> 
                <unit value="U/L"/> 
              </valueQuantity> 
              <referenceRange> 
                <low> 
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        <entry> 
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        <entry> 
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          <resource> 
            <Observation> 
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                <coding> 
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        <entry> 
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            <Observation> 
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        <entry> 
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          <resource> 
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              <status value="final"/> 
              <code> 
                <coding> 
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        <entry> 
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          <resource> 
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              <status value="final"/> 
              <code> 
                <coding> 
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                <coding> 
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        <entry> 
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          <resource> 
            <Observation> 
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              <status value="final"/> 
              <code> 
                <coding> 
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                <coding> 
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        <entry> 
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              <status value="final"/> 
              <code> 
                <coding> 
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        <entry> 
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          <resource> 
            <Observation> 
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              <status value="final"/> 
              <code> 
                <coding> 
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        <entry> 
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          <resource> 
            <Observation> 
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              <status value="final"/> 
              <code> 
                <coding> 
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        <entry> 
          <fullUrl value="https://example.com/base/Observation/o23-3"/> 
          <resource> 
            <Observation> 
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              <status value="final"/> 
              <code> 
                <coding> 
                  <system value="http://loinc.org"/> 
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                <coding> 
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                  <unit value="umol/L"/> 
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        <entry> 
          <fullUrl value="https://example.com/base/Observation/o24-3"/> 
          <resource> 
            <Observation> 
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              <status value="final"/> 
              <code> 
                <coding> 
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                  <unit value="mmol/L"/> 
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        <entry> 
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          <resource> 
            <Observation> 
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              <status value="final"/> 
              <code> 
                <coding> 
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        <entry> 
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          <resource> 
            <Observation> 
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              <status value="final"/> 
              <code> 
                <coding> 
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                <coding> 
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      </Bundle> 
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  </entry> 
  <entry> 
    <fullUrl value="http://hl7.org/fhir/Bundle/4"/> 
    <resource> 
      <Bundle> 
        <id value="4"/> 
        <type value="collection"/> 
        <entry> 
          <fullUrl value="https://example.com/base/DiagnosticReport/4"/> 
          <resource> 
            <DiagnosticReport> 
              <id value="4"/> 
              <meta> 
                <lastUpdated value="2012-04-14T10:35:23Z"/> 
              </meta> 
              <identifier> 
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                <text value="SERUM CHEMISTRY"/> 
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              <result> 
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              <result> 
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              <result> 
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              <result> 
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              <result> 
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              <result> 
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              </result> 
            </DiagnosticReport> 
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        <entry> 
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          <resource> 
            <Observation> 
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              <status value="final"/> 
              <code> 
                <coding> 
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                  <unit value="mmol/L"/> 
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        <entry> 
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          <resource> 
            <Observation> 
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              <status value="final"/> 
              <code> 
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        <entry> 
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          <resource> 
            <Observation> 
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              <status value="final"/> 
              <code> 
                <coding> 
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                  <unit value="mmol/L"/> 
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        </entry> 
        <entry> 
          <fullUrl value="https://example.com/base/Observation/o4-4"/> 
          <resource> 
            <Observation> 
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              <status value="final"/> 
              <code> 
                <coding> 
                  <system value="http://loinc.org"/> 
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                  <display value="Bicarbonate [Moles/volume] in Serum"/> 
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                <coding> 
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                  <unit value="mmol/L"/> 
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              </referenceRange> 
            </Observation> 
          </resource> 
        </entry> 
        <entry> 
          <fullUrl value="https://example.com/base/Observation/o5-4"/> 
          <resource> 
            <Observation> 
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              <status value="final"/> 
              <code> 
                <coding> 
                  <system value="http://loinc.org"/> 
                  <code value="1863-0"/> 
                  <display value="Anion gap 4 in Serum or Plasma"/> 
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                <coding> 
                  <system value="http://snomed.info/sct"/> 
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              <subject> 
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                <coding> 
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    <resource> 
      <Bundle> 
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        <type value="collection"/> 
        <entry> 
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              <result> 
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        <entry> 
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            <Observation> 
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              <status value="final"/> 
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        <entry> 
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            <Observation> 
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                <coding> 
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                <coding> 
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        <entry> 
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            <Observation> 
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                <coding> 
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        <entry> 
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          <resource> 
            <Observation> 
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              <status value="final"/> 
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                <coding> 
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                <coding> 
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        <entry> 
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          <resource> 
            <Observation> 
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                <coding> 
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        <entry> 
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                <coding> 
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            <Observation> 
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          <resource> 
            <Observation> 
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        <entry> 
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          <resource> 
            <Observation> 
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        <entry> 
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          <resource> 
            <Observation> 
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              <status value="final"/> 
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                <coding> 
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            <Observation> 
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            <Observation> 
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              <code> 
                <coding> 
                  <system value="http://loinc.org"/> 
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          <resource> 
            <Observation> 
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            <Observation> 
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              <status value="final"/> 
              <code> 
                <coding> 
                  <system value="http://loinc.org"/> 
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  </entry> <!--       OBX|28|FT|TXT^^AUSPDI||                                Units  Ref Range\.br\ \.br\
     SERUM CHEMISTRY\.br\ Sodium                 142      mmol/L 137-147\.br\ Serum Potassium
          4.0      mmol/L 3.5-5.0\.br\ Chloride               105      mmol/L 96-109\.br\
   Bicarbonate            28       mmol/L 25-33\.br\ Other Anions           13       mmol/L
   4-17\.br\ Glucose                5.2      mmol/L 3.0-7.7\.br\ Urea                   6.4
        mmol/L 2.0-7.0\.br\ Serum Creatinine       0.09     mmol/L 0.04-0.11\.br\ Serum Uric
   Acid        0.46 +++ mmol/L 0.14-0.35\.br\ Total Bilirubin        13       umol/L 2-20\.br\
   Direct Bilirubin       6        umol/L 0-8\.br\ Alkaline phosphatase [Enzymatic activity/volume]
   in Serum or Plasma 204 +++  U/L    30-115\.br\ Gamma G.T.             192 +++  U/L   
   0-45\.br\ ALT                    70 +     U/L    0-45\.br\ AST                    26 
        U/L    0-41\.br\ LD                     150      U/L    80-250\.br\ Serum Calcium
            2.37     mmol/L 2.25-2.65\.br\ Corrected Calcium      2.47     mmol/L 2.25-2.65\.br\
   Serum Phosphate        1.4      mmol/L 0.8-1.5\.br\ Total Protein          67       g/L
      60-82\.br\ Serum Albumin          39       g/L    35-50\.br\ Globulins            
    28       g/L    20-40\.br\ Iron                   5 - -     umol/L 10-33\.br\ Cholesterol
              4.4      mmol/L 3.6-6.7\.br\ \.br\ Revised NHF cholesterol guidelines (Nov.,2001):\.br\
     Target below 4.0 mmol/L if high risk patient.\.br\   Consider lipid lowering treatment
   if cholesterol above 6.0 mmol/L\.br\   and no other risk factor of CHD.\.br\ \.br\ Triglycerides
            1.1      mmol/L 0.3-4.0\.br\||       --><entry> 
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        <type value="collection"/> 
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            <DiagnosticReport> 
              <id value="6"/> 
              <meta> 
                <lastUpdated value="2012-04-14T10:35:23Z"/> 
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