HL7 CZ Laboratory IG
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HL7 CZ Laboratory IG, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-lab/ and changes regularly. See the Directory of published versions

: 66fda6b2-1bb0-5187-9842-292ce06cf15f - JSON Representation

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{
  "resourceType" : "DiagnosticReport",
  "id" : "66fda6b2-1bb0-5187-9842-292ce06cf15f",
  "meta" : {
    "profile" : [
      🔗 "https://hl7.cz/fhir/lab/StructureDefinition/cz-diagnostic-report-lab"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport 66fda6b2-1bb0-5187-9842-292ce06cf15f</b></p><a name=\"66fda6b2-1bb0-5187-9842-292ce06cf15f\"> </a><a name=\"hc66fda6b2-1bb0-5187-9842-292ce06cf15f\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-cz-diagnostic-report-lab.html\">DiagnosticReport: Laboratory Report</a></p></div><h2><span title=\"Codes:{http://loinc.org 11502-2}\">Laboratory report</span> (<span title=\"Codes:{http://loinc.org 26436-6}\">Laboratory studies (set)</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Radim Podmořský  Male, DoB: 1954-08-12 ( https://ncez.mzcr.cz/standards/fhir/sid/rcis#5408120025)</td></tr><tr><td>When For</td><td>2019-10-17 08:22:00+0100</td></tr><tr><td>Reported</td><td>2019-10-17 09:53:00+0100</td></tr><tr><td>Performer</td><td> <a href=\"Organization-b8ad152c-2c7d-54cb-a80f-5eff76fa6b32.html\">Organization Pracoviště laboratorních metod, Nemocnice</a></td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Reference Range</b></td><td><b>Flags</b></td></tr><tr><td><a href=\"Observation-933860e0-674b-505a-a582-b0bd90c38993.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 05272}\">s_sodík</span></a></td><td>141.7 mmoL/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td><td>137 - 144</td><td>Final</td></tr><tr><td><a href=\"Observation-658cbb3e-987d-5dfc-8d02-9099ef3b3131.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 05254}\">s_draslík</span></a></td><td>4.39 mmoL/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td><td>3.5 - 5.1</td><td>Final</td></tr><tr><td><a href=\"Observation-8ac14b7c-dbed-5d19-8961-974bf4ca6919.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 05187}\">s_chloridy</span></a></td><td>108.6 mmoL/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td><td>98 - 107</td><td>Final</td></tr><tr><td><a href=\"Observation-f5d3739d-5fcd-5f41-aaad-4429db2b5a9b.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 08574}\">s_kreatinin</span></a></td><td>79.6 umoL/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeumol/L = 'umol/L')</span></td><td>64 - 104</td><td>Final</td></tr><tr><td><a href=\"Observation-14499fe4-6fcf-5b0d-b875-c3d90d573d05.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 03078}\">s_kys.močová</span></a></td><td>414 umoL/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeumol/L = 'umol/L')</span></td><td>210 - 420</td><td>Final</td></tr><tr><td><a href=\"Observation-954baa05-0e22-5ef5-896e-b5546e5c6cc2.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 00507}\">s_albumin</span></a></td><td>47.5 g/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg/L = 'g/L')</span></td><td>36 - 45</td><td>Final</td></tr><tr><td><a href=\"Observation-1cd8e13f-08c0-5736-96c9-33824275ccec.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 01154}\">s_bilirubin celk</span></a></td><td>13.2 umoL/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeumol/L = 'umol/L')</span></td><td>3.4 - 20</td><td>Final</td></tr><tr><td><a href=\"Observation-1383c340-82db-520c-9a6b-54c246afbe18.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 00921}\">s_AST</span></a></td><td>0.48 ukat/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeukat/L = 'ukat/L')</span></td><td>0.17 - 0.75</td><td>Final</td></tr><tr><td><a href=\"Observation-73f295c8-55fa-5aa0-bf21-0f35c96aa6dd.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 00582}\">s_ALT</span></a></td><td>0.68 ukat/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeukat/L = 'ukat/L')</span></td><td>0.17 - 1.17</td><td>Final</td></tr><tr><td><a href=\"Observation-3b5ec105-7c16-549d-be31-ebda584176d2.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 00543}\">s_ALP</span></a></td><td>1.31 ukat/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeukat/L = 'ukat/L')</span></td><td>0.58 - 1.75</td><td>Final</td></tr><tr><td><a href=\"Observation-70e5f1ae-0bb3-5256-b3ad-7f051101b521.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 01961}\">s_GGT</span></a></td><td>0.37 ukat/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeukat/L = 'ukat/L')</span></td><td>0.2 - 1.07</td><td>Final</td></tr><tr><td><a href=\"Observation-0ef8c9cd-ed96-5502-bf48-bfded9a06e20.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 17341}\">GFR-MDRD-1P</span></a></td><td>1.41 mL/s na 1,73 m2<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL/s/{1.73_m2} = 'mL/s/{1.73_m2}')</span></td><td>1.33 - 2.5</td><td>Final</td></tr><tr><td><a href=\"Observation-37047047-3d77-55ad-85d4-454f7d99ec6d.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 17339}\">CKD-EPI</span></a></td><td>1.55 mL/s na 1,73 m2<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL/s/{1.73_m2} = 'mL/s/{1.73_m2}')</span></td><td>1.33 - 2.5</td><td>Final</td></tr><tr><td><a href=\"Observation-29f445b7-8195-5f19-a0a5-fd0e81a6dd47.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 03410}\">U_pH</span></a></td><td>5.5 -<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code- = '-')</span></td><td>5 - 6</td><td>Final</td></tr><tr><td><a href=\"Observation-61a7fd0a-b7f2-5444-8e8f-b3c0b31afb0f.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 05143}\">U_spec.hmotnost</span></a></td><td>1006 kg/m*3<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codekg/m3 = 'kg/m3')</span></td><td>1015 - 1030</td><td>Final</td></tr><tr><td><a href=\"Observation-48ad3dbf-109d-58e6-9484-724f96ac085b.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 03384}\">U_leukocyty</span></a></td><td>1 10*6/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*6/L = '10*6/L')</span></td><td>0 - 10</td><td>Final</td></tr><tr><td><a href=\"Observation-c6607469-575d-5035-bbba-4db320a035bb.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 03355}\">U_erytrocyty</span></a></td><td>0 10*6/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*6/L = '10*6/L')</span></td><td>0 - 5</td><td>Final</td></tr><tr><td><a href=\"Observation-48ad3dbf-109d-58e6-9484-724f96ac085b.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 03384}\">U_leukocyty</span></a></td><td>1 10*6/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*6/L = '10*6/L')</span></td><td>0 - 10</td><td>Final</td></tr><tr><td><a href=\"Observation-4f6e8f4a-21ea-51c9-a6fa-e78bb86a96a1.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 14010}\">U_epitelie dlaž.</span></a></td><td>0 10*6/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*6/L = '10*6/L')</span></td><td>0 - 20</td><td>Final</td></tr><tr><td><a href=\"Observation-20e21656-736f-533d-b284-631ac2d6a499.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 15172}\">U_epitelie jiné</span></a></td><td>0 10*6/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*6/L = '10*6/L')</span></td><td>0 - 4</td><td>Final</td></tr><tr><td><a href=\"Observation-cfd544a2-674b-529b-b66e-cea6aa2f0025.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 03297}\">U_válce hyalinní</span></a></td><td>0 10*6/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*6/L = '10*6/L')</span></td><td>0 - 2</td><td>Final</td></tr><tr><td><a href=\"Observation-ed194f5b-fcf7-5ee6-b4d2-8a10da8dd500.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 09191}\">U_válce patolog.</span></a></td><td>0 10*6/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*6/L = '10*6/L')</span></td><td>0 - 1</td><td>Final</td></tr><tr><td><a href=\"Observation-e89faf39-5f38-539a-ab6d-519416e51f41.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 13808}\">B_Leukocyty</span></a></td><td>4.9 10*9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></td><td>4 - 10</td><td>Final</td></tr><tr><td><a href=\"Observation-a9947032-ca45-5ad4-bcd4-10d1c51f4d1f.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 01675}\">B_Erytrocyty</span></a></td><td>5.06 10*12/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*12/L = '10*12/L')</span></td><td>4 - 5.8</td><td>Final</td></tr><tr><td><a href=\"Observation-688d4582-802b-53cb-be6d-b7f9c4e82162.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 01991}\">B_Hemoglobin</span></a></td><td>155 g/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg/L = 'g/L')</span></td><td>135 - 175</td><td>Final</td></tr><tr><td><a href=\"Observation-bafee946-7f25-5eb9-b8fa-a6901becdfad.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 02099}\">B_Hematokrit</span></a></td><td>0.424 1<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code1 = '1')</span></td><td>0.4 - 0.5</td><td>Final</td></tr><tr><td><a href=\"Observation-edfc7297-2415-59ed-bad1-ca32112fc51e.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 02419}\">B_MCV</span></a></td><td>83.8 fL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codefL = 'fL')</span></td><td>82 - 98</td><td>Final</td></tr><tr><td><a href=\"Observation-b1fac24e-2775-53c8-9af5-a7ed8974c3ff.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 12271}\">B_MCH</span></a></td><td>30.6 pg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codepg = 'pg')</span></td><td>28 - 34</td><td>Final</td></tr><tr><td><a href=\"Observation-30d526f4-5577-5fa2-b2fa-d55288ac29e2.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 12273}\">B_MCHC</span></a></td><td>366 g/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg/L = 'g/L')</span></td><td>320 - 360</td><td>Final</td></tr><tr><td><a href=\"Observation-491c3724-0e2e-5f7e-8cd5-451227551485.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 04769}\">B_RDW</span></a></td><td>0.124 1<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code1 = '1')</span></td><td>0.1 - 0.152</td><td>Final</td></tr><tr><td><a href=\"Observation-b8dffd1f-39fe-5c1d-9e17-71b999c33799.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 02688}\">B_Trombocyty</span></a></td><td>192 10*9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></td><td>150 - 400</td><td>Final</td></tr><tr><td><a href=\"Observation-46199dd5-329c-5291-a8ed-4d19b5362db9.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 04726}\">B_Thr objem</span></a></td><td>10.2 fL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codefL = 'fL')</span></td><td>7.8 - 11</td><td>Final</td></tr><tr><td><a href=\"Observation-8723ae16-1ed7-5415-b8aa-17ef742ed36a.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 12278}\">B_Trombokrit</span></a></td><td>2 10*-3<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*-3 = '10*-3')</span></td><td>1.2 - 3.5</td><td>Final</td></tr><tr><td><a href=\"Observation-f850d703-803a-5633-95c2-2de1d0f80c31.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 16263}\">B_Thr_Aniz_SD</span></a></td><td>12.6 fL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codefL = 'fL')</span></td><td>9 - 17</td><td>Final</td></tr><tr><td><a href=\"Observation-c089c0d9-28d3-5645-8f25-5853840b2e9a.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 18895}\">B_Thr velké&gt;12fl</span></a></td><td>0.273 1<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code1 = '1')</span></td><td>0.15 - 0.35</td><td>Final</td></tr><tr><td><a href=\"Observation-aab312ea-6305-51ca-8d2e-5457f26aab23.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 12369}\">B_Neutrofily_abs</span></a></td><td>3.34 10*9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></td><td>2 - 7</td><td>Final</td></tr><tr><td><a href=\"Observation-5d3066ad-d41f-5a48-8793-a95362034e82.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 12483}\">B_Neutrofily</span></a></td><td>0.682 1<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code1 = '1')</span></td><td>0.45 - 0.7</td><td>Final</td></tr><tr><td><a href=\"Observation-a92d765d-afc7-5e56-b1ab-5d299a448a98.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 12365}\">B_Lymfocyty_abs</span></a></td><td>1.08 10*9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></td><td>0.8 - 4</td><td>Final</td></tr><tr><td><a href=\"Observation-c6a12f2a-416e-57fb-9006-e5a544929fcd.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 12471}\">B_Lymfocyty</span></a></td><td>0.22 1<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code1 = '1')</span></td><td>0.2 - 0.45</td><td>Final</td></tr><tr><td><a href=\"Observation-03f3c097-232e-5682-86ad-8f0b91e7a062.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 12367}\">B_Monocyty_abs</span></a></td><td>0.32 10*9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></td><td>0.08 - 1.2</td><td>Final</td></tr><tr><td><a href=\"Observation-4367f7e9-1c83-59f2-9aa5-70861cc380ca.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 12478}\">B_Monocyty</span></a></td><td>0.065 1<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code1 = '1')</span></td><td>0.02 - 0.12</td><td>Final</td></tr><tr><td><a href=\"Observation-522a2991-a37c-59d5-a836-2435df5be6e0.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 12348}\">B_Eosinofily_abs</span></a></td><td>0.15 10*9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></td><td>0 - 0.5</td><td>Final</td></tr><tr><td><a href=\"Observation-d0e5d40b-cfb4-5671-9df5-72d67c601e20.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 12460}\">B_Eosinofily</span></a></td><td>0.031 1<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code1 = '1')</span></td><td>0 - 0.05</td><td>Final</td></tr><tr><td><a href=\"Observation-af240b68-3d61-51ce-8701-ddbef6b9c445.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 12347}\">B_Basofily_abs</span></a></td><td>0.01 10*9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></td><td>0 - 0.2</td><td>Final</td></tr><tr><td><a href=\"Observation-dc29587b-6bda-51c0-83e5-71d5388918f7.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 12449}\">B_Basofily</span></a></td><td>0.002 1<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code1 = '1')</span></td><td>0 - 0.02</td><td>Final</td></tr><tr><td><a href=\"Observation-09484c96-2ef9-500a-a890-db95f79b5cf9.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 18027}\">B_Nezr.gran.abs</span></a></td><td>0.01 10*9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></td><td>0 - 0.03</td><td>Final</td></tr><tr><td><a href=\"Observation-99568880-9ab9-58a9-b680-2b0f79d605e5.html\"><span title=\"Codes:{https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL 18029}\">B_Nezr.gran.rel</span></a></td><td>0.002 1<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code1 = '1')</span></td><td>0 - 0.005</td><td>Final</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition",
      "valueReference" : {
        🔗 "reference" : "Composition/5880b262-abcb-55a0-88a4-76ef4f97f744"
      }
    }
  ],
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "26436-6",
          "display" : "Laboratory studies (set)"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "11502-2",
        "display" : "Laboratory report"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/879657b8-f2d4-54da-ab1f-c363b4f092d5"
  },
  "effectiveDateTime" : "2019-10-17T08:22:00+01:00",
  "issued" : "2019-10-17T09:53:00+01:00",
  "performer" : [
    {
      🔗 "reference" : "Organization/b8ad152c-2c7d-54cb-a80f-5eff76fa6b32"
    }
  ],
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