This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions
Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner |
Raw JSON (canonical form + also see JSON Format Specification)
Various reports gathered from v2 messages
{ "resourceType" : "Bundle", "id" : "72ac8493-52ac-41bd-8d5d-7258c289b5ea", "meta" : { "lastUpdated" : "2012-04-14T10:35:23Z" }, "type" : "collection", "entry" : [{ "fullUrl" : "http://hl7.org/fhir/Bundle/3", "resource" : { "resourceType" : "Bundle", "id" : "3", "type" : "collection", "entry" : [{ "fullUrl" : "https://example.com/base/DiagnosticReport/3", "resource" : { "resourceType" : "DiagnosticReport", "id" : "3", "meta" : { "lastUpdated" : "2012-04-14T10:35:23Z" }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t\t\t\t<table>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Sodium</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>140</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>137-147</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Serum Potassium</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>4.2</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>3.5-5.0</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Chloride</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>105</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>96-109</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Bicarbonate</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>26</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>25-33</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Other Anions</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>13</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>4-17</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Glucose</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>7.4</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>3.0-7.7</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Urea</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>4.7</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>2.0-7.0</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Serum Creatinine</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0.09</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0.04-0.11</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Serum Uric Acid</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0.39</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0.14-0.35</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t\t\t\t<b>+</b>\n\t\t\t\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Total Bilirubin</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>7</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>umol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>2-20</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Direct Bilirubin</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>3</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>umol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0-8</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>108</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>U/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>30-115</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Gamma G.T.</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>35</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>U/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0-45</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>ALT</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>54</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>U/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0-45</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t\t\t\t<b>+</b>\n\t\t\t\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>AST</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>30</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>U/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0-41</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>LD</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>131</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>U/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>80-250</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Serum Calcium</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>2.38</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>2.25-2.65</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Corrected Calcium</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>2.39</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>2.25-2.65</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Serum Phosphate</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>1.5</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0.8-1.5</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Total Protein</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>67</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>g/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>60-82</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Serum Albumin</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>42</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>g/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>35-50</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Globulins</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>25</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>g/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>20-40</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Iron</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>5</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>umol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>10-33</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t\t\t\t<b>--</b>\n\t\t\t\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Cholesterol</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>3.8</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>3.6-6.7</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>\u00a0</td>\n\t\t\t\t\t\t\t\t\t\t\t<td colspan=\"4\">Revised NHF cholesterol guidelines (Nov.,2001): Target below 4.0 mmol/L if high risk patient. Consider lipid lowering treatment if cholesterol above 6.0 mmol/L, and no other risk factor of CHD.</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Triglycerides</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0.9</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0.3-4.0</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>HDL Cholesterol</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>1.2</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>1.0-2.0</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t</table>\n\t\t\t\t\t\t\t\t</div>" }, "identifier" : [{ "system" : "http://acme.com/lab/reports", "value" : "5234342" }], "status" : "final", "code" : { "coding" : [{ "system" : "http://acme.com/labs/reports", "code" : "25T", "display" : "E/LFT (MASTER)" }] }, "subject" : { "reference" : "Patient/1" }, "effectiveDateTime" : "2005-01-27T06:40:17Z", "issued" : "2005-01-27T06:40:01Z", "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "result" : [{ "reference" : "Observation/o1-3" }, { "reference" : "Observation/o2-3" }, { "reference" : "Observation/o3-3" }, { "reference" : "Observation/o4-3" }, { "reference" : "Observation/o5-3" }, { "reference" : "Observation/o6-3" }, { "reference" : "Observation/o7-3" }, { "reference" : "Observation/o8-3" }, { "reference" : "Observation/o9-3" }, { "reference" : "Observation/o10-3" }, { "reference" : "Observation/o11-3" }, { "reference" : "Observation/o12-3" }, { "reference" : "Observation/o13-3" }, { "reference" : "Observation/o14-3" }, { "reference" : "Observation/o15-3" }, { "reference" : "Observation/o16-3" }, { "reference" : "Observation/o17-3" }, { "reference" : "Observation/o18-3" }, { "reference" : "Observation/o19-3" }, { "reference" : "Observation/o20-3" }, { "reference" : "Observation/o21-3" }, { "reference" : "Observation/o22-3" }, { "reference" : "Observation/o23-3" }, { "reference" : "Observation/o24-3" }, { "reference" : "Observation/o25-3" }, { "reference" : "Observation/o26-3" }] } }, { "fullUrl" : "https://example.com/base/Observation/o1-3", "resource" : { "resourceType" : "Observation", "id" : "o1-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2951-2", "display" : "Sodium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104934005" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 140, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 137, "unit" : "mmol/L" }, "high" : { "value" : 147, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o2-3", "resource" : { "resourceType" : "Observation", "id" : "o2-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2823-3", "display" : "Potassium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "59573005" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.2, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.5, "unit" : "mmol/L" }, "high" : { "value" : 5.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o3-3", "resource" : { "resourceType" : "Observation", "id" : "o3-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2075-0", "display" : "Chloride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "46511006" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 105, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 96, "unit" : "mmol/L" }, "high" : { "value" : 109, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o4-3", "resource" : { "resourceType" : "Observation", "id" : "o4-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1963-8", "display" : "Bicarbonate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88645003" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 26, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 25, "unit" : "mmol/L" }, "high" : { "value" : 33, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o5-3", "resource" : { "resourceType" : "Observation", "id" : "o5-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1863-0", "display" : "Anion gap 4 in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "271057005" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 13, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 4, "unit" : "mmol/L" }, "high" : { "value" : 17, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o6-3", "resource" : { "resourceType" : "Observation", "id" : "o6-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14749-6", "display" : "Glucose [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "36048009" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 7.4, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.0, "unit" : "mmol/L" }, "high" : { "value" : 7.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o7-3", "resource" : { "resourceType" : "Observation", "id" : "o7-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14937-7", "display" : "Urea nitrogen [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "273967009" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.7, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.0, "unit" : "mmol/L" }, "high" : { "value" : 7.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o8-3", "resource" : { "resourceType" : "Observation", "id" : "o8-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14682-9", "display" : "Creatinine [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "70901006" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.09, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.04, "unit" : "mmol/L" }, "high" : { "value" : 0.11, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o9-3", "resource" : { "resourceType" : "Observation", "id" : "o9-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14933-6", "display" : "Urate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "86228006" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.39, "unit" : "mmol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 0.14, "unit" : "mmol/L" }, "high" : { "value" : 0.35, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o10-3", "resource" : { "resourceType" : "Observation", "id" : "o10-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14631-6", "display" : "Bilirubin.total [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "27171005" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 7, "unit" : "umol/L" }, "referenceRange" : [{ "low" : { "value" : 2, "unit" : "umol/L" }, "high" : { "value" : 20, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o11-3", "resource" : { "resourceType" : "Observation", "id" : "o11-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14629-0", "display" : "Bilirubin.direct [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "39748002" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 3, "unit" : "umol/L" }, "referenceRange" : [{ "low" : { "value" : 0, "unit" : "umol/L" }, "high" : { "value" : 8, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o12-3", "resource" : { "resourceType" : "Observation", "id" : "o12-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "6768-6", "display" : "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88810008" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 108, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 30, "unit" : "U/L" }, "high" : { "value" : 115, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o13-3", "resource" : { "resourceType" : "Observation", "id" : "o13-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2324-2", "display" : "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "69480007" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 35, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o14-3", "resource" : { "resourceType" : "Observation", "id" : "o14-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1742-6", "display" : "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "34608000" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 54, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o15-3", "resource" : { "resourceType" : "Observation", "id" : "o15-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1920-8", "display" : "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "45896001" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 30, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 41, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o16-3", "resource" : { "resourceType" : "Observation", "id" : "o16-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2532-0", "display" : "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "11274001" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 131, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 80, "unit" : "U/L" }, "high" : { "value" : 250, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o17-3", "resource" : { "resourceType" : "Observation", "id" : "o17-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2000-8", "display" : "Calcium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "71878006" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.38, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o18-3", "resource" : { "resourceType" : "Observation", "id" : "o18-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "13959-2", "display" : "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation" }, { "system" : "http://snomed.info/sct", "code" : "166708003" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.39, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o19-3", "resource" : { "resourceType" : "Observation", "id" : "o19-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14879-1", "display" : "Phosphate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104866001" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1.5, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.8, "unit" : "mmol/L" }, "high" : { "value" : 1.5, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o20-3", "resource" : { "resourceType" : "Observation", "id" : "o20-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2885-2", "display" : "Protein [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "74040009" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 67, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 60, "unit" : "g/L" }, "high" : { "value" : 82, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o21-3", "resource" : { "resourceType" : "Observation", "id" : "o21-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1751-7", "display" : "Albumin [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104485008" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 42, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 35, "unit" : "g/L" }, "high" : { "value" : 50, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o22-3", "resource" : { "resourceType" : "Observation", "id" : "o22-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10834-0", "display" : "Globulin [Mass/volume] in Serum by calculation" }, { "system" : "http://snomed.info/sct", "code" : "104979009" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 25, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 20, "unit" : "g/L" }, "high" : { "value" : 40, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o23-3", "resource" : { "resourceType" : "Observation", "id" : "o23-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14798-3", "display" : "Iron [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "42950004" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 5, "unit" : "umol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "LL" }] }], "referenceRange" : [{ "low" : { "value" : 10, "unit" : "umol/L" }, "high" : { "value" : 33, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o24-3", "resource" : { "resourceType" : "Observation", "id" : "o24-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14647-2", "display" : "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "77068002" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 3.8, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.6, "unit" : "mmol/L" }, "high" : { "value" : 6.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o25-3", "resource" : { "resourceType" : "Observation", "id" : "o25-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14927-8", "display" : "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104784006" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.9, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.3, "unit" : "mmol/L" }, "high" : { "value" : 4.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o26-3", "resource" : { "resourceType" : "Observation", "id" : "o26-3", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2085-9", "display" : "Cholesterol in HDL [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "17888004" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1.0, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 1.0, "unit" : "mmol/L" }, "high" : { "value" : 2.0, "unit" : "mmol/L" } }] } }] } }, { "fullUrl" : "http://hl7.org/fhir/Bundle/4", "resource" : { "resourceType" : "Bundle", "id" : "4", "type" : "collection", "entry" : [{ "fullUrl" : "https://example.com/base/DiagnosticReport/4", "resource" : { "resourceType" : "DiagnosticReport", "id" : "4", "meta" : { "lastUpdated" : "2012-04-14T10:35:23Z" }, "identifier" : [{ "system" : "http://acme.com/lab/reports", "value" : "5234342" }], "status" : "final", "code" : { "text" : "SERUM CHEMISTRY" }, "subject" : { "reference" : "Patient/2" }, "effectiveDateTime" : "2004-12-08T07:45:17Z", "issued" : "2005-02-23T10:04:01Z", "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "result" : [{ "reference" : "Observation/o1-4" }, { "reference" : "Observation/o2-4" }, { "reference" : "Observation/o3-4" }, { "reference" : "Observation/o4-4" }, { "reference" : "Observation/o5-4" }, { "reference" : "Observation/o6-4" }, { "reference" : "Observation/o7-4" }, { "reference" : "Observation/o8-4" }, { "reference" : "Observation/o9-4" }, { "reference" : "Observation/o10-4" }, { "reference" : "Observation/o11-4" }, { "reference" : "Observation/o12-4" }, { "reference" : "Observation/o13-4" }, { "reference" : "Observation/o14-4" }, { "reference" : "Observation/o15-4" }, { "reference" : "Observation/o16-4" }, { "reference" : "Observation/o17-4" }, { "reference" : "Observation/o18-4" }, { "reference" : "Observation/o19-4" }, { "reference" : "Observation/o20-4" }, { "reference" : "Observation/o21-4" }, { "reference" : "Observation/o22-4" }, { "reference" : "Observation/o23-4" }, { "reference" : "Observation/o24-4" }, { "reference" : "Observation/o25-4" }] } }, { "fullUrl" : "https://example.com/base/Observation/o1-4", "resource" : { "resourceType" : "Observation", "id" : "o1-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2951-2", "display" : "Sodium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104934005" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 138, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 137, "unit" : "mmol/L" }, "high" : { "value" : 147, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o2-4", "resource" : { "resourceType" : "Observation", "id" : "o2-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2823-3", "display" : "Potassium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "59573005" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.1, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.5, "unit" : "mmol/L" }, "high" : { "value" : 5.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o3-4", "resource" : { "resourceType" : "Observation", "id" : "o3-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2075-0", "display" : "Chloride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "46511006" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 103, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 96, "unit" : "mmol/L" }, "high" : { "value" : 109, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o4-4", "resource" : { "resourceType" : "Observation", "id" : "o4-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1963-8", "display" : "Bicarbonate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88645003" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 27, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 25, "unit" : "mmol/L" }, "high" : { "value" : 33, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o5-4", "resource" : { "resourceType" : "Observation", "id" : "o5-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1863-0", "display" : "Anion gap 4 in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "271057005" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 12, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 4, "unit" : "mmol/L" }, "high" : { "value" : 17, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o6-4", "resource" : { "resourceType" : "Observation", "id" : "o6-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14749-6", "display" : "Glucose [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "36048009" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 6.8, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.0, "unit" : "mmol/L" }, "high" : { "value" : 7.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o7-4", "resource" : { "resourceType" : "Observation", "id" : "o7-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14937-7", "display" : "Urea nitrogen [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "273967009" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 8.2, "unit" : "mmol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 2.0, "unit" : "mmol/L" }, "high" : { "value" : 7.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o8-4", "resource" : { "resourceType" : "Observation", "id" : "o8-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14682-9", "display" : "Creatinine [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "70901006" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.07, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.04, "unit" : "mmol/L" }, "high" : { "value" : 0.11, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o9-4", "resource" : { "resourceType" : "Observation", "id" : "o9-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14933-6", "display" : "Urate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "86228006" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.42, "unit" : "mmol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0.14, "unit" : "mmol/L" }, "high" : { "value" : 0.35, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o10-4", "resource" : { "resourceType" : "Observation", "id" : "o10-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14631-6", "display" : "Bilirubin.total [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "27171005" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 16, "unit" : "umol/L" }, "referenceRange" : [{ "low" : { "value" : 2, "unit" : "umol/L" }, "high" : { "value" : 20, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o11-4", "resource" : { "resourceType" : "Observation", "id" : "o11-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14629-0", "display" : "Bilirubin.direct [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "39748002" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 8, "unit" : "umol/L" }, "referenceRange" : [{ "low" : { "value" : 0, "unit" : "umol/L" }, "high" : { "value" : 8, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o12-4", "resource" : { "resourceType" : "Observation", "id" : "o12-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "6768-6", "display" : "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88810008" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 369, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 30, "unit" : "U/L" }, "high" : { "value" : 115, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o13-4", "resource" : { "resourceType" : "Observation", "id" : "o13-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2324-2", "display" : "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "69480007" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 438, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o14-4", "resource" : { "resourceType" : "Observation", "id" : "o14-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1742-6", "display" : "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "34608000" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 263, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o15-4", "resource" : { "resourceType" : "Observation", "id" : "o15-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1920-8", "display" : "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "45896001" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 87, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 41, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o16-4", "resource" : { "resourceType" : "Observation", "id" : "o16-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2532-0", "display" : "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "11274001" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 179, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 80, "unit" : "U/L" }, "high" : { "value" : 250, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o17-4", "resource" : { "resourceType" : "Observation", "id" : "o17-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2000-8", "display" : "Calcium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "71878006" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.32, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o18-4", "resource" : { "resourceType" : "Observation", "id" : "o18-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "13959-2", "display" : "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation" }, { "system" : "http://snomed.info/sct", "code" : "166708003" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.42, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o19-4", "resource" : { "resourceType" : "Observation", "id" : "o19-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14879-1", "display" : "Phosphate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104866001" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1.3, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.8, "unit" : "mmol/L" }, "high" : { "value" : 1.5, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o20-4", "resource" : { "resourceType" : "Observation", "id" : "o20-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2885-2", "display" : "Protein [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "74040009" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 67, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 60, "unit" : "g/L" }, "high" : { "value" : 82, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o21-4", "resource" : { "resourceType" : "Observation", "id" : "o21-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1751-7", "display" : "Albumin [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104485008" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 39, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 35, "unit" : "g/L" }, "high" : { "value" : 50, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o22-4", "resource" : { "resourceType" : "Observation", "id" : "o22-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10834-0", "display" : "Globulin [Mass/volume] in Serum by calculation" }, { "system" : "http://snomed.info/sct", "code" : "104979009" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 28, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 20, "unit" : "g/L" }, "high" : { "value" : 40, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o23-4", "resource" : { "resourceType" : "Observation", "id" : "o23-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14798-3", "display" : "Iron [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "42950004" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 8, "unit" : "umol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "L" }] }], "referenceRange" : [{ "low" : { "value" : 10, "unit" : "umol/L" }, "high" : { "value" : 33, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o24-4", "resource" : { "resourceType" : "Observation", "id" : "o24-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14647-2", "display" : "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "77068002" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.8, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.6, "unit" : "mmol/L" }, "high" : { "value" : 6.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o25-4", "resource" : { "resourceType" : "Observation", "id" : "o25-4", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14927-8", "display" : "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104784006" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.2, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.3, "unit" : "mmol/L" }, "high" : { "value" : 4.0, "unit" : "mmol/L" } }] } }] } }, { "fullUrl" : "http://hl7.org/fhir/Bundle/5", "resource" : { "resourceType" : "Bundle", "id" : "5", "type" : "collection", "entry" : [{ "fullUrl" : "https://example.com/base/DiagnosticReport/5", "resource" : { "resourceType" : "DiagnosticReport", "id" : "5", "meta" : { "lastUpdated" : "2012-04-14T10:35:23Z" }, "identifier" : [{ "system" : "http://acme.com/lab/reports", "value" : "5234342" }], "status" : "final", "code" : { "text" : "SERUM CHEMISTRY" }, "subject" : { "reference" : "Patient/3" }, "effectiveDateTime" : "2004-12-15T07:20:17Z", "issued" : "2005-02-23T10:04:01Z", "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "result" : [{ "reference" : "Observation/o1-5" }, { "reference" : "Observation/o2-5" }, { "reference" : "Observation/o3-5" }, { "reference" : "Observation/o4-5" }, { "reference" : "Observation/o5-5" }, { "reference" : "Observation/o6-5" }, { "reference" : "Observation/o7-5" }, { "reference" : "Observation/o8-5" }, { "reference" : "Observation/o9-5" }, { "reference" : "Observation/o10-5" }, { "reference" : "Observation/o11-5" }, { "reference" : "Observation/o12-5" }, { "reference" : "Observation/o13-5" }, { "reference" : "Observation/o14-5" }, { "reference" : "Observation/o15-5" }, { "reference" : "Observation/o16-5" }, { "reference" : "Observation/o17-5" }, { "reference" : "Observation/o18-5" }, { "reference" : "Observation/o19-5" }, { "reference" : "Observation/o20-5" }, { "reference" : "Observation/o21-5" }, { "reference" : "Observation/o22-5" }, { "reference" : "Observation/o23-5" }, { "reference" : "Observation/o24-5" }, { "reference" : "Observation/o25-5" }] } }, { "fullUrl" : "https://example.com/base/Observation/o1-5", "resource" : { "resourceType" : "Observation", "id" : "o1-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2951-2", "display" : "Sodium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104934005" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 142, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 137, "unit" : "mmol/L" }, "high" : { "value" : 147, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o2-5", "resource" : { "resourceType" : "Observation", "id" : "o2-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2823-3", "display" : "Potassium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "59573005" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.0, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.5, "unit" : "mmol/L" }, "high" : { "value" : 5.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o3-5", "resource" : { "resourceType" : "Observation", "id" : "o3-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2075-0", "display" : "Chloride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "46511006" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 105, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 96, "unit" : "mmol/L" }, "high" : { "value" : 109, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o4-5", "resource" : { "resourceType" : "Observation", "id" : "o4-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1963-8", "display" : "Bicarbonate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88645003" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 28, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 25, "unit" : "mmol/L" }, "high" : { "value" : 33, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o5-5", "resource" : { "resourceType" : "Observation", "id" : "o5-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1863-0", "display" : "Anion gap 4 in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "271057005" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 13, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 4, "unit" : "mmol/L" }, "high" : { "value" : 17, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o6-5", "resource" : { "resourceType" : "Observation", "id" : "o6-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14749-6", "display" : "Glucose [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "36048009" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 5.2, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.0, "unit" : "mmol/L" }, "high" : { "value" : 7.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o7-5", "resource" : { "resourceType" : "Observation", "id" : "o7-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14937-7", "display" : "Urea nitrogen [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "273967009" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 6.4, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.0, "unit" : "mmol/L" }, "high" : { "value" : 7.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o8-5", "resource" : { "resourceType" : "Observation", "id" : "o8-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14682-9", "display" : "Creatinine [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "70901006" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.09, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.04, "unit" : "mmol/L" }, "high" : { "value" : 0.11, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o9-5", "resource" : { "resourceType" : "Observation", "id" : "o9-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14933-6", "display" : "Urate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "86228006" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.46, "unit" : "mmol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0.14, "unit" : "mmol/L" }, "high" : { "value" : 0.35, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o10-5", "resource" : { "resourceType" : "Observation", "id" : "o10-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14631-6", "display" : "Bilirubin.total [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "27171005" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 13, "unit" : "umol/L" }, "referenceRange" : [{ "low" : { "value" : 2, "unit" : "umol/L" }, "high" : { "value" : 20, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o11-5", "resource" : { "resourceType" : "Observation", "id" : "o11-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14629-0", "display" : "Bilirubin.direct [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "39748002" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 6, "unit" : "umol/L" }, "referenceRange" : [{ "low" : { "value" : 0.1, "unit" : "umol/L" }, "high" : { "value" : 8, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o12-5", "resource" : { "resourceType" : "Observation", "id" : "o12-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "6768-6", "display" : "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88810008" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 204, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 30, "unit" : "U/L" }, "high" : { "value" : 115, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o13-5", "resource" : { "resourceType" : "Observation", "id" : "o13-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2324-2", "display" : "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "69480007" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 192, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o14-5", "resource" : { "resourceType" : "Observation", "id" : "o14-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1742-6", "display" : "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "34608000" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 70, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o15-5", "resource" : { "resourceType" : "Observation", "id" : "o15-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1920-8", "display" : "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "45896001" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 26, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 41, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o16-5", "resource" : { "resourceType" : "Observation", "id" : "o16-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2532-0", "display" : "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "11274001" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 150, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 80, "unit" : "U/L" }, "high" : { "value" : 250, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o17-5", "resource" : { "resourceType" : "Observation", "id" : "o17-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2000-8", "display" : "Calcium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "71878006" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.37, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o18-5", "resource" : { "resourceType" : "Observation", "id" : "o18-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "13959-2", "display" : "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation" }, { "system" : "http://snomed.info/sct", "code" : "166708003" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.47, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o19-5", "resource" : { "resourceType" : "Observation", "id" : "o19-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14879-1", "display" : "Phosphate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104866001" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1.4, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.8, "unit" : "mmol/L" }, "high" : { "value" : 1.5, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o20-5", "resource" : { "resourceType" : "Observation", "id" : "o20-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2885-2", "display" : "Protein [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "74040009" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 67, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 60, "unit" : "g/L" }, "high" : { "value" : 82, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o21-5", "resource" : { "resourceType" : "Observation", "id" : "o21-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1751-7", "display" : "Albumin [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104485008" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 39, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 35, "unit" : "g/L" }, "high" : { "value" : 50, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o22-5", "resource" : { "resourceType" : "Observation", "id" : "o22-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10834-0", "display" : "Globulin [Mass/volume] in Serum by calculation" }, { "system" : "http://snomed.info/sct", "code" : "104979009" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 28, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 20, "unit" : "g/L" }, "high" : { "value" : 40, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o23-5", "resource" : { "resourceType" : "Observation", "id" : "o23-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14798-3", "display" : "Iron [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "42950004" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 5, "unit" : "umol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "LL" }] }], "referenceRange" : [{ "low" : { "value" : 10, "unit" : "umol/L" }, "high" : { "value" : 33, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o24-5", "resource" : { "resourceType" : "Observation", "id" : "o24-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14647-2", "display" : "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "77068002" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.4, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.6, "unit" : "mmol/L" }, "high" : { "value" : 6.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o25-5", "resource" : { "resourceType" : "Observation", "id" : "o25-5", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14927-8", "display" : "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104784006" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1.1, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.3, "unit" : "mmol/L" }, "high" : { "value" : 4.0, "unit" : "mmol/L" } }] } }] } }, { "fullUrl" : "http://hl7.org/fhir/Bundle/6", "resource" : { "resourceType" : "Bundle", "id" : "6", "type" : "collection", "entry" : [{ "fullUrl" : "https://example.com/base/DiagnosticReport/6", "resource" : { "resourceType" : "DiagnosticReport", "id" : "6", "meta" : { "lastUpdated" : "2012-04-14T10:35:23Z" }, "identifier" : [{ "system" : "http://acme.com/lab/reports", "value" : "5234342" }], "status" : "final", "code" : { "text" : "SERUM CHEMISTRY" }, "subject" : { "reference" : "Patient/4" }, "effectiveDateTime" : "2004-12-22T07:45:17Z", "issued" : "2004-12-21T00:00:01Z", "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "result" : [{ "reference" : "Observation/o1-6" }, { "reference" : "Observation/o2-6" }, { "reference" : "Observation/o3-6" }, { "reference" : "Observation/o4-6" }, { "reference" : "Observation/o5-6" }, { "reference" : "Observation/o6-6" }, { "reference" : "Observation/o7-6" }, { "reference" : "Observation/o8-6" }, { "reference" : "Observation/o9-6" }, { "reference" : "Observation/o10-6" }, { "reference" : "Observation/o11-6" }, { "reference" : "Observation/o12-6" }, { "reference" : "Observation/o13-6" }, { "reference" : "Observation/o14-6" }, { "reference" : "Observation/o15-6" }, { "reference" : "Observation/o16-6" }, { "reference" : "Observation/o17-6" }, { "reference" : "Observation/o18-6" }, { "reference" : "Observation/o19-6" }, { "reference" : "Observation/o20-6" }, { "reference" : "Observation/o21-6" }, { "reference" : "Observation/o22-6" }, { "reference" : "Observation/o23-6" }, { "reference" : "Observation/o24-6" }, { "reference" : "Observation/o25-6" }] } }, { "fullUrl" : "https://example.com/base/Observation/o1-6", "resource" : { "resourceType" : "Observation", "id" : "o1-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2951-2", "display" : "Sodium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104934005" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 142, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 137, "unit" : "mmol/L" }, "high" : { "value" : 147, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o2-6", "resource" : { "resourceType" : "Observation", "id" : "o2-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2823-3", "display" : "Potassium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "59573005" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.0, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.5, "unit" : "mmol/L" }, "high" : { "value" : 5.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o3-6", "resource" : { "resourceType" : "Observation", "id" : "o3-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2075-0", "display" : "Chloride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "46511006" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 107, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 96, "unit" : "mmol/L" }, "high" : { "value" : 109, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o4-6", "resource" : { "resourceType" : "Observation", "id" : "o4-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1963-8", "display" : "Bicarbonate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88645003" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 26, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 25, "unit" : "mmol/L" }, "high" : { "value" : 33, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o5-6", "resource" : { "resourceType" : "Observation", "id" : "o5-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1863-0", "display" : "Anion gap 4 in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "271057005" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 13, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 4, "unit" : "mmol/L" }, "high" : { "value" : 17, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o6-6", "resource" : { "resourceType" : "Observation", "id" : "o6-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14749-6", "display" : "Glucose [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "36048009" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 6.3, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.0, "unit" : "mmol/L" }, "high" : { "value" : 7.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o7-6", "resource" : { "resourceType" : "Observation", "id" : "o7-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14937-7", "display" : "Urea nitrogen [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "273967009" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 6.7, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.0, "unit" : "mmol/L" }, "high" : { "value" : 7.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o8-6", "resource" : { "resourceType" : "Observation", "id" : "o8-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14682-9", "display" : "Creatinine [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "70901006" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.08, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.04, "unit" : "mmol/L" }, "high" : { "value" : 0.11, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o9-6", "resource" : { "resourceType" : "Observation", "id" : "o9-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14933-6", "display" : "Urate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "86228006" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.40, "unit" : "mmol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0.14, "unit" : "mmol/L" }, "high" : { "value" : 0.35, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o10-6", "resource" : { "resourceType" : "Observation", "id" : "o10-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14631-6", "display" : "Bilirubin.total [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "27171005" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 9, "unit" : "umol/L" }, "referenceRange" : [{ "low" : { "value" : 2, "unit" : "umol/L" }, "high" : { "value" : 20, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o11-6", "resource" : { "resourceType" : "Observation", "id" : "o11-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14629-0", "display" : "Bilirubin.direct [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "39748002" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4, "unit" : "umol/L" }, "referenceRange" : [{ "low" : { "value" : 0, "unit" : "umol/L" }, "high" : { "value" : 8, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o12-6", "resource" : { "resourceType" : "Observation", "id" : "o12-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "6768-6", "display" : "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88810008" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 144, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 30, "unit" : "U/L" }, "high" : { "value" : 115, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o13-6", "resource" : { "resourceType" : "Observation", "id" : "o13-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2324-2", "display" : "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "69480007" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 106, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o14-6", "resource" : { "resourceType" : "Observation", "id" : "o14-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1742-6", "display" : "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "34608000" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 30, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o15-6", "resource" : { "resourceType" : "Observation", "id" : "o15-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1920-8", "display" : "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "45896001" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 18, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 41, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o16-6", "resource" : { "resourceType" : "Observation", "id" : "o16-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2532-0", "display" : "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "11274001" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 143, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 80, "unit" : "U/L" }, "high" : { "value" : 250, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o17-6", "resource" : { "resourceType" : "Observation", "id" : "o17-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2000-8", "display" : "Calcium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "71878006" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.28, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o18-6", "resource" : { "resourceType" : "Observation", "id" : "o18-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "13959-2", "display" : "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation" }, { "system" : "http://snomed.info/sct", "code" : "166708003" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.32, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o19-6", "resource" : { "resourceType" : "Observation", "id" : "o19-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14879-1", "display" : "Phosphate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104866001" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1.3, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.8, "unit" : "mmol/L" }, "high" : { "value" : 1.5, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o20-6", "resource" : { "resourceType" : "Observation", "id" : "o20-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2885-2", "display" : "Protein [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "74040009" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 66, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 60, "unit" : "g/L" }, "high" : { "value" : 82, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o21-6", "resource" : { "resourceType" : "Observation", "id" : "o21-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1751-7", "display" : "Albumin [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104485008" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 41, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 35, "unit" : "g/L" }, "high" : { "value" : 50, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o22-6", "resource" : { "resourceType" : "Observation", "id" : "o22-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10834-0", "display" : "Globulin [Mass/volume] in Serum by calculation" }, { "system" : "http://snomed.info/sct", "code" : "104979009" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 25, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 20, "unit" : "g/L" }, "high" : { "value" : 40, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o23-6", "resource" : { "resourceType" : "Observation", "id" : "o23-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14798-3", "display" : "Iron [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "42950004" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 3, "unit" : "umol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "LL" }] }], "referenceRange" : [{ "low" : { "value" : 10, "unit" : "umol/L" }, "high" : { "value" : 33, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o24-6", "resource" : { "resourceType" : "Observation", "id" : "o24-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14647-2", "display" : "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "77068002" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.0, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.6, "unit" : "mmol/L" }, "high" : { "value" : 6.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o25-6", "resource" : { "resourceType" : "Observation", "id" : "o25-6", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14927-8", "display" : "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104784006" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1.0, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.3, "unit" : "mmol/L" }, "high" : { "value" : 4.0, "unit" : "mmol/L" } }] } }] } }, { "fullUrl" : "http://hl7.org/fhir/Bundle/7", "resource" : { "resourceType" : "Bundle", "id" : "7", "type" : "collection", "entry" : [{ "fullUrl" : "https://example.com/base/DiagnosticReport/7", "resource" : { "resourceType" : "DiagnosticReport", "id" : "7", "meta" : { "lastUpdated" : "2012-04-14T10:35:23Z" }, "identifier" : [{ "system" : "http://acme.com/lab/reports", "value" : "5234342" }], "status" : "final", "code" : { "text" : "SERUM CHEMISTRY" }, "subject" : { "reference" : "Patient/5" }, "effectiveDateTime" : "2004-12-03T09:45:17Z", "issued" : "2004-12-03T00:00:01Z", "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "result" : [{ "reference" : "Observation/o1-7" }, { "reference" : "Observation/o2-7" }, { "reference" : "Observation/o3-7" }, { "reference" : "Observation/o4-7" }, { "reference" : "Observation/o5-7" }, { "reference" : "Observation/o6-7" }, { "reference" : "Observation/o7-7" }, { "reference" : "Observation/o8-7" }, { "reference" : "Observation/o9-7" }, { "reference" : "Observation/o10-7" }, { "reference" : "Observation/o11-7" }, { "reference" : "Observation/o12-7" }, { "reference" : "Observation/o13-7" }, { "reference" : "Observation/o14-7" }, { "reference" : "Observation/o15-7" }, { "reference" : "Observation/o16-7" }, { "reference" : "Observation/o17-7" }, { "reference" : "Observation/o18-7" }, { "reference" : "Observation/o19-7" }, { "reference" : "Observation/o20-7" }, { "reference" : "Observation/o21-7" }, { "reference" : "Observation/o22-7" }, { "reference" : "Observation/o23-7" }, { "reference" : "Observation/o24-7" }] } }, { "fullUrl" : "https://example.com/base/Observation/o1-7", "resource" : { "resourceType" : "Observation", "id" : "o1-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2951-2", "display" : "Sodium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104934005" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 141, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 137, "unit" : "mmol/L" }, "high" : { "value" : 147, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o2-7", "resource" : { "resourceType" : "Observation", "id" : "o2-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2823-3", "display" : "Potassium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "59573005" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.2, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.5, "unit" : "mmol/L" }, "high" : { "value" : 5.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o3-7", "resource" : { "resourceType" : "Observation", "id" : "o3-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2075-0", "display" : "Chloride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "46511006" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 106, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 96, "unit" : "mmol/L" }, "high" : { "value" : 109, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o4-7", "resource" : { "resourceType" : "Observation", "id" : "o4-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1963-8", "display" : "Bicarbonate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88645003" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 29, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 25, "unit" : "mmol/L" }, "high" : { "value" : 33, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o5-7", "resource" : { "resourceType" : "Observation", "id" : "o5-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1863-0", "display" : "Anion gap 4 in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "271057005" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 10, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 4, "unit" : "mmol/L" }, "high" : { "value" : 17, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o6-7", "resource" : { "resourceType" : "Observation", "id" : "o6-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14749-6", "display" : "Glucose [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "36048009" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 7.0, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.0, "unit" : "mmol/L" }, "high" : { "value" : 7.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o7-7", "resource" : { "resourceType" : "Observation", "id" : "o7-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14937-7", "display" : "Urea nitrogen [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "273967009" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.7, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.0, "unit" : "mmol/L" }, "high" : { "value" : 7.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o8-7", "resource" : { "resourceType" : "Observation", "id" : "o8-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14682-9", "display" : "Creatinine [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "70901006" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.05, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.04, "unit" : "mmol/L" }, "high" : { "value" : 0.11, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o9-7", "resource" : { "resourceType" : "Observation", "id" : "o9-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14933-6", "display" : "Urate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "86228006" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.32, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.14, "unit" : "mmol/L" }, "high" : { "value" : 0.35, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o10-7", "resource" : { "resourceType" : "Observation", "id" : "o10-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14631-6", "display" : "Bilirubin.total [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "27171005" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 43, "unit" : "umol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 2, "unit" : "umol/L" }, "high" : { "value" : 20, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o11-7", "resource" : { "resourceType" : "Observation", "id" : "o11-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "6768-6", "display" : "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88810008" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 708, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 30, "unit" : "U/L" }, "high" : { "value" : 115, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o12-7", "resource" : { "resourceType" : "Observation", "id" : "o12-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2324-2", "display" : "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "69480007" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1131, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o13-7", "resource" : { "resourceType" : "Observation", "id" : "o13-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1742-6", "display" : "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "34608000" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 475, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o14-7", "resource" : { "resourceType" : "Observation", "id" : "o14-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1920-8", "display" : "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "45896001" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 176, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 41, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o15-7", "resource" : { "resourceType" : "Observation", "id" : "o15-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2532-0", "display" : "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "11274001" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 324, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 80, "unit" : "U/L" }, "high" : { "value" : 250, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o16-7", "resource" : { "resourceType" : "Observation", "id" : "o16-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2000-8", "display" : "Calcium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "71878006" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.32, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o17-7", "resource" : { "resourceType" : "Observation", "id" : "o17-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "13959-2", "display" : "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation" }, { "system" : "http://snomed.info/sct", "code" : "166708003" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.45, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o18-7", "resource" : { "resourceType" : "Observation", "id" : "o18-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14879-1", "display" : "Phosphate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104866001" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.9, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.8, "unit" : "mmol/L" }, "high" : { "value" : 1.5, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o19-7", "resource" : { "resourceType" : "Observation", "id" : "o19-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2885-2", "display" : "Protein [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "74040009" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 71, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 60, "unit" : "g/L" }, "high" : { "value" : 82, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o20-7", "resource" : { "resourceType" : "Observation", "id" : "o20-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1751-7", "display" : "Albumin [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104485008" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 38, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 35, "unit" : "g/L" }, "high" : { "value" : 50, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o21-7", "resource" : { "resourceType" : "Observation", "id" : "o21-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10834-0", "display" : "Globulin [Mass/volume] in Serum by calculation" }, { "system" : "http://snomed.info/sct", "code" : "104979009" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 33, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 20, "unit" : "g/L" }, "high" : { "value" : 40, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o22-7", "resource" : { "resourceType" : "Observation", "id" : "o22-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14798-3", "display" : "Iron [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "42950004" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 17, "unit" : "umol/L" }, "referenceRange" : [{ "low" : { "value" : 10, "unit" : "umol/L" }, "high" : { "value" : 33, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o23-7", "resource" : { "resourceType" : "Observation", "id" : "o23-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14647-2", "display" : "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "77068002" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 7.0, "unit" : "mmol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 3.6, "unit" : "mmol/L" }, "high" : { "value" : 6.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o24-7", "resource" : { "resourceType" : "Observation", "id" : "o24-7", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14927-8", "display" : "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104784006" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.9, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.3, "unit" : "mmol/L" }, "high" : { "value" : 4.0, "unit" : "mmol/L" } }] } }] } }, { "fullUrl" : "http://hl7.org/fhir/Bundle/8", "resource" : { "resourceType" : "Bundle", "id" : "8", "type" : "collection", "entry" : [{ "fullUrl" : "https://example.com/base/DiagnosticReport/8", "resource" : { "resourceType" : "DiagnosticReport", "id" : "8", "meta" : { "lastUpdated" : "2012-04-14T10:35:23Z" }, "identifier" : [{ "system" : "http://acme.com/lab/reports", "value" : "5234342" }], "status" : "final", "code" : { "text" : "SERUM CHEMISTRY" }, "subject" : { "reference" : "Patient/6" }, "effectiveDateTime" : "2004-12-03T20:30:17Z", "issued" : "2005-02-23T10:04:01Z", "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "result" : [{ "reference" : "Observation/o1-8" }, { "reference" : "Observation/o2-8" }, { "reference" : "Observation/o3-8" }, { "reference" : "Observation/o4-8" }, { "reference" : "Observation/o5-8" }, { "reference" : "Observation/o6-8" }, { "reference" : "Observation/o7-8" }, { "reference" : "Observation/o8-8" }, { "reference" : "Observation/o9-8" }, { "reference" : "Observation/o10-8" }, { "reference" : "Observation/o11-8" }, { "reference" : "Observation/o12-8" }, { "reference" : "Observation/o13-8" }, { "reference" : "Observation/o14-8" }, { "reference" : "Observation/o15-8" }, { "reference" : "Observation/o16-8" }, { "reference" : "Observation/o17-8" }, { "reference" : "Observation/o18-8" }, { "reference" : "Observation/o19-8" }, { "reference" : "Observation/o20-8" }, { "reference" : "Observation/o21-8" }, { "reference" : "Observation/o22-8" }, { "reference" : "Observation/o23-8" }, { "reference" : "Observation/o24-8" }] } }, { "fullUrl" : "https://example.com/base/Observation/o1-8", "resource" : { "resourceType" : "Observation", "id" : "o1-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2951-2", "display" : "Sodium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104934005" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 142, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 137, "unit" : "mmol/L" }, "high" : { "value" : 147, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o2-8", "resource" : { "resourceType" : "Observation", "id" : "o2-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2823-3", "display" : "Potassium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "59573005" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 3.6, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.5, "unit" : "mmol/L" }, "high" : { "value" : 5.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o3-8", "resource" : { "resourceType" : "Observation", "id" : "o3-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2075-0", "display" : "Chloride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "46511006" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 104, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 96, "unit" : "mmol/L" }, "high" : { "value" : 109, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o4-8", "resource" : { "resourceType" : "Observation", "id" : "o4-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1963-8", "display" : "Bicarbonate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88645003" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 30, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 25, "unit" : "mmol/L" }, "high" : { "value" : 33, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o5-8", "resource" : { "resourceType" : "Observation", "id" : "o5-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1863-0", "display" : "Anion gap 4 in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "271057005" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 12, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 4, "unit" : "mmol/L" }, "high" : { "value" : 17, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o6-8", "resource" : { "resourceType" : "Observation", "id" : "o6-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14749-6", "display" : "Glucose [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "36048009" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 6.2, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.0, "unit" : "mmol/L" }, "high" : { "value" : 7.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o7-8", "resource" : { "resourceType" : "Observation", "id" : "o7-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14937-7", "display" : "Urea nitrogen [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "273967009" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.5, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.0, "unit" : "mmol/L" }, "high" : { "value" : 7.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o8-8", "resource" : { "resourceType" : "Observation", "id" : "o8-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14682-9", "display" : "Creatinine [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "70901006" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.06, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.04, "unit" : "mmol/L" }, "high" : { "value" : 0.11, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o9-8", "resource" : { "resourceType" : "Observation", "id" : "o9-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14933-6", "display" : "Urate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "86228006" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.37, "unit" : "mmol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 0.14, "unit" : "mmol/L" }, "high" : { "value" : 0.35, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o10-8", "resource" : { "resourceType" : "Observation", "id" : "o10-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14631-6", "display" : "Bilirubin.total [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "27171005" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 50, "unit" : "umol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 2, "unit" : "umol/L" }, "high" : { "value" : 20, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o11-8", "resource" : { "resourceType" : "Observation", "id" : "o11-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "6768-6", "display" : "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88810008" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 684, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 30, "unit" : "U/L" }, "high" : { "value" : 115, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o12-8", "resource" : { "resourceType" : "Observation", "id" : "o12-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2324-2", "display" : "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "69480007" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1105, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o13-8", "resource" : { "resourceType" : "Observation", "id" : "o13-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1742-6", "display" : "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "34608000" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 466, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o14-8", "resource" : { "resourceType" : "Observation", "id" : "o14-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1920-8", "display" : "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "45896001" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 198, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 41, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o15-8", "resource" : { "resourceType" : "Observation", "id" : "o15-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2532-0", "display" : "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "11274001" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 323, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 80, "unit" : "U/L" }, "high" : { "value" : 250, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o16-8", "resource" : { "resourceType" : "Observation", "id" : "o16-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2000-8", "display" : "Calcium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "71878006" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.32, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o17-8", "resource" : { "resourceType" : "Observation", "id" : "o17-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "13959-2", "display" : "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation" }, { "system" : "http://snomed.info/sct", "code" : "166708003" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.45, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o18-8", "resource" : { "resourceType" : "Observation", "id" : "o18-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14879-1", "display" : "Phosphate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104866001" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.9, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.8, "unit" : "mmol/L" }, "high" : { "value" : 1.5, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o19-8", "resource" : { "resourceType" : "Observation", "id" : "o19-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2885-2", "display" : "Protein [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "74040009" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 70, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 60, "unit" : "g/L" }, "high" : { "value" : 82, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o20-8", "resource" : { "resourceType" : "Observation", "id" : "o20-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1751-7", "display" : "Albumin [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104485008" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 38, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 35, "unit" : "g/L" }, "high" : { "value" : 50, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o21-8", "resource" : { "resourceType" : "Observation", "id" : "o21-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10834-0", "display" : "Globulin [Mass/volume] in Serum by calculation" }, { "system" : "http://snomed.info/sct", "code" : "104979009" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 32, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 20, "unit" : "g/L" }, "high" : { "value" : 40, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o22-8", "resource" : { "resourceType" : "Observation", "id" : "o22-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14798-3", "display" : "Iron [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "42950004" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 11, "unit" : "umol/L" }, "referenceRange" : [{ "low" : { "value" : 10, "unit" : "umol/L" }, "high" : { "value" : 33, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o23-8", "resource" : { "resourceType" : "Observation", "id" : "o23-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14647-2", "display" : "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "77068002" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 6.9, "unit" : "mmol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 3.6, "unit" : "mmol/L" }, "high" : { "value" : 6.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o24-8", "resource" : { "resourceType" : "Observation", "id" : "o24-8", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14927-8", "display" : "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104784006" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1.9, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.3, "unit" : "mmol/L" }, "high" : { "value" : 4.0, "unit" : "mmol/L" } }] } }] } }, { "fullUrl" : "http://hl7.org/fhir/Bundle/9", "resource" : { "resourceType" : "Bundle", "id" : "9", "type" : "collection", "entry" : [{ "fullUrl" : "https://example.com/base/DiagnosticReport/9", "resource" : { "resourceType" : "DiagnosticReport", "id" : "9", "meta" : { "lastUpdated" : "2012-04-14T10:35:23Z" }, "identifier" : [{ "system" : "http://acme.com/lab/reports", "value" : "5234342" }], "status" : "final", "code" : { "text" : "SERUM CHEMISTRY" }, "subject" : { "reference" : "Patient/7" }, "effectiveDateTime" : "2004-12-05T07:15:17Z", "issued" : "2005-02-23T10:04:01Z", "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "result" : [{ "reference" : "Observation/o1-9" }, { "reference" : "Observation/o2-9" }, { "reference" : "Observation/o3-9" }, { "reference" : "Observation/o4-9" }, { "reference" : "Observation/o5-9" }, { "reference" : "Observation/o6-9" }, { "reference" : "Observation/o7-9" }, { "reference" : "Observation/o8-9" }, { "reference" : "Observation/o9-9" }, { "reference" : "Observation/o10-9" }, { "reference" : "Observation/o11-9" }, { "reference" : "Observation/o12-9" }, { "reference" : "Observation/o13-9" }, { "reference" : "Observation/o14-9" }, { "reference" : "Observation/o15-9" }, { "reference" : "Observation/o16-9" }, { "reference" : "Observation/o17-9" }, { "reference" : "Observation/o18-9" }, { "reference" : "Observation/o19-9" }, { "reference" : "Observation/o20-9" }, { "reference" : "Observation/o21-9" }, { "reference" : "Observation/o22-9" }, { "reference" : "Observation/o23-9" }, { "reference" : "Observation/o24-9" }] } }, { "fullUrl" : "https://example.com/base/Observation/o1-9", "resource" : { "resourceType" : "Observation", "id" : "o1-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2951-2", "display" : "Sodium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104934005" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 143, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 137, "unit" : "mmol/L" }, "high" : { "value" : 147, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o2-9", "resource" : { "resourceType" : "Observation", "id" : "o2-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2823-3", "display" : "Potassium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "59573005" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.3, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.5, "unit" : "mmol/L" }, "high" : { "value" : 5.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o3-9", "resource" : { "resourceType" : "Observation", "id" : "o3-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2075-0", "display" : "Chloride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "46511006" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 108, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 96, "unit" : "mmol/L" }, "high" : { "value" : 109, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o4-9", "resource" : { "resourceType" : "Observation", "id" : "o4-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1963-8", "display" : "Bicarbonate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88645003" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 25, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 25, "unit" : "mmol/L" }, "high" : { "value" : 33, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o5-9", "resource" : { "resourceType" : "Observation", "id" : "o5-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1863-0", "display" : "Anion gap 4 in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "271057005" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 14, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 4, "unit" : "mmol/L" }, "high" : { "value" : 17, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o6-9", "resource" : { "resourceType" : "Observation", "id" : "o6-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14749-6", "display" : "Glucose [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "36048009" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.3, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.0, "unit" : "mmol/L" }, "high" : { "value" : 7.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o7-9", "resource" : { "resourceType" : "Observation", "id" : "o7-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14937-7", "display" : "Urea nitrogen [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "273967009" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.6, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.0, "unit" : "mmol/L" }, "high" : { "value" : 7.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o8-9", "resource" : { "resourceType" : "Observation", "id" : "o8-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14682-9", "display" : "Creatinine [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "70901006" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.06, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.04, "unit" : "mmol/L" }, "high" : { "value" : 0.11, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o9-9", "resource" : { "resourceType" : "Observation", "id" : "o9-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14933-6", "display" : "Urate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "86228006" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.41, "unit" : "mmol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0.14, "unit" : "mmol/L" }, "high" : { "value" : 0.35, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o10-9", "resource" : { "resourceType" : "Observation", "id" : "o10-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14631-6", "display" : "Bilirubin.total [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "27171005" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 27, "unit" : "umol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 2, "unit" : "umol/L" }, "high" : { "value" : 20, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o11-9", "resource" : { "resourceType" : "Observation", "id" : "o11-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "6768-6", "display" : "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88810008" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 631, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 30, "unit" : "U/L" }, "high" : { "value" : 115, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o12-9", "resource" : { "resourceType" : "Observation", "id" : "o12-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2324-2", "display" : "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "69480007" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 956, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o13-9", "resource" : { "resourceType" : "Observation", "id" : "o13-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1742-6", "display" : "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "34608000" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 398, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o14-9", "resource" : { "resourceType" : "Observation", "id" : "o14-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1920-8", "display" : "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "45896001" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 120, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 41, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o15-9", "resource" : { "resourceType" : "Observation", "id" : "o15-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2532-0", "display" : "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "11274001" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 243, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 80, "unit" : "U/L" }, "high" : { "value" : 250, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o16-9", "resource" : { "resourceType" : "Observation", "id" : "o16-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2000-8", "display" : "Calcium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "71878006" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.33, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o17-9", "resource" : { "resourceType" : "Observation", "id" : "o17-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "13959-2", "display" : "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation" }, { "system" : "http://snomed.info/sct", "code" : "166708003" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.52, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o18-9", "resource" : { "resourceType" : "Observation", "id" : "o18-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14879-1", "display" : "Phosphate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104866001" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1.2, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.8, "unit" : "mmol/L" }, "high" : { "value" : 1.5, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o19-9", "resource" : { "resourceType" : "Observation", "id" : "o19-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2885-2", "display" : "Protein [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "74040009" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 71, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 60, "unit" : "g/L" }, "high" : { "value" : 82, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o20-9", "resource" : { "resourceType" : "Observation", "id" : "o20-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1751-7", "display" : "Albumin [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104485008" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 36, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 35, "unit" : "g/L" }, "high" : { "value" : 50, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o21-9", "resource" : { "resourceType" : "Observation", "id" : "o21-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10834-0", "display" : "Globulin [Mass/volume] in Serum by calculation" }, { "system" : "http://snomed.info/sct", "code" : "104979009" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 35, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 20, "unit" : "g/L" }, "high" : { "value" : 40, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o22-9", "resource" : { "resourceType" : "Observation", "id" : "o22-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14798-3", "display" : "Iron [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "42950004" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 39, "unit" : "umol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 10, "unit" : "umol/L" }, "high" : { "value" : 33, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o23-9", "resource" : { "resourceType" : "Observation", "id" : "o23-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14647-2", "display" : "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "77068002" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 6.8, "unit" : "mmol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 3.6, "unit" : "mmol/L" }, "high" : { "value" : 6.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o24-9", "resource" : { "resourceType" : "Observation", "id" : "o24-9", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14927-8", "display" : "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104784006" }] }, "subject" : { "reference" : "Patient/7" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1.5, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.3, "unit" : "mmol/L" }, "high" : { "value" : 4.0, "unit" : "mmol/L" } }] } }] } }, { "fullUrl" : "http://hl7.org/fhir/Bundle/15", "resource" : { "resourceType" : "Bundle", "id" : "15", "type" : "collection", "entry" : [{ "fullUrl" : "https://example.com/base/DiagnosticReport/15", "resource" : { "resourceType" : "DiagnosticReport", "id" : "15", "meta" : { "lastUpdated" : "2012-04-14T10:35:23Z" }, "identifier" : [{ "system" : "http://acme.com/lab/reports", "value" : "5234342" }], "status" : "final", "code" : { "text" : "SERUM CHEMISTRY" }, "subject" : { "reference" : "Patient/8" }, "effectiveDateTime" : "2005-01-27T06:40:17Z", "issued" : "2005-02-23T10:04:01Z", "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "result" : [{ "reference" : "Observation/o1-15" }, { "reference" : "Observation/o2-15" }, { "reference" : "Observation/o3-15" }, { "reference" : "Observation/o4-15" }, { "reference" : "Observation/o5-15" }, { "reference" : "Observation/o6-15" }, { "reference" : "Observation/o7-15" }, { "reference" : "Observation/o8-15" }, { "reference" : "Observation/o9-15" }, { "reference" : "Observation/o10-15" }, { "reference" : "Observation/o11-15" }, { "reference" : "Observation/o12-15" }, { "reference" : "Observation/o13-15" }, { "reference" : "Observation/o14-15" }, { "reference" : "Observation/o15-15" }, { "reference" : "Observation/o16-15" }, { "reference" : "Observation/o17-15" }, { "reference" : "Observation/o18-15" }, { "reference" : "Observation/o19-15" }, { "reference" : "Observation/o20-15" }, { "reference" : "Observation/o21-15" }, { "reference" : "Observation/o22-15" }, { "reference" : "Observation/o23-15" }, { "reference" : "Observation/o24-15" }, { "reference" : "Observation/o25-15" }] } }, { "fullUrl" : "https://example.com/base/Observation/o1-15", "resource" : { "resourceType" : "Observation", "id" : "o1-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2951-2", "display" : "Sodium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104934005" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 140, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 137, "unit" : "mmol/L" }, "high" : { "value" : 147, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o2-15", "resource" : { "resourceType" : "Observation", "id" : "o2-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2823-3", "display" : "Potassium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "59573005" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.2, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.5, "unit" : "mmol/L" }, "high" : { "value" : 5.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o3-15", "resource" : { "resourceType" : "Observation", "id" : "o3-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2075-0", "display" : "Chloride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "46511006" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 105, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 96, "unit" : "mmol/L" }, "high" : { "value" : 109, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o4-15", "resource" : { "resourceType" : "Observation", "id" : "o4-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1963-8", "display" : "Bicarbonate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88645003" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 26, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 25, "unit" : "mmol/L" }, "high" : { "value" : 33, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o5-15", "resource" : { "resourceType" : "Observation", "id" : "o5-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1863-0", "display" : "Anion gap 4 in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "271057005" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 13, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 4, "unit" : "mmol/L" }, "high" : { "value" : 17, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o6-15", "resource" : { "resourceType" : "Observation", "id" : "o6-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14749-6", "display" : "Glucose [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "36048009" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 7.4, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.0, "unit" : "mmol/L" }, "high" : { "value" : 7.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o7-15", "resource" : { "resourceType" : "Observation", "id" : "o7-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14937-7", "display" : "Urea nitrogen [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "273967009" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.7, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.0, "unit" : "mmol/L" }, "high" : { "value" : 7.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o8-15", "resource" : { "resourceType" : "Observation", "id" : "o8-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14682-9", "display" : "Creatinine [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "70901006" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.09, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.04, "unit" : "mmol/L" }, "high" : { "value" : 0.11, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o9-15", "resource" : { "resourceType" : "Observation", "id" : "o9-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14933-6", "display" : "Urate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "86228006" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.39, "unit" : "mmol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 0.14, "unit" : "mmol/L" }, "high" : { "value" : 0.35, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o10-15", "resource" : { "resourceType" : "Observation", "id" : "o10-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14631-6", "display" : "Bilirubin.total [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "27171005" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 7, "unit" : "umol/L" }, "referenceRange" : [{ "low" : { "value" : 2, "unit" : "umol/L" }, "high" : { "value" : 20, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o11-15", "resource" : { "resourceType" : "Observation", "id" : "o11-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14629-0", "display" : "Bilirubin.direct [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "39748002" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 3, "unit" : "umol/L" }, "referenceRange" : [{ "low" : { "value" : 0, "unit" : "umol/L" }, "high" : { "value" : 8, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o12-15", "resource" : { "resourceType" : "Observation", "id" : "o12-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "6768-6", "display" : "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88810008" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 108, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 30, "unit" : "U/L" }, "high" : { "value" : 115, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o13-15", "resource" : { "resourceType" : "Observation", "id" : "o13-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2324-2", "display" : "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "69480007" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 35, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o14-15", "resource" : { "resourceType" : "Observation", "id" : "o14-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1742-6", "display" : "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "34608000" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 54, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o15-15", "resource" : { "resourceType" : "Observation", "id" : "o15-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1920-8", "display" : "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "45896001" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 30, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 41, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o16-15", "resource" : { "resourceType" : "Observation", "id" : "o16-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2532-0", "display" : "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "11274001" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 131, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 80, "unit" : "U/L" }, "high" : { "value" : 250, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o17-15", "resource" : { "resourceType" : "Observation", "id" : "o17-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2000-8", "display" : "Calcium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "71878006" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.38, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o18-15", "resource" : { "resourceType" : "Observation", "id" : "o18-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "13959-2", "display" : "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation" }, { "system" : "http://snomed.info/sct", "code" : "166708003" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.39, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o19-15", "resource" : { "resourceType" : "Observation", "id" : "o19-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14879-1", "display" : "Phosphate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104866001" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1.5, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.8, "unit" : "mmol/L" }, "high" : { "value" : 1.5, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o20-15", "resource" : { "resourceType" : "Observation", "id" : "o20-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2885-2", "display" : "Protein [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "74040009" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 67, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 60, "unit" : "g/L" }, "high" : { "value" : 82, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o21-15", "resource" : { "resourceType" : "Observation", "id" : "o21-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1751-7", "display" : "Albumin [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104485008" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 42, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 35, "unit" : "g/L" }, "high" : { "value" : 50, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o22-15", "resource" : { "resourceType" : "Observation", "id" : "o22-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10834-0", "display" : "Globulin [Mass/volume] in Serum by calculation" }, { "system" : "http://snomed.info/sct", "code" : "104979009" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 25, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 20, "unit" : "g/L" }, "high" : { "value" : 40, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o23-15", "resource" : { "resourceType" : "Observation", "id" : "o23-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14798-3", "display" : "Iron [Moles/volume] in Serum or Plasma" }, { "code" : "42950004" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 5, "unit" : "umol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "LL" }] }], "referenceRange" : [{ "low" : { "value" : 10, "unit" : "umol/L" }, "high" : { "value" : 33, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o24-15", "resource" : { "resourceType" : "Observation", "id" : "o24-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14647-2", "display" : "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "77068002" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 3.8, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.6, "unit" : "mmol/L" }, "high" : { "value" : 6.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o25-15", "resource" : { "resourceType" : "Observation", "id" : "o25-15", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14927-8", "display" : "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104784006" }] }, "subject" : { "reference" : "Patient/8" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.9, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.3, "unit" : "mmol/L" }, "high" : { "value" : 4.0, "unit" : "mmol/L" } }] } }] } }, { "fullUrl" : "http://hl7.org/fhir/Bundle/16", "resource" : { "resourceType" : "Bundle", "id" : "16", "type" : "collection", "entry" : [{ "fullUrl" : "https://example.com/base/DiagnosticReport/16", "resource" : { "resourceType" : "DiagnosticReport", "id" : "16", "meta" : { "lastUpdated" : "2012-04-14T10:35:23Z" }, "identifier" : [{ "system" : "http://acme.com/lab/reports", "value" : "5234342" }], "status" : "final", "code" : { "text" : "SERUM CHEMISTRY" }, "subject" : { "reference" : "Patient/9" }, "effectiveDateTime" : "2004-12-08T07:45:17Z", "issued" : "2005-02-23T10:04:01Z", "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "result" : [{ "reference" : "Observation/o1-16" }, { "reference" : "Observation/o2-16" }, { "reference" : "Observation/o3-16" }, { "reference" : "Observation/o4-16" }, { "reference" : "Observation/o5-16" }, { "reference" : "Observation/o6-16" }, { "reference" : "Observation/o7-16" }, { "reference" : "Observation/o8-16" }, { "reference" : "Observation/o9-16" }, { "reference" : "Observation/o10-16" }, { "reference" : "Observation/o11-16" }, { "reference" : "Observation/o12-16" }, { "reference" : "Observation/o13-16" }, { "reference" : "Observation/o14-16" }, { "reference" : "Observation/o15-16" }, { "reference" : "Observation/o16-16" }, { "reference" : "Observation/o17-16" }, { "reference" : "Observation/o18-16" }, { "reference" : "Observation/o19-16" }, { "reference" : "Observation/o20-16" }, { "reference" : "Observation/o21-16" }, { "reference" : "Observation/o22-16" }, { "reference" : "Observation/o23-16" }, { "reference" : "Observation/o24-16" }, { "reference" : "Observation/o25-16" }] } }, { "fullUrl" : "https://example.com/base/Observation/o1-16", "resource" : { "resourceType" : "Observation", "id" : "o1-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2951-2", "display" : "Sodium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104934005" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 138, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 137, "unit" : "mmol/L" }, "high" : { "value" : 147, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o2-16", "resource" : { "resourceType" : "Observation", "id" : "o2-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2823-3", "display" : "Potassium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "59573005" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.1, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.5, "unit" : "mmol/L" }, "high" : { "value" : 5.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o3-16", "resource" : { "resourceType" : "Observation", "id" : "o3-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2075-0", "display" : "Chloride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "46511006" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 103, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 96, "unit" : "mmol/L" }, "high" : { "value" : 109, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o4-16", "resource" : { "resourceType" : "Observation", "id" : "o4-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1963-8", "display" : "Bicarbonate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88645003" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 27, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 25, "unit" : "mmol/L" }, "high" : { "value" : 33, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o5-16", "resource" : { "resourceType" : "Observation", "id" : "o5-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1863-0", "display" : "Anion gap 4 in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "271057005" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 12, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 4, "unit" : "mmol/L" }, "high" : { "value" : 17, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o6-16", "resource" : { "resourceType" : "Observation", "id" : "o6-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14749-6", "display" : "Glucose [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "36048009" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 6.8, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.0, "unit" : "mmol/L" }, "high" : { "value" : 7.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o7-16", "resource" : { "resourceType" : "Observation", "id" : "o7-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14937-7", "display" : "Urea nitrogen [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "273967009" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 8.2, "unit" : "mmol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 2.0, "unit" : "mmol/L" }, "high" : { "value" : 7.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o8-16", "resource" : { "resourceType" : "Observation", "id" : "o8-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14682-9", "display" : "Creatinine [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "70901006" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.07, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.04, "unit" : "mmol/L" }, "high" : { "value" : 0.11, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o9-16", "resource" : { "resourceType" : "Observation", "id" : "o9-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14933-6", "display" : "Urate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "86228006" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.42, "unit" : "mmol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0.14, "unit" : "mmol/L" }, "high" : { "value" : 0.35, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o10-16", "resource" : { "resourceType" : "Observation", "id" : "o10-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14631-6", "display" : "Bilirubin.total [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "27171005" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 16, "unit" : "umol/L" }, "referenceRange" : [{ "low" : { "value" : 2, "unit" : "umol/L" }, "high" : { "value" : 20, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o11-16", "resource" : { "resourceType" : "Observation", "id" : "o11-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14629-0", "display" : "Bilirubin.direct [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "39748002" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 8, "unit" : "umol/L" }, "referenceRange" : [{ "low" : { "value" : 0, "unit" : "umol/L" }, "high" : { "value" : 8, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o12-16", "resource" : { "resourceType" : "Observation", "id" : "o12-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "6768-6", "display" : "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88810008" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 369, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 30, "unit" : "U/L" }, "high" : { "value" : 115, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o13-16", "resource" : { "resourceType" : "Observation", "id" : "o13-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2324-2", "display" : "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "69480007" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 438, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o14-16", "resource" : { "resourceType" : "Observation", "id" : "o14-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1742-6", "display" : "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "34608000" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 263, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o15-16", "resource" : { "resourceType" : "Observation", "id" : "o15-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1920-8", "display" : "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "45896001" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 87, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 41, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o16-16", "resource" : { "resourceType" : "Observation", "id" : "o16-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2532-0", "display" : "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "11274001" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 179, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 80, "unit" : "U/L" }, "high" : { "value" : 250, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o17-16", "resource" : { "resourceType" : "Observation", "id" : "o17-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2000-8", "display" : "Calcium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "71878006" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.32, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o18-16", "resource" : { "resourceType" : "Observation", "id" : "o18-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "13959-2", "display" : "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation" }, { "system" : "http://snomed.info/sct", "code" : "166708003" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.42, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o19-16", "resource" : { "resourceType" : "Observation", "id" : "o19-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14879-1", "display" : "Phosphate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104866001" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1.3, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.8, "unit" : "mmol/L" }, "high" : { "value" : 1.5, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o20-16", "resource" : { "resourceType" : "Observation", "id" : "o20-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2885-2", "display" : "Protein [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "74040009" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 67, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 60, "unit" : "g/L" }, "high" : { "value" : 82, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o21-16", "resource" : { "resourceType" : "Observation", "id" : "o21-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1751-7", "display" : "Albumin [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104485008" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 39, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 35, "unit" : "g/L" }, "high" : { "value" : 50, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o22-16", "resource" : { "resourceType" : "Observation", "id" : "o22-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10834-0", "display" : "Globulin [Mass/volume] in Serum by calculation" }, { "system" : "http://snomed.info/sct", "code" : "104979009" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 28, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 20, "unit" : "g/L" }, "high" : { "value" : 40, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o23-16", "resource" : { "resourceType" : "Observation", "id" : "o23-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14798-3", "display" : "Iron [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "42950004" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 8, "unit" : "umol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "L" }] }], "referenceRange" : [{ "low" : { "value" : 10, "unit" : "umol/L" }, "high" : { "value" : 33, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o24-16", "resource" : { "resourceType" : "Observation", "id" : "o24-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14647-2", "display" : "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "77068002" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.8, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.6, "unit" : "mmol/L" }, "high" : { "value" : 6.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o25-16", "resource" : { "resourceType" : "Observation", "id" : "o25-16", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14927-8", "display" : "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104784006" }] }, "subject" : { "reference" : "Patient/9" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.2, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.3, "unit" : "mmol/L" }, "high" : { "value" : 4.0, "unit" : "mmol/L" } }] } }] } }, { "fullUrl" : "http://hl7.org/fhir/Bundle/17", "resource" : { "resourceType" : "Bundle", "id" : "17", "type" : "collection", "entry" : [{ "fullUrl" : "https://example.com/base/DiagnosticReport/17", "resource" : { "resourceType" : "DiagnosticReport", "id" : "17", "meta" : { "lastUpdated" : "2012-04-14T10:35:23Z" }, "identifier" : [{ "system" : "http://acme.com/lab/reports", "value" : "5234342" }], "status" : "final", "code" : { "text" : "SERUM CHEMISTRY" }, "subject" : { "reference" : "Patient/10" }, "effectiveDateTime" : "2004-12-15T07:20:17Z", "issued" : "2005-02-23T10:04:01Z", "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "result" : [{ "reference" : "Observation/o1-17" }, { "reference" : "Observation/o2-17" }, { "reference" : "Observation/o3-17" }, { "reference" : "Observation/o4-17" }, { "reference" : "Observation/o5-17" }, { "reference" : "Observation/o6-17" }, { "reference" : "Observation/o7-17" }, { "reference" : "Observation/o8-17" }, { "reference" : "Observation/o9-17" }, { "reference" : "Observation/o10-17" }, { "reference" : "Observation/o11-17" }, { "reference" : "Observation/o12-17" }, { "reference" : "Observation/o13-17" }, { "reference" : "Observation/o14-17" }, { "reference" : "Observation/o15-17" }, { "reference" : "Observation/o16-17" }, { "reference" : "Observation/o17-17" }, { "reference" : "Observation/o18-17" }, { "reference" : "Observation/o19-17" }, { "reference" : "Observation/o20-17" }, { "reference" : "Observation/o21-17" }, { "reference" : "Observation/o22-17" }, { "reference" : "Observation/o23-17" }, { "reference" : "Observation/o24-17" }, { "reference" : "Observation/o25-17" }] } }, { "fullUrl" : "https://example.com/base/Observation/o1-17", "resource" : { "resourceType" : "Observation", "id" : "o1-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2951-2", "display" : "Sodium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104934005" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 142, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 137, "unit" : "mmol/L" }, "high" : { "value" : 147, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o2-17", "resource" : { "resourceType" : "Observation", "id" : "o2-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2823-3", "display" : "Potassium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "59573005" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.0, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.5, "unit" : "mmol/L" }, "high" : { "value" : 5.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o3-17", "resource" : { "resourceType" : "Observation", "id" : "o3-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2075-0", "display" : "Chloride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "46511006" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 105, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 96, "unit" : "mmol/L" }, "high" : { "value" : 109, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o4-17", "resource" : { "resourceType" : "Observation", "id" : "o4-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1963-8", "display" : "Bicarbonate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88645003" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 28, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 25, "unit" : "mmol/L" }, "high" : { "value" : 33, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o5-17", "resource" : { "resourceType" : "Observation", "id" : "o5-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1863-0", "display" : "Anion gap 4 in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "271057005" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 13, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 4, "unit" : "mmol/L" }, "high" : { "value" : 17, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o6-17", "resource" : { "resourceType" : "Observation", "id" : "o6-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14749-6", "display" : "Glucose [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "36048009" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 5.2, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.0, "unit" : "mmol/L" }, "high" : { "value" : 7.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o7-17", "resource" : { "resourceType" : "Observation", "id" : "o7-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14937-7", "display" : "Urea nitrogen [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "273967009" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 6.4, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.0, "unit" : "mmol/L" }, "high" : { "value" : 7.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o8-17", "resource" : { "resourceType" : "Observation", "id" : "o8-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14682-9", "display" : "Creatinine [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "70901006" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.09, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.04, "unit" : "mmol/L" }, "high" : { "value" : 0.11, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o9-17", "resource" : { "resourceType" : "Observation", "id" : "o9-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14933-6", "display" : "Urate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "86228006" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.46, "unit" : "mmol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0.14, "unit" : "mmol/L" }, "high" : { "value" : 0.35, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o10-17", "resource" : { "resourceType" : "Observation", "id" : "o10-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14631-6", "display" : "Bilirubin.total [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "27171005" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 13, "unit" : "umol/L" }, "referenceRange" : [{ "low" : { "value" : 2, "unit" : "umol/L" }, "high" : { "value" : 20, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o11-17", "resource" : { "resourceType" : "Observation", "id" : "o11-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14629-0", "display" : "Bilirubin.direct [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "39748002" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 6, "unit" : "umol/L" }, "referenceRange" : [{ "low" : { "value" : 0, "unit" : "umol/L" }, "high" : { "value" : 8, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o12-17", "resource" : { "resourceType" : "Observation", "id" : "o12-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "6768-6", "display" : "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88810008" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 204, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 30, "unit" : "U/L" }, "high" : { "value" : 115, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o13-17", "resource" : { "resourceType" : "Observation", "id" : "o13-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2324-2", "display" : "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "69480007" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 192, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o14-17", "resource" : { "resourceType" : "Observation", "id" : "o14-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1742-6", "display" : "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "34608000" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 70, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o15-17", "resource" : { "resourceType" : "Observation", "id" : "o15-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1920-8", "display" : "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "45896001" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 26, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 41, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o16-17", "resource" : { "resourceType" : "Observation", "id" : "o16-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2532-0", "display" : "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "11274001" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 150, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 80, "unit" : "U/L" }, "high" : { "value" : 250, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o17-17", "resource" : { "resourceType" : "Observation", "id" : "o17-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2000-8", "display" : "Calcium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "71878006" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.37, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o18-17", "resource" : { "resourceType" : "Observation", "id" : "o18-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "13959-2", "display" : "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation" }, { "system" : "http://snomed.info/sct", "code" : "166708003" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.47, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o19-17", "resource" : { "resourceType" : "Observation", "id" : "o19-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14879-1", "display" : "Phosphate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104866001" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1.4, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.8, "unit" : "mmol/L" }, "high" : { "value" : 1.5, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o20-17", "resource" : { "resourceType" : "Observation", "id" : "o20-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2885-2", "display" : "Protein [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "74040009" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 67, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 60, "unit" : "g/L" }, "high" : { "value" : 82, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o21-17", "resource" : { "resourceType" : "Observation", "id" : "o21-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1751-7", "display" : "Albumin [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104485008" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 39, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 35, "unit" : "g/L" }, "high" : { "value" : 50, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o22-17", "resource" : { "resourceType" : "Observation", "id" : "o22-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10834-0", "display" : "Globulin [Mass/volume] in Serum by calculation" }, { "system" : "http://snomed.info/sct", "code" : "104979009" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 28, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 20, "unit" : "g/L" }, "high" : { "value" : 40, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o23-17", "resource" : { "resourceType" : "Observation", "id" : "o23-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14798-3", "display" : "Iron [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "42950004" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 5, "unit" : "umol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "LL" }] }], "referenceRange" : [{ "low" : { "value" : 10, "unit" : "umol/L" }, "high" : { "value" : 33, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o24-17", "resource" : { "resourceType" : "Observation", "id" : "o24-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14647-2", "display" : "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "77068002" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.4, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.6, "unit" : "mmol/L" }, "high" : { "value" : 6.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o25-17", "resource" : { "resourceType" : "Observation", "id" : "o25-17", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14927-8", "display" : "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104784006" }] }, "subject" : { "reference" : "Patient/10" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1.1, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.3, "unit" : "mmol/L" }, "high" : { "value" : 4.0, "unit" : "mmol/L" } }] } }] } }, { "fullUrl" : "http://hl7.org/fhir/Bundle/18", "resource" : { "resourceType" : "Bundle", "id" : "18", "type" : "collection", "entry" : [{ "fullUrl" : "https://example.com/base/DiagnosticReport/18", "resource" : { "resourceType" : "DiagnosticReport", "id" : "18", "meta" : { "lastUpdated" : "2012-04-14T10:35:23Z" }, "identifier" : [{ "system" : "http://acme.com/lab/reports", "value" : "5234342" }], "status" : "final", "code" : { "text" : "SERUM CHEMISTRY" }, "subject" : { "reference" : "Patient/1" }, "effectiveDateTime" : "2004-12-22T07:45:17Z", "issued" : "2005-02-23T10:04:01Z", "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "result" : [{ "reference" : "Observation/o1-18" }, { "reference" : "Observation/o2-18" }, { "reference" : "Observation/o3-18" }, { "reference" : "Observation/o4-18" }, { "reference" : "Observation/o5-18" }, { "reference" : "Observation/o6-18" }, { "reference" : "Observation/o7-18" }, { "reference" : "Observation/o8-18" }, { "reference" : "Observation/o9-18" }, { "reference" : "Observation/o10-18" }, { "reference" : "Observation/o11-18" }, { "reference" : "Observation/o12-18" }, { "reference" : "Observation/o13-18" }, { "reference" : "Observation/o14-18" }, { "reference" : "Observation/o15-18" }, { "reference" : "Observation/o16-18" }, { "reference" : "Observation/o17-18" }, { "reference" : "Observation/o18-18" }, { "reference" : "Observation/o19-18" }, { "reference" : "Observation/o20-18" }, { "reference" : "Observation/o21-18" }, { "reference" : "Observation/o22-18" }, { "reference" : "Observation/o23-18" }, { "reference" : "Observation/o24-18" }, { "reference" : "Observation/o25-18" }] } }, { "fullUrl" : "https://example.com/base/Observation/o1-18", "resource" : { "resourceType" : "Observation", "id" : "o1-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2951-2", "display" : "Sodium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104934005" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 142, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 137, "unit" : "mmol/L" }, "high" : { "value" : 147, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o2-18", "resource" : { "resourceType" : "Observation", "id" : "o2-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2823-3", "display" : "Potassium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "59573005" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.0, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.5, "unit" : "mmol/L" }, "high" : { "value" : 5.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o3-18", "resource" : { "resourceType" : "Observation", "id" : "o3-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2075-0", "display" : "Chloride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "46511006" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 107, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 96, "unit" : "mmol/L" }, "high" : { "value" : 109, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o4-18", "resource" : { "resourceType" : "Observation", "id" : "o4-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1963-8", "display" : "Bicarbonate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88645003" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 26, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 25, "unit" : "mmol/L" }, "high" : { "value" : 33, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o5-18", "resource" : { "resourceType" : "Observation", "id" : "o5-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1863-0", "display" : "Anion gap 4 in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "271057005" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 13, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 4, "unit" : "mmol/L" }, "high" : { "value" : 17, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o6-18", "resource" : { "resourceType" : "Observation", "id" : "o6-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14749-6", "display" : "Glucose [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "36048009" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 6.3, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.0, "unit" : "mmol/L" }, "high" : { "value" : 7.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o7-18", "resource" : { "resourceType" : "Observation", "id" : "o7-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14937-7", "display" : "Urea nitrogen [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "273967009" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 6.7, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.0, "unit" : "mmol/L" }, "high" : { "value" : 7.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o8-18", "resource" : { "resourceType" : "Observation", "id" : "o8-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14682-9", "display" : "Creatinine [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "70901006" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.08, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.04, "unit" : "mmol/L" }, "high" : { "value" : 0.11, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o9-18", "resource" : { "resourceType" : "Observation", "id" : "o9-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14933-6", "display" : "Urate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "86228006" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.40, "unit" : "mmol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0.14, "unit" : "mmol/L" }, "high" : { "value" : 0.35, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o10-18", "resource" : { "resourceType" : "Observation", "id" : "o10-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14631-6", "display" : "Bilirubin.total [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "27171005" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 9, "unit" : "umol/L" }, "referenceRange" : [{ "low" : { "value" : 2, "unit" : "umol/L" }, "high" : { "value" : 20, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o11-18", "resource" : { "resourceType" : "Observation", "id" : "o11-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14629-0", "display" : "Bilirubin.direct [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "39748002" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4, "unit" : "umol/L" }, "referenceRange" : [{ "low" : { "value" : 0, "unit" : "umol/L" }, "high" : { "value" : 8, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o12-18", "resource" : { "resourceType" : "Observation", "id" : "o12-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "6768-6", "display" : "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88810008" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 144, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 30, "unit" : "U/L" }, "high" : { "value" : 115, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o13-18", "resource" : { "resourceType" : "Observation", "id" : "o13-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2324-2", "display" : "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "69480007" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 106, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o14-18", "resource" : { "resourceType" : "Observation", "id" : "o14-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1742-6", "display" : "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "34608000" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 30, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o15-18", "resource" : { "resourceType" : "Observation", "id" : "o15-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1920-8", "display" : "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "45896001" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 18, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 41, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o16-18", "resource" : { "resourceType" : "Observation", "id" : "o16-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2532-0", "display" : "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "11274001" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 143, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 80, "unit" : "U/L" }, "high" : { "value" : 250, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o17-18", "resource" : { "resourceType" : "Observation", "id" : "o17-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2000-8", "display" : "Calcium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "71878006" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.28, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o18-18", "resource" : { "resourceType" : "Observation", "id" : "o18-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "13959-2", "display" : "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation" }, { "system" : "http://snomed.info/sct", "code" : "166708003" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.32, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o19-18", "resource" : { "resourceType" : "Observation", "id" : "o19-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14879-1", "display" : "Phosphate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104866001" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1.3, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.8, "unit" : "mmol/L" }, "high" : { "value" : 1.5, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o20-18", "resource" : { "resourceType" : "Observation", "id" : "o20-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2885-2", "display" : "Protein [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "74040009" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 66, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 60, "unit" : "g/L" }, "high" : { "value" : 82, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o21-18", "resource" : { "resourceType" : "Observation", "id" : "o21-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1751-7", "display" : "Albumin [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104485008" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 41, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 35, "unit" : "g/L" }, "high" : { "value" : 50, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o22-18", "resource" : { "resourceType" : "Observation", "id" : "o22-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10834-0", "display" : "Globulin [Mass/volume] in Serum by calculation" }, { "system" : "http://snomed.info/sct", "code" : "104979009" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 25, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 20, "unit" : "g/L" }, "high" : { "value" : 40, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o23-18", "resource" : { "resourceType" : "Observation", "id" : "o23-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14798-3", "display" : "Iron [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "42950004" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 3, "unit" : "umol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "LL" }] }], "referenceRange" : [{ "low" : { "value" : 10, "unit" : "umol/L" }, "high" : { "value" : 33, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o24-18", "resource" : { "resourceType" : "Observation", "id" : "o24-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14647-2", "display" : "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "77068002" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.0, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.6, "unit" : "mmol/L" }, "high" : { "value" : 6.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o25-18", "resource" : { "resourceType" : "Observation", "id" : "o25-18", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14927-8", "display" : "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104784006" }] }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1.0, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.3, "unit" : "mmol/L" }, "high" : { "value" : 4.0, "unit" : "mmol/L" } }] } }] } }, { "fullUrl" : "http://hl7.org/fhir/Bundle/19", "resource" : { "resourceType" : "Bundle", "id" : "19", "type" : "collection", "entry" : [{ "fullUrl" : "https://example.com/base/DiagnosticReport/19", "resource" : { "resourceType" : "DiagnosticReport", "id" : "19", "meta" : { "lastUpdated" : "2012-04-14T10:35:23Z" }, "identifier" : [{ "system" : "http://acme.com/lab/reports", "value" : "5234342" }], "status" : "final", "code" : { "text" : "SERUM CHEMISTRY" }, "subject" : { "reference" : "Patient/2" }, "effectiveDateTime" : "2004-12-03T09:45:17Z", "issued" : "2005-02-23T10:04:01Z", "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "result" : [{ "reference" : "Observation/o1-19" }, { "reference" : "Observation/o2-19" }, { "reference" : "Observation/o3-19" }, { "reference" : "Observation/o4-19" }, { "reference" : "Observation/o5-19" }, { "reference" : "Observation/o6-19" }, { "reference" : "Observation/o7-19" }, { "reference" : "Observation/o8-19" }, { "reference" : "Observation/o9-19" }, { "reference" : "Observation/o10-19" }, { "reference" : "Observation/o11-19" }, { "reference" : "Observation/o12-19" }, { "reference" : "Observation/o13-19" }, { "reference" : "Observation/o14-19" }, { "reference" : "Observation/o15-19" }, { "reference" : "Observation/o16-19" }, { "reference" : "Observation/o17-19" }, { "reference" : "Observation/o18-19" }, { "reference" : "Observation/o19-19" }, { "reference" : "Observation/o20-19" }, { "reference" : "Observation/o21-19" }, { "reference" : "Observation/o22-19" }, { "reference" : "Observation/o23-19" }, { "reference" : "Observation/o24-19" }] } }, { "fullUrl" : "https://example.com/base/Observation/o1-19", "resource" : { "resourceType" : "Observation", "id" : "o1-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2951-2", "display" : "Sodium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104934005" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 141, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 137, "unit" : "mmol/L" }, "high" : { "value" : 147, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o2-19", "resource" : { "resourceType" : "Observation", "id" : "o2-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2823-3", "display" : "Potassium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "59573005" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.2, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.5, "unit" : "mmol/L" }, "high" : { "value" : 5.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o3-19", "resource" : { "resourceType" : "Observation", "id" : "o3-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2075-0", "display" : "Chloride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "46511006" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 106, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 96, "unit" : "mmol/L" }, "high" : { "value" : 109, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o4-19", "resource" : { "resourceType" : "Observation", "id" : "o4-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1963-8", "display" : "Bicarbonate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88645003" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 29, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 25, "unit" : "mmol/L" }, "high" : { "value" : 33, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o5-19", "resource" : { "resourceType" : "Observation", "id" : "o5-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1863-0", "display" : "Anion gap 4 in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "271057005" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 10, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 4, "unit" : "mmol/L" }, "high" : { "value" : 17, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o6-19", "resource" : { "resourceType" : "Observation", "id" : "o6-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14749-6", "display" : "Glucose [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "36048009" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 7.0, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.0, "unit" : "mmol/L" }, "high" : { "value" : 7.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o7-19", "resource" : { "resourceType" : "Observation", "id" : "o7-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14937-7", "display" : "Urea nitrogen [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "273967009" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.7, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.0, "unit" : "mmol/L" }, "high" : { "value" : 7.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o8-19", "resource" : { "resourceType" : "Observation", "id" : "o8-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14682-9", "display" : "Creatinine [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "70901006" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.05, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.04, "unit" : "mmol/L" }, "high" : { "value" : 0.11, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o9-19", "resource" : { "resourceType" : "Observation", "id" : "o9-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14933-6", "display" : "Urate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "86228006" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.32, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.14, "unit" : "mmol/L" }, "high" : { "value" : 0.35, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o10-19", "resource" : { "resourceType" : "Observation", "id" : "o10-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14631-6", "display" : "Bilirubin.total [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "27171005" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 43, "unit" : "umol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 2, "unit" : "umol/L" }, "high" : { "value" : 20, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o11-19", "resource" : { "resourceType" : "Observation", "id" : "o11-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "6768-6", "display" : "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88810008" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 708, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 30, "unit" : "U/L" }, "high" : { "value" : 115, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o12-19", "resource" : { "resourceType" : "Observation", "id" : "o12-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2324-2", "display" : "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "69480007" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1131, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o13-19", "resource" : { "resourceType" : "Observation", "id" : "o13-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1742-6", "display" : "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "34608000" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 475, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o14-19", "resource" : { "resourceType" : "Observation", "id" : "o14-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1920-8", "display" : "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "45896001" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 176, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 41, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o15-19", "resource" : { "resourceType" : "Observation", "id" : "o15-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2532-0", "display" : "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "11274001" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 324, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 80, "unit" : "U/L" }, "high" : { "value" : 250, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o16-19", "resource" : { "resourceType" : "Observation", "id" : "o16-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2000-8", "display" : "Calcium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "71878006" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.32, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o17-19", "resource" : { "resourceType" : "Observation", "id" : "o17-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "13959-2", "display" : "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation" }, { "system" : "http://snomed.info/sct", "code" : "166708003" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.45, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o18-19", "resource" : { "resourceType" : "Observation", "id" : "o18-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14879-1", "display" : "Phosphate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104866001" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.9, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.8, "unit" : "mmol/L" }, "high" : { "value" : 1.5, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o19-19", "resource" : { "resourceType" : "Observation", "id" : "o19-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2885-2", "display" : "Protein [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "74040009" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 71, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 60, "unit" : "g/L" }, "high" : { "value" : 82, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o20-19", "resource" : { "resourceType" : "Observation", "id" : "o20-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1751-7", "display" : "Albumin [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104485008" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 38, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 35, "unit" : "g/L" }, "high" : { "value" : 50, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o21-19", "resource" : { "resourceType" : "Observation", "id" : "o21-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10834-0", "display" : "Globulin [Mass/volume] in Serum by calculation" }, { "system" : "http://snomed.info/sct", "code" : "104979009" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 33, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 20, "unit" : "g/L" }, "high" : { "value" : 40, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o22-19", "resource" : { "resourceType" : "Observation", "id" : "o22-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14798-3", "display" : "Iron [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "42950004" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 17, "unit" : "umol/L" }, "referenceRange" : [{ "low" : { "value" : 10, "unit" : "umol/L" }, "high" : { "value" : 33, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o23-19", "resource" : { "resourceType" : "Observation", "id" : "o23-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14647-2", "display" : "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "77068002" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 7.0, "unit" : "mmol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 3.6, "unit" : "mmol/L" }, "high" : { "value" : 6.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o24-19", "resource" : { "resourceType" : "Observation", "id" : "o24-19", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14927-8", "display" : "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104784006" }] }, "subject" : { "reference" : "Patient/2" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.9, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.3, "unit" : "mmol/L" }, "high" : { "value" : 4.0, "unit" : "mmol/L" } }] } }] } }, { "fullUrl" : "http://hl7.org/fhir/Bundle/20", "resource" : { "resourceType" : "Bundle", "id" : "20", "type" : "collection", "entry" : [{ "fullUrl" : "https://example.com/base/DiagnosticReport/20", "resource" : { "resourceType" : "DiagnosticReport", "id" : "20", "meta" : { "lastUpdated" : "2012-04-14T10:35:23Z" }, "identifier" : [{ "system" : "http://acme.com/lab/reports", "value" : "5234342" }], "status" : "final", "code" : { "text" : "SERUM CHEMISTRY" }, "subject" : { "reference" : "Patient/3" }, "effectiveDateTime" : "2004-12-03T20:30:17Z", "issued" : "2005-02-23T10:04:01Z", "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "result" : [{ "reference" : "Observation/o1-20" }, { "reference" : "Observation/o2-20" }, { "reference" : "Observation/o3-20" }, { "reference" : "Observation/o4-20" }, { "reference" : "Observation/o5-20" }, { "reference" : "Observation/o6-20" }, { "reference" : "Observation/o7-20" }, { "reference" : "Observation/o8-20" }, { "reference" : "Observation/o9-20" }, { "reference" : "Observation/o10-20" }, { "reference" : "Observation/o11-20" }, { "reference" : "Observation/o12-20" }, { "reference" : "Observation/o13-20" }, { "reference" : "Observation/o14-20" }, { "reference" : "Observation/o15-20" }, { "reference" : "Observation/o16-20" }, { "reference" : "Observation/o17-20" }, { "reference" : "Observation/o18-20" }, { "reference" : "Observation/o19-20" }, { "reference" : "Observation/o20-20" }, { "reference" : "Observation/o21-20" }, { "reference" : "Observation/o22-20" }, { "reference" : "Observation/o23-20" }, { "reference" : "Observation/o24-20" }] } }, { "fullUrl" : "https://example.com/base/Observation/o1-20", "resource" : { "resourceType" : "Observation", "id" : "o1-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2951-2", "display" : "Sodium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104934005" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 142, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 137, "unit" : "mmol/L" }, "high" : { "value" : 147, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o2-20", "resource" : { "resourceType" : "Observation", "id" : "o2-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2823-3", "display" : "Potassium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "59573005" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 3.6, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.5, "unit" : "mmol/L" }, "high" : { "value" : 5.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o3-20", "resource" : { "resourceType" : "Observation", "id" : "o3-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2075-0", "display" : "Chloride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "46511006" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 104, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 96, "unit" : "mmol/L" }, "high" : { "value" : 109, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o4-20", "resource" : { "resourceType" : "Observation", "id" : "o4-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1963-8", "display" : "Bicarbonate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88645003" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 30, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 25, "unit" : "mmol/L" }, "high" : { "value" : 33, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o5-20", "resource" : { "resourceType" : "Observation", "id" : "o5-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1863-0", "display" : "Anion gap 4 in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "271057005" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 12, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 4, "unit" : "mmol/L" }, "high" : { "value" : 17, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o6-20", "resource" : { "resourceType" : "Observation", "id" : "o6-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14749-6", "display" : "Glucose [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "36048009" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 6.2, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.0, "unit" : "mmol/L" }, "high" : { "value" : 7.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o7-20", "resource" : { "resourceType" : "Observation", "id" : "o7-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14937-7", "display" : "Urea nitrogen [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "273967009" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.5, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.0, "unit" : "mmol/L" }, "high" : { "value" : 7.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o8-20", "resource" : { "resourceType" : "Observation", "id" : "o8-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14682-9", "display" : "Creatinine [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "70901006" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.06, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.04, "unit" : "mmol/L" }, "high" : { "value" : 0.11, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o9-20", "resource" : { "resourceType" : "Observation", "id" : "o9-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14933-6", "display" : "Urate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "86228006" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.37, "unit" : "mmol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 0.14, "unit" : "mmol/L" }, "high" : { "value" : 0.35, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o10-20", "resource" : { "resourceType" : "Observation", "id" : "o10-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14631-6", "display" : "Bilirubin.total [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "27171005" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 50, "unit" : "umol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 2, "unit" : "umol/L" }, "high" : { "value" : 20, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o11-20", "resource" : { "resourceType" : "Observation", "id" : "o11-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "6768-6", "display" : "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88810008" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 684, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 30, "unit" : "U/L" }, "high" : { "value" : 115, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o12-20", "resource" : { "resourceType" : "Observation", "id" : "o12-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2324-2", "display" : "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "69480007" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1105, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o13-20", "resource" : { "resourceType" : "Observation", "id" : "o13-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1742-6", "display" : "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "34608000" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 466, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o14-20", "resource" : { "resourceType" : "Observation", "id" : "o14-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1920-8", "display" : "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "45896001" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 198, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 41, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o15-20", "resource" : { "resourceType" : "Observation", "id" : "o15-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2532-0", "display" : "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "11274001" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 323, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 80, "unit" : "U/L" }, "high" : { "value" : 250, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o16-20", "resource" : { "resourceType" : "Observation", "id" : "o16-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2000-8", "display" : "Calcium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "71878006" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.32, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o17-20", "resource" : { "resourceType" : "Observation", "id" : "o17-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "13959-2", "display" : "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation" }, { "system" : "http://snomed.info/sct", "code" : "166708003" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.45, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o18-20", "resource" : { "resourceType" : "Observation", "id" : "o18-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14879-1", "display" : "Phosphate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104866001" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.9, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.8, "unit" : "mmol/L" }, "high" : { "value" : 1.5, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o19-20", "resource" : { "resourceType" : "Observation", "id" : "o19-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2885-2", "display" : "Protein [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "74040009" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 70, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 60, "unit" : "g/L" }, "high" : { "value" : 82, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o20-20", "resource" : { "resourceType" : "Observation", "id" : "o20-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1751-7", "display" : "Albumin [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104485008" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 38, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 35, "unit" : "g/L" }, "high" : { "value" : 50, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o21-20", "resource" : { "resourceType" : "Observation", "id" : "o21-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10834-0", "display" : "Globulin [Mass/volume] in Serum by calculation" }, { "system" : "http://snomed.info/sct", "code" : "104979009" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 32, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 20, "unit" : "g/L" }, "high" : { "value" : 40, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o22-20", "resource" : { "resourceType" : "Observation", "id" : "o22-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14798-3", "display" : "Iron [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "42950004" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 11, "unit" : "umol/L" }, "referenceRange" : [{ "low" : { "value" : 10, "unit" : "umol/L" }, "high" : { "value" : 33, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o23-20", "resource" : { "resourceType" : "Observation", "id" : "o23-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14647-2", "display" : "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "77068002" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 6.9, "unit" : "mmol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 3.6, "unit" : "mmol/L" }, "high" : { "value" : 6.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o24-20", "resource" : { "resourceType" : "Observation", "id" : "o24-20", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14927-8", "display" : "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104784006" }] }, "subject" : { "reference" : "Patient/3" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1.9, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.3, "unit" : "mmol/L" }, "high" : { "value" : 4.0, "unit" : "mmol/L" } }] } }] } }, { "fullUrl" : "http://hl7.org/fhir/Bundle/21", "resource" : { "resourceType" : "Bundle", "id" : "21", "type" : "collection", "entry" : [{ "fullUrl" : "https://example.com/base/DiagnosticReport/21", "resource" : { "resourceType" : "DiagnosticReport", "id" : "21", "meta" : { "lastUpdated" : "2012-04-14T10:35:23Z" }, "identifier" : [{ "system" : "http://acme.com/lab/reports", "value" : "5234342" }], "status" : "final", "code" : { "text" : "SERUM CHEMISTRY" }, "subject" : { "reference" : "Patient/4" }, "effectiveDateTime" : "2004-12-05T07:15:17Z", "issued" : "2005-02-23T10:04:01Z", "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "result" : [{ "reference" : "Observation/o1-21" }, { "reference" : "Observation/o2-21" }, { "reference" : "Observation/o3-21" }, { "reference" : "Observation/o4-21" }, { "reference" : "Observation/o5-21" }, { "reference" : "Observation/o6-21" }, { "reference" : "Observation/o7-21" }, { "reference" : "Observation/o8-21" }, { "reference" : "Observation/o9-21" }, { "reference" : "Observation/o10-21" }, { "reference" : "Observation/o11-21" }, { "reference" : "Observation/o12-21" }, { "reference" : "Observation/o13-21" }, { "reference" : "Observation/o14-21" }, { "reference" : "Observation/o15-21" }, { "reference" : "Observation/o16-21" }, { "reference" : "Observation/o17-21" }, { "reference" : "Observation/o18-21" }, { "reference" : "Observation/o19-21" }, { "reference" : "Observation/o20-21" }, { "reference" : "Observation/o21-21" }, { "reference" : "Observation/o22-21" }, { "reference" : "Observation/o23-21" }, { "reference" : "Observation/o24-21" }] } }, { "fullUrl" : "https://example.com/base/Observation/o1-21", "resource" : { "resourceType" : "Observation", "id" : "o1-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2951-2", "display" : "Sodium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104934005" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 143, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 137, "unit" : "mmol/L" }, "high" : { "value" : 147, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o2-21", "resource" : { "resourceType" : "Observation", "id" : "o2-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2823-3", "display" : "Potassium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "59573005" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.3, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.5, "unit" : "mmol/L" }, "high" : { "value" : 5.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o3-21", "resource" : { "resourceType" : "Observation", "id" : "o3-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2075-0", "display" : "Chloride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "46511006" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 108, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 96, "unit" : "mmol/L" }, "high" : { "value" : 109, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o4-21", "resource" : { "resourceType" : "Observation", "id" : "o4-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1963-8", "display" : "Bicarbonate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88645003" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 25, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 25, "unit" : "mmol/L" }, "high" : { "value" : 33, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o5-21", "resource" : { "resourceType" : "Observation", "id" : "o5-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1863-0", "display" : "Anion gap 4 in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "271057005" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 14, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 4, "unit" : "mmol/L" }, "high" : { "value" : 17, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o6-21", "resource" : { "resourceType" : "Observation", "id" : "o6-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14749-6", "display" : "Glucose [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "36048009" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.3, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.0, "unit" : "mmol/L" }, "high" : { "value" : 7.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o7-21", "resource" : { "resourceType" : "Observation", "id" : "o7-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14937-7", "display" : "Urea nitrogen [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "273967009" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4.6, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.0, "unit" : "mmol/L" }, "high" : { "value" : 7.0, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o8-21", "resource" : { "resourceType" : "Observation", "id" : "o8-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14682-9", "display" : "Creatinine [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "70901006" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.06, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.04, "unit" : "mmol/L" }, "high" : { "value" : 0.11, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o9-21", "resource" : { "resourceType" : "Observation", "id" : "o9-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14933-6", "display" : "Urate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "86228006" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.41, "unit" : "mmol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0.14, "unit" : "mmol/L" }, "high" : { "value" : 0.35, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o10-21", "resource" : { "resourceType" : "Observation", "id" : "o10-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14631-6", "display" : "Bilirubin.total [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "27171005" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 27, "unit" : "umol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 2, "unit" : "umol/L" }, "high" : { "value" : 20, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o11-21", "resource" : { "resourceType" : "Observation", "id" : "o11-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "6768-6", "display" : "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "88810008" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 631, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 30, "unit" : "U/L" }, "high" : { "value" : 115, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o12-21", "resource" : { "resourceType" : "Observation", "id" : "o12-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2324-2", "display" : "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "69480007" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 956, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o13-21", "resource" : { "resourceType" : "Observation", "id" : "o13-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1742-6", "display" : "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "34608000" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 398, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 45, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o14-21", "resource" : { "resourceType" : "Observation", "id" : "o14-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1920-8", "display" : "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "45896001" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 120, "unit" : "U/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "HH" }] }], "referenceRange" : [{ "low" : { "value" : 0, "unit" : "U/L" }, "high" : { "value" : 41, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o15-21", "resource" : { "resourceType" : "Observation", "id" : "o15-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2532-0", "display" : "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "11274001" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 243, "unit" : "U/L" }, "referenceRange" : [{ "low" : { "value" : 80, "unit" : "U/L" }, "high" : { "value" : 250, "unit" : "U/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o16-21", "resource" : { "resourceType" : "Observation", "id" : "o16-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2000-8", "display" : "Calcium [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "71878006" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.33, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o17-21", "resource" : { "resourceType" : "Observation", "id" : "o17-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "13959-2", "display" : "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation" }, { "system" : "http://snomed.info/sct", "code" : "166708003" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.52, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 2.25, "unit" : "mmol/L" }, "high" : { "value" : 2.65, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o18-21", "resource" : { "resourceType" : "Observation", "id" : "o18-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14879-1", "display" : "Phosphate [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104866001" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1.2, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.8, "unit" : "mmol/L" }, "high" : { "value" : 1.5, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o19-21", "resource" : { "resourceType" : "Observation", "id" : "o19-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2885-2", "display" : "Protein [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "74040009" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 71, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 60, "unit" : "g/L" }, "high" : { "value" : 82, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o20-21", "resource" : { "resourceType" : "Observation", "id" : "o20-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "1751-7", "display" : "Albumin [Mass/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104485008" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 36, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 35, "unit" : "g/L" }, "high" : { "value" : 50, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o21-21", "resource" : { "resourceType" : "Observation", "id" : "o21-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10834-0", "display" : "Globulin [Mass/volume] in Serum by calculation" }, { "system" : "http://snomed.info/sct", "code" : "104979009" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 35, "unit" : "g/L" }, "referenceRange" : [{ "low" : { "value" : 20, "unit" : "g/L" }, "high" : { "value" : 40, "unit" : "g/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o22-21", "resource" : { "resourceType" : "Observation", "id" : "o22-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14798-3", "display" : "Iron [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "42950004" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 39, "unit" : "umol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 10, "unit" : "umol/L" }, "high" : { "value" : 33, "unit" : "umol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o23-21", "resource" : { "resourceType" : "Observation", "id" : "o23-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14647-2", "display" : "Cholesterol [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "77068002" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 6.8, "unit" : "mmol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 3.6, "unit" : "mmol/L" }, "high" : { "value" : 6.7, "unit" : "mmol/L" } }] } }, { "fullUrl" : "https://example.com/base/Observation/o24-21", "resource" : { "resourceType" : "Observation", "id" : "o24-21", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14927-8", "display" : "Triglyceride [Moles/volume] in Serum or Plasma" }, { "system" : "http://snomed.info/sct", "code" : "104784006" }] }, "subject" : { "reference" : "Patient/4" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1.5, "unit" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 0.3, "unit" : "mmol/L" }, "high" : { "value" : 4.0, "unit" : "mmol/L" } }] } }] } }, { "fullUrl" : "http://hl7.org/fhir/Bundle/25", "resource" : { "resourceType" : "Bundle", "id" : "25", "type" : "collection", "entry" : [{ "fullUrl" : "https://example.com/base/DiagnosticReport/25", "resource" : { "resourceType" : "DiagnosticReport", "id" : "25", "meta" : { "lastUpdated" : "2012-04-14T10:35:23Z" }, "identifier" : [{ "system" : "http://acme.com/lab/reports", "value" : "5234342" }], "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "18769-0", "display" : "Microbial susceptibility tests Set" }] }, "subject" : { "reference" : "Patient/5" }, "effectiveDateTime" : "2005-11-07T21:44:17Z", "issued" : "2005-11-07T23:38:01Z", "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "specimen" : [{ "display" : "URINE, CLEAN CATCH/MIDSTREAM" }], "result" : [{ "reference" : "Observation/o1-25" }, { "reference" : "Observation/o2-25" }, { "reference" : "Observation/o3-25" }, { "reference" : "Observation/o4-25" }, { "reference" : "Observation/o5-25" }, { "reference" : "Observation/o6-25" }, { "reference" : "Observation/o7-25" }, { "reference" : "Observation/o8-25" }, { "reference" : "Observation/o9-25" }, { "reference" : "Observation/o10-25" }, { "reference" : "Observation/o11-25" }, { "reference" : "Observation/o12-25" }, { "reference" : "Observation/o13-25" }, { "reference" : "Observation/o14-25" }, { "reference" : "Observation/o15-25" }, { "reference" : "Observation/o16-25" }, { "reference" : "Observation/o17-25" }, { "reference" : "Observation/o18-25" }] } }, { "fullUrl" : "https://example.com/base/Observation/o1-25", "resource" : { "resourceType" : "Observation", "id" : "o1-25", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "11475-1", "display" : "Microorganism identified in Specimen by Culture" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueCodeableConcept" : { "text" : "Klebsiella pneumoniaeE" } } }, { "fullUrl" : "https://example.com/base/Observation/o2-25", "resource" : { "resourceType" : "Observation", "id" : "o2-25", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "43161-9", "display" : "Microorganism [#/volume] in Specimen by Viability count" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 20000, "unit" : "CFU/ML" } } }, { "fullUrl" : "https://example.com/base/Observation/o3-25", "resource" : { "resourceType" : "Observation", "id" : "o3-25", "status" : "final", "code" : { "coding" : [{ "system" : "http://example.org/local", "code" : "AMS", "display" : "AMPICILLIN/SULBACTAM" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4, "unit" : "U" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "S" }] }] } }, { "fullUrl" : "https://example.com/base/Observation/o4-25", "resource" : { "resourceType" : "Observation", "id" : "o4-25", "status" : "final", "code" : { "coding" : [{ "system" : "http://example.org/local", "code" : "AM", "display" : "AMPICILLIN" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 16, "unit" : "U" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "R" }] }] } }, { "fullUrl" : "https://example.com/base/Observation/o5-25", "resource" : { "resourceType" : "Observation", "id" : "o5-25", "status" : "final", "code" : { "coding" : [{ "system" : "http://example.org/local", "code" : "ATM", "display" : "AZTREONAM" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1, "comparator" : "<=", "unit" : "U" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "S" }] }] } }, { "fullUrl" : "https://example.com/base/Observation/o6-25", "resource" : { "resourceType" : "Observation", "id" : "o6-25", "status" : "final", "code" : { "coding" : [{ "system" : "http://example.org/local", "code" : "CFZ", "display" : "CEFAZOLIN" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4, "comparator" : "<=", "unit" : "U" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "S" }] }] } }, { "fullUrl" : "https://example.com/base/Observation/o7-25", "resource" : { "resourceType" : "Observation", "id" : "o7-25", "status" : "final", "code" : { "coding" : [{ "system" : "http://example.org/local", "code" : "FEP", "display" : "CEFEPIME" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1, "comparator" : "<=", "unit" : "U" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "S" }] }] } }, { "fullUrl" : "https://example.com/base/Observation/o8-25", "resource" : { "resourceType" : "Observation", "id" : "o8-25", "status" : "final", "code" : { "coding" : [{ "system" : "http://example.org/local", "code" : "CTN", "display" : "CEFOTETAN" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4, "comparator" : "<=", "unit" : "U" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "S" }] }] } }, { "fullUrl" : "https://example.com/base/Observation/o9-25", "resource" : { "resourceType" : "Observation", "id" : "o9-25", "status" : "final", "code" : { "coding" : [{ "system" : "http://example.org/local", "code" : "TAZ", "display" : "CEFTAZIDIME" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1, "comparator" : "<=", "unit" : "U" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "S" }] }] } }, { "fullUrl" : "https://example.com/base/Observation/o10-25", "resource" : { "resourceType" : "Observation", "id" : "o10-25", "status" : "final", "code" : { "coding" : [{ "system" : "http://example.org/local", "code" : "CRO", "display" : "CEFTRIAXONE" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1, "comparator" : "<=", "unit" : "U" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "S" }] }] } }, { "fullUrl" : "https://example.com/base/Observation/o11-25", "resource" : { "resourceType" : "Observation", "id" : "o11-25", "status" : "final", "code" : { "coding" : [{ "system" : "http://example.org/local", "code" : "CIPRO", "display" : "CIPROFLOXACIN" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.25, "comparator" : "<=", "unit" : "U" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "S" }] }] } }, { "fullUrl" : "https://example.com/base/Observation/o12-25", "resource" : { "resourceType" : "Observation", "id" : "o12-25", "status" : "final", "code" : { "coding" : [{ "system" : "http://example.org/local", "code" : "GM", "display" : "GENTAMICIN" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1, "comparator" : "<=", "unit" : "U" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "S" }] }] } }, { "fullUrl" : "https://example.com/base/Observation/o13-25", "resource" : { "resourceType" : "Observation", "id" : "o13-25", "status" : "final", "code" : { "coding" : [{ "system" : "http://example.org/local", "code" : "IPM", "display" : "IMIPENEM" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1, "comparator" : "<=", "unit" : "U" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "S" }] }] } }, { "fullUrl" : "https://example.com/base/Observation/o14-25", "resource" : { "resourceType" : "Observation", "id" : "o14-25", "status" : "final", "code" : { "coding" : [{ "system" : "http://example.org/local", "code" : "LVX", "display" : "LEVOFLOXACIN" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 0.25, "comparator" : "<=", "unit" : "U" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "S" }] }] } }, { "fullUrl" : "https://example.com/base/Observation/o15-25", "resource" : { "resourceType" : "Observation", "id" : "o15-25", "status" : "final", "code" : { "coding" : [{ "system" : "http://example.org/local", "code" : "NIT", "display" : "NITROFURANTOIN" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 32, "unit" : "U" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "S" }] }] } }, { "fullUrl" : "https://example.com/base/Observation/o16-25", "resource" : { "resourceType" : "Observation", "id" : "o16-25", "status" : "final", "code" : { "coding" : [{ "system" : "http://example.org/local", "code" : "PTZ", "display" : "PIPERACILLIN/TAZOBAC" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 4, "comparator" : "<=", "unit" : "U" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "S" }] }] } }, { "fullUrl" : "https://example.com/base/Observation/o17-25", "resource" : { "resourceType" : "Observation", "id" : "o17-25", "status" : "final", "code" : { "coding" : [{ "system" : "http://example.org/local", "code" : "TRSUV", "display" : "TRIMETH/SULFA" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 20, "comparator" : "<=", "unit" : "U" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "S" }] }] } }, { "fullUrl" : "https://example.com/base/Observation/o18-25", "resource" : { "resourceType" : "Observation", "id" : "o18-25", "status" : "final", "code" : { "coding" : [{ "system" : "http://example.org/local", "code" : "TOB", "display" : "TOBRAMYCIN" }] }, "subject" : { "reference" : "Patient/5" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 1, "comparator" : "<=", "unit" : "U" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "S" }] }] } }] } }, { "fullUrl" : "http://hl7.org/fhir/Bundle/26", "resource" : { "resourceType" : "Bundle", "id" : "26", "type" : "collection", "entry" : [{ "fullUrl" : "https://example.com/base/DiagnosticReport/26", "resource" : { "resourceType" : "DiagnosticReport", "id" : "26", "meta" : { "lastUpdated" : "2012-04-14T10:35:23Z" }, "identifier" : [{ "system" : "http://acme.com/lab/reports", "value" : "5234342" }], "status" : "final", "code" : { "coding" : [{ "system" : "http://acme.com/labs/reports", "code" : "142080", "display" : "Rapid Plasma Reagin" }], "text" : "RPR" }, "subject" : { "reference" : "Patient/6" }, "effectiveDateTime" : "2005-03-07T14:02:17Z", "issued" : "2005-03-07T14:02:01Z", "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "result" : [{ "reference" : "Observation/o1-26" }] } }, { "fullUrl" : "https://example.com/base/Observation/o1-26", "resource" : { "resourceType" : "Observation", "id" : "o1-26", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "20507-0", "display" : "Reagin Ab [Presence] in Serum by RPR" }] }, "subject" : { "reference" : "Patient/6" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueString" : "Non-reactive" } }] } }, { "fullUrl" : "http://hl7.org/fhir/Bundle/27", "resource" : { "resourceType" : "Bundle", "id" : "27", "type" : "collection", "entry" : [{ "fullUrl" : "https://example.com/base/DiagnosticReport/27", "resource" : { "resourceType" : "DiagnosticReport", "id" : "27", "meta" : { "lastUpdated" : "2012-05-23T14:27:01Z" }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t\t\t\t<table>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>hsCRP</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>2.8</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mg/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>1.0-3.0</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t</table>\n\t\t\t\t\t\t\t\t</div>" }, "identifier" : [{ "system" : "http://acme.com/lab/reports", "value" : "23412355" }], "status" : "final", "code" : { "coding" : [{ "system" : "http://acme.com/labs/reports", "code" : "bchem2", "display" : "Specialist Biochemistry" }] }, "subject" : { "reference" : "Patient/1" }, "effectiveDateTime" : "2012-05-21T10:45:00Z", "issued" : "2012-05-23T14:27:01Z", "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "result" : [{ "reference" : "Observation/o1-27" }] } }, { "fullUrl" : "https://example.com/base/Observation/o1-27", "resource" : { "resourceType" : "Observation", "id" : "o1-27", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "30522-7", "display" : "C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method" }, { "system" : "http://snomed.info/sct", "code" : "55235003" }], "text" : "hsCRP" }, "subject" : { "reference" : "Patient/1" }, "performer" : [{ "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display" : "Acme Laboratory, Inc" }], "valueQuantity" : { "value" : 2.8, "unit" : "mg/L" }, "referenceRange" : [{ "low" : { "value" : 1.0, "unit" : "mg/L" }, "high" : { "value" : 3.0, "unit" : "mg/L" } }] } }] } }] }
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot2 generated on Wed, Nov 20, 2024 00:01+0000.
Links: Search |
Version History |
Contents |
Glossary |
QA |
Compare to R5 |
|
Propose a change