An example showing use of a panel

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