An example showing use of a panel (id = "lipid-panel-example")

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

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