{
  "resourceType": "DiagnosticReport",
  "id": "lipid-panel-example",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/lipids-diagnostic-report"
    ],
    "tag": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST",
        "display": "test health data"
      }
    ]
  },
  "text": {
    "status": "generated",
    "div": "\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003e\n      \u003ch3\u003eLipid Report for Wile. E. COYOTE (MRN: 23453) issued 3-Mar 2009 14:26\u003c/h3\u003e\n      \u003cpre\u003e\nTest                  Units       Value       Reference Range\nCholesterol           mmol/L      6.3         \u0026lt;4.5\nTriglyceride          mmol/L      1.3         \u0026lt;2.0\nHDL Cholesterol       mmol/L      1.3         \u0026gt;1.5\nLDL Chol. (calc)      mmol/L      4.2         \u0026lt;3.0\n      \u003c/pre\u003e\n      \u003cp\u003eAcme Laboratory, Inc signed: Dr Pete Pathologist\u003c/p\u003e\n    \u003c/div\u003e"
  },
  "contained": [
    {
      "resourceType": "Observation",
      "id": "cholesterol",
      "status": "final",
      "category": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/observation-category",
              "code": "laboratory",
              "display": "Laboratory"
            }
          ]
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "35200-5",
            "display": "Cholesterol [Mass or Moles/volume] in Serum or Plasma"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "effectiveDateTime": "2011-03-04T08:30:00+11:00",
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 6.3,
        "unit": "mmol/L",
        "system": "http://unitsofmeasure.org",
        "code": "mmol/L"
      },
      "interpretation": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
              "code": "H",
              "display": "High"
            }
          ]
        }
      ],
      "note": [
        {
          "text": "Patient reported having eaten fatty foods the day before."
        }
      ],
      "referenceRange": [
        {
          "high": {
            "value": 4.5,
            "unit": "mmol/l",
            "system": "http://unitsofmeasure.org",
            "code": "mmol/L"
          },
          "text": "High Risk at or above 4.5 mmol/L (Per Australian NHF Recommendations)"
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "triglyceride",
      "status": "final",
      "category": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/observation-category",
              "code": "laboratory",
              "display": "Laboratory"
            }
          ]
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "35217-9",
            "display": "Triglyceride [Mass or Moles/volume] in Serum or Plasma"
          }
        ],
        "text": "Triglyceride"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "effectiveDateTime": "2011-03-04T08:30:00+11:00",
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 1.3,
        "unit": "mmol/L",
        "system": "http://unitsofmeasure.org",
        "code": "mmol/L"
      },
      "interpretation": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
              "code": "N",
              "display": "Normal"
            }
          ]
        }
      ],
      "referenceRange": [
        {
          "high": {
            "value": 2.0,
            "unit": "mmol/L",
            "system": "http://unitsofmeasure.org",
            "code": "mmol/L"
          },
          "text": "Normal range: less than 2.0 mmol/L"
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "hdlcholesterol",
      "status": "final",
      "category": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/observation-category",
              "code": "laboratory",
              "display": "Laboratory"
            }
          ]
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "2085-9",
            "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
          }
        ],
        "text": "Cholesterol in HDL"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "effectiveDateTime": "2011-03-04T08:30:00+11:00",
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 1.3,
        "unit": "mmol/L",
        "system": "http://unitsofmeasure.org",
        "code": "mmol/L"
      },
      "interpretation": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
              "code": "L",
              "display": "Low"
            }
          ]
        }
      ],
      "referenceRange": [
        {
          "low": {
            "value": 1.5,
            "unit": "mmol/L",
            "system": "http://unitsofmeasure.org",
            "code": "mmol/L"
          },
          "text": "Desirable: greater than 1.5 mmol/L"
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "ldlcholesterol",
      "status": "final",
      "category": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/observation-category",
              "code": "laboratory",
              "display": "Laboratory"
            }
          ]
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "13457-7",
            "display": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by calculation"
          }
        ],
        "text": "LDL Chol. (Calc)"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "effectiveDateTime": "2011-03-04T08:30:00+11:00",
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 4.6,
        "unit": "mmol/L",
        "system": "http://unitsofmeasure.org",
        "code": "mmol/L"
      },
      "interpretation": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
              "code": "H",
              "display": "High"
            }
          ]
        }
      ],
      "referenceRange": [
        {
          "high": {
            "value": 3.0,
            "unit": "mmol/L",
            "system": "http://unitsofmeasure.org",
            "code": "mmol/L"
          },
          "text": "Optimal: less than 3.0 mmol/L"
        }
      ]
    }
  ],
  "identifier": [
    {
      "system": "http://acme.com/lab/reports",
      "value": "5234342"
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code": "HM",
          "display": "Hematology"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "57698-3",
        "display": "Lipid panel with direct LDL - Serum or Plasma"
      }
    ],
    "text": "Lipid Panel"
  },
  "subject": {
    "reference": "Patient/pat2",
    "display": "Wile E. Coyote"
  },
  "effectiveDateTime": "2011-03-04T08:30:00+11:00",
  "issued": "2013-01-27T11:45:33+11:00",
  "performer": [
    {
      "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
      "display": "Acme Laboratory, Inc"
    }
  ],
  "result": [
    {
      "reference": "#cholesterol"
    },
    {
      "reference": "#triglyceride"
    },
    {
      "reference": "#hdlcholesterol"
    },
    {
      "reference": "#ldlcholesterol"
    }
  ],
  "conclusion": "Patient has elevated total cholesterol and LDL levels with borderline low HDL. Recommend lifestyle modifications and consideration of lipid-lowering therapy."
}