<?xml version=“1.0” encoding=“UTF-8”?><Bundle xmlns=“hl7.org/fhir”>

<id value="72ac8493-52ac-41bd-8d5d-7258c289b5ea"/>
<meta>
  <lastUpdated value="2012-04-14T10:35:23Z"/>
</meta>
<type value="collection"/>
<entry>
  <fullUrl value="http://hl7.org/fhir/DiagnosticReport/3"/>
  <resource>
    <DiagnosticReport>
      <id value="3"/>
      <meta>
        <lastUpdated value="2012-04-14T10:35:23Z"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml">
          <table>
            <tr>
              <td>Sodium</td>
              <td>140</td>
              <td>mmol/L</td>
              <td>137-147</td>
            </tr>
            <tr>
              <td>Serum Potassium</td>
              <td>4.2</td>
              <td>mmol/L</td>
              <td>3.5-5.0</td>
            </tr>
            <tr>
              <td>Chloride</td>
              <td>105</td>
              <td>mmol/L</td>
              <td>96-109</td>
            </tr>
            <tr>
              <td>Bicarbonate</td>
              <td>26</td>
              <td>mmol/L</td>
              <td>25-33</td>
            </tr>
            <tr>
              <td>Other Anions</td>
              <td>13</td>
              <td>mmol/L</td>
              <td>4-17</td>
            </tr>
            <tr>
              <td>Glucose</td>
              <td>7.4</td>
              <td>mmol/L</td>
              <td>3.0-7.7</td>
            </tr>
            <tr>
              <td>Urea</td>
              <td>4.7</td>
              <td>mmol/L</td>
              <td>2.0-7.0</td>
            </tr>
            <tr>
              <td>Serum Creatinine</td>
              <td>0.09</td>
              <td>mmol/L</td>
              <td>0.04-0.11</td>
            </tr>
            <tr>
              <td>Serum Uric Acid</td>
              <td>0.39</td>
              <td>mmol/L</td>
              <td>0.14-0.35</td>
              <td>
                <b>+</b>
              </td>
            </tr>
            <tr>
              <td>Total Bilirubin</td>
              <td>7</td>
              <td>umol/L</td>
              <td>2-20</td>
            </tr>
            <tr>
              <td>Direct Bilirubin</td>
              <td>3</td>
              <td>umol/L</td>
              <td>0-8</td>
            </tr>
            <tr>
              <td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td>
              <td>108</td>
              <td>U/L</td>
              <td>30-115</td>
            </tr>
            <tr>
              <td>Gamma G.T.</td>
              <td>35</td>
              <td>U/L</td>
              <td>0-45</td>
            </tr>
            <tr>
              <td>ALT</td>
              <td>54</td>
              <td>U/L</td>
              <td>0-45</td>
              <td>
                <b>+</b>
              </td>
            </tr>
            <tr>
              <td>AST</td>
              <td>30</td>
              <td>U/L</td>
              <td>0-41</td>
            </tr>
            <tr>
              <td>LD</td>
              <td>131</td>
              <td>U/L</td>
              <td>80-250</td>
            </tr>
            <tr>
              <td>Serum Calcium</td>
              <td>2.38</td>
              <td>mmol/L</td>
              <td>2.25-2.65</td>
            </tr>
            <tr>
              <td>Corrected Calcium</td>
              <td>2.39</td>
              <td>mmol/L</td>
              <td>2.25-2.65</td>
            </tr>
            <tr>
              <td>Serum Phosphate</td>
              <td>1.5</td>
              <td>mmol/L</td>
              <td>0.8-1.5</td>
            </tr>
            <tr>
              <td>Total Protein</td>
              <td>67</td>
              <td>g/L</td>
              <td>60-82</td>
            </tr>
            <tr>
              <td>Serum Albumin</td>
              <td>42</td>
              <td>g/L</td>
              <td>35-50</td>
            </tr>
            <tr>
              <td>Globulins</td>
              <td>25</td>
              <td>g/L</td>
              <td>20-40</td>
            </tr>
            <tr>
              <td>Iron</td>
              <td>5</td>
              <td>umol/L</td>
              <td>10-33</td>
              <td>
                <b>--</b>
              </td>
            </tr>
            <tr>
              <td>Cholesterol</td>
              <td>3.8</td>
              <td>mmol/L</td>
              <td>3.6-6.7</td>
            </tr>
            <tr>
              <td>&#xA0;</td>
              <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>
            </tr>
            <tr>
              <td>Triglycerides</td>
              <td>0.9</td>
              <td>mmol/L</td>
              <td>0.3-4.0</td>
            </tr>
            <tr>
              <td>HDL Cholesterol</td>
              <td>1.2</td>
              <td>mmol/L</td>
              <td>1.0-2.0</td>
            </tr>
          </table>
        </div>
      </text>
      <contained>
        <Observation>
          <id value="o1"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2951-2"/>
              <display value="Sodium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104934005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="140"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="137"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="147"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o2"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2823-3"/>
              <display value="Potassium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="59573005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="4.2"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="3.5"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="5.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o3"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2075-0"/>
              <display value="Chloride [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="46511006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="105"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="96"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="109"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o4"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1963-8"/>
              <display value="Bicarbonate [Moles/volume] in Serum"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88645003"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="26"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="25"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="33"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o5"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1863-0"/>
              <display value="Anion gap 4 in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="271057005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="13"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="4"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="17"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o6"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14749-6"/>
              <display value="Glucose [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="36048009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="7.4"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="3.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="7.7"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o7"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14937-7"/>
              <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="273967009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="4.7"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="7.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o8"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14682-9"/>
              <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="70901006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.09"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.04"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="0.11"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o9"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14933-6"/>
              <display value="Urate [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="86228006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.39"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="H"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0.14"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="0.35"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o10"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14631-6"/>
              <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="27171005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="7"/>
            <unit value="umol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="20"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o11"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14629-0"/>
              <display value="Bilirubin.direct [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="39748002"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="3"/>
            <unit value="umol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="8"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o12"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="6768-6"/>
              <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88810008"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="108"/>
            <unit value="U/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="30"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="115"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o13"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2324-2"/>
              <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="69480007"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="35"/>
            <unit value="U/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="45"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o14"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1742-6"/>
              <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="34608000"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="54"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="H"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="45"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o15"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1920-8"/>
              <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="45896001"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="30"/>
            <unit value="U/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="41"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o16"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2532-0"/>
              <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="11274001"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="131"/>
            <unit value="U/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="80"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="250"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o17"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2000-8"/>
              <display value="Calcium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="71878006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="2.38"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2.25"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="2.65"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o18"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="13959-2"/>
              <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="166708003"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
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            <unit value="mmol/L"/>
          </valueQuantity>
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              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="2.65"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o19"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14879-1"/>
              <display value="Phosphate [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104866001"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
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            <unit value="mmol/L"/>
          </valueQuantity>
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              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="1.5"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o20"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2885-2"/>
              <display value="Protein [Mass/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="74040009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="67"/>
            <unit value="g/L"/>
          </valueQuantity>
          <referenceRange>
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              <unit value="g/L"/>
            </low>
            <high>
              <value value="82"/>
              <unit value="g/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o21"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1751-7"/>
              <display value="Albumin [Mass/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104485008"/>
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          </code>
          <subject>
            <reference value="Patient/1"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
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            <unit value="g/L"/>
          </valueQuantity>
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              <unit value="g/L"/>
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            <high>
              <value value="50"/>
              <unit value="g/L"/>
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          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o22"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="10834-0"/>
              <display value="Globulin [Mass/volume] in Serum by calculation"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104979009"/>
            </coding>
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          <subject>
            <reference value="Patient/1"/>
          </subject>
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            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="25"/>
            <unit value="g/L"/>
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              <unit value="g/L"/>
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            <high>
              <value value="40"/>
              <unit value="g/L"/>
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          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o23"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14798-3"/>
              <display value="Iron [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="42950004"/>
            </coding>
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          <subject>
            <reference value="Patient/1"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
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            <unit value="umol/L"/>
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          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="LL"/>
            </coding>
          </interpretation>
          <referenceRange>
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              <value value="10"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="33"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o24"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14647-2"/>
              <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="77068002"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="3.8"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="3.6"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="6.7"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o25"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14927-8"/>
              <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104784006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.9"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.3"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="4.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o26"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2085-9"/>
              <display value="Cholesterol in HDL [Mass/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="17888004"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="1.0"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="1.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="2.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <identifier>
        <system value="http://acme.com/lab/reports"/>
        <value value="5234342"/>
      </identifier>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.com/labs/reports"/>
          <code value="25T"/>
          <display value="E/LFT (MASTER)"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/1"/>
      </subject>
      <effectiveDateTime value="2005-01-27T06:40:17Z"/>
      <issued value="2005-01-27T06:40:01Z"/>
      <performer>
                                      <actor>
                                              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
                                              <display value="Acme Laboratory, Inc"/>
                                      </actor>
                              </performer>
      <result>
        <reference value="#o1"/>
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      <result>
        <reference value="#o2"/>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
        <reference value="#o15"/>
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      <result>
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      </result>
      <result>
        <reference value="#o17"/>
      </result>
      <result>
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      <result>
        <reference value="#o19"/>
      </result>
      <result>
        <reference value="#o20"/>
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      <result>
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      <result>
        <reference value="#o22"/>
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      <result>
        <reference value="#o23"/>
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      <result>
        <reference value="#o24"/>
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      <result>
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      <result>
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    </DiagnosticReport>
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</entry>
<entry>
  <fullUrl value="http://hl7.org/fhir/DiagnosticReport/4"/>
  <resource>
    <DiagnosticReport>
      <id value="4"/>
      <meta>
        <lastUpdated value="2012-04-14T10:35:23Z"/>
      </meta>
      <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 4</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/2</a></p><p><b>effective</b>: Dec 8, 2004 7:45:17 AM</p><p><b>issued</b>: Feb 23, 2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2951-2&#39; = &#39;Sodium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Sodium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104934005&#39; = &#39;Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 138 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2823-3&#39; = &#39;Potassium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Potassium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;59573005&#39; = &#39;Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.1 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2075-0&#39; = &#39;Chloride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Chloride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;46511006&#39; = &#39;Chloride measurement)</span>; ????; Acme Laboratory, Inc; 103 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code &#39;1963-8&#39; = &#39;Bicarbonate [Moles/volume] in Serum&#39;, given as &#39;Bicarbonate [Moles/volume] in Serum&#39;}; {SNOMED CT code &#39;88645003&#39; = &#39;Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 27 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code &#39;1863-0&#39; = &#39;Anion gap 4 in Serum or Plasma&#39;, given as &#39;Anion gap 4 in Serum or Plasma&#39;}; {SNOMED CT code &#39;271057005&#39; = &#39;Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 12 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14749-6&#39; = &#39;Glucose [Moles/volume] in Serum or Plasma&#39;, given as &#39;Glucose [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;36048009&#39; = &#39;Glucose measurement)</span>; ????; Acme Laboratory, Inc; 6.8 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14937-7&#39; = &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;273967009&#39; = &#39;Serum urea level)</span>; ????; Acme Laboratory, Inc; 8.2 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14682-9&#39; = &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;, given as &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;70901006&#39; = &#39;Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.07 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14933-6&#39; = &#39;Urate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;86228006&#39; = &#39;Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.42 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14631-6&#39; = &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;, given as &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;27171005&#39; = &#39;Urinalysis)</span>; ????; Acme Laboratory, Inc; 16 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14629-0&#39; = &#39;Bilirubin.direct [Moles/volume] in Serum or Plasma&#39;, given as &#39;Bilirubin.direct [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;39748002&#39; = &#39;Bilirubin, direct measurement)</span>; ????; Acme Laboratory, Inc; 8 umol/L</li><li>id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;6768-6&#39; = &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;88810008&#39; = &#39;Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 369 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2324-2&#39; = &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;69480007&#39; = &#39;Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 438 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1742-6&#39; = &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;34608000&#39; = &#39;Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 263 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1920-8&#39; = &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;45896001&#39; = &#39;Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 87 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2532-0&#39; = &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;11274001&#39; = &#39;Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 179 U/L</li><li>id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2000-8&#39; = &#39;Calcium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Calcium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;71878006&#39; = &#39;Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code &#39;13959-2&#39; = &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;, given as &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;}; {SNOMED CT code &#39;166708003&#39; = &#39;Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.42 mmol/L</li><li>id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14879-1&#39; = &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104866001&#39; = &#39;Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 1.3 mmol/L</li><li>id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2885-2&#39; = &#39;Protein [Mass/volume] in Serum or Plasma&#39;, given as &#39;Protein [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;74040009&#39; = &#39;Protein measurement)</span>; ????; Acme Laboratory, Inc; 67 g/L</li><li>id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1751-7&#39; = &#39;Albumin [Mass/volume] in Serum or Plasma&#39;, given as &#39;Albumin [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104485008&#39; = &#39;Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 39 g/L</li><li>id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code &#39;10834-0&#39; = &#39;Globulin [Mass/volume] in Serum by calculation&#39;, given as &#39;Globulin [Mass/volume] in Serum by calculation&#39;}; {SNOMED CT code &#39;104979009&#39; = &#39;Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 28 g/L</li><li>id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14798-3&#39; = &#39;Iron [Moles/volume] in Serum or Plasma&#39;, given as &#39;Iron [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;42950004&#39; = &#39;Iron measurement)</span>; ????; Acme Laboratory, Inc; 8 umol/L; Low <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;L&#39; = &#39;Low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14647-2&#39; = &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;, given as &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;77068002&#39; = &#39;Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 4.8 mmol/L</li><li>id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14927-8&#39; = &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104784006&#39; = &#39;Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 2.2 mmol/L</li></ul></div></text><contained>
        <Observation>
          <id value="o1"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2951-2"/>
              <display value="Sodium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104934005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/2"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="138"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="137"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="147"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o2"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2823-3"/>
              <display value="Potassium [Moles/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="59573005"/>
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          </code>
          <subject>
            <reference value="Patient/2"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="4.1"/>
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            <low>
              <value value="3.5"/>
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            <high>
              <value value="5.0"/>
              <unit value="mmol/L"/>
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          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o3"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2075-0"/>
              <display value="Chloride [Moles/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="46511006"/>
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          <subject>
            <reference value="Patient/2"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="103"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="96"/>
              <unit value="mmol/L"/>
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            <high>
              <value value="109"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o4"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1963-8"/>
              <display value="Bicarbonate [Moles/volume] in Serum"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88645003"/>
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          </code>
          <subject>
            <reference value="Patient/2"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="27"/>
            <unit value="mmol/L"/>
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          <referenceRange>
            <low>
              <value value="25"/>
              <unit value="mmol/L"/>
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            <high>
              <value value="33"/>
              <unit value="mmol/L"/>
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          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o5"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1863-0"/>
              <display value="Anion gap 4 in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="271057005"/>
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          </code>
          <subject>
            <reference value="Patient/2"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="12"/>
            <unit value="mmol/L"/>
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          <referenceRange>
            <low>
              <value value="4"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="17"/>
              <unit value="mmol/L"/>
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        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o6"/>
          <status value="final"/>
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            <coding>
              <system value="http://loinc.org"/>
              <code value="14749-6"/>
              <display value="Glucose [Moles/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="36048009"/>
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          <subject>
            <reference value="Patient/2"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="6.8"/>
            <unit value="mmol/L"/>
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            <low>
              <value value="3.0"/>
              <unit value="mmol/L"/>
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            <high>
              <value value="7.7"/>
              <unit value="mmol/L"/>
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          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o7"/>
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          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14937-7"/>
              <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="273967009"/>
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          <subject>
            <reference value="Patient/2"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="8.2"/>
            <unit value="mmol/L"/>
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            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="H"/>
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            <low>
              <value value="2.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="7.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o8"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14682-9"/>
              <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="70901006"/>
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          </code>
          <subject>
            <reference value="Patient/2"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.07"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.04"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="0.11"/>
              <unit value="mmol/L"/>
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        </Observation>
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      <contained>
        <Observation>
          <id value="o9"/>
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            <coding>
              <system value="http://loinc.org"/>
              <code value="14933-6"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="86228006"/>
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          <subject>
            <reference value="Patient/2"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="0.42"/>
            <unit value="mmol/L"/>
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          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
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            <low>
              <value value="0.14"/>
              <unit value="mmol/L"/>
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            <high>
              <value value="0.35"/>
              <unit value="mmol/L"/>
            </high>
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        </Observation>
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      <contained>
        <Observation>
          <id value="o10"/>
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            <coding>
              <system value="http://loinc.org"/>
              <code value="14631-6"/>
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              <system value="http://snomed.info/sct"/>
              <code value="27171005"/>
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          <subject>
            <reference value="Patient/2"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="16"/>
            <unit value="umol/L"/>
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          <referenceRange>
            <low>
              <value value="2"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="20"/>
              <unit value="umol/L"/>
            </high>
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        </Observation>
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      <contained>
        <Observation>
          <id value="o11"/>
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            <coding>
              <system value="http://loinc.org"/>
              <code value="14629-0"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="39748002"/>
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          <subject>
            <reference value="Patient/2"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="8"/>
            <unit value="umol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="8"/>
              <unit value="umol/L"/>
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      <contained>
        <Observation>
          <id value="o12"/>
          <status value="final"/>
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            <coding>
              <system value="http://loinc.org"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88810008"/>
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            <reference value="Patient/2"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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            <unit value="U/L"/>
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            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
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              <value value="30"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="115"/>
              <unit value="U/L"/>
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        </Observation>
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      <contained>
        <Observation>
          <id value="o13"/>
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            <coding>
              <system value="http://loinc.org"/>
              <code value="2324-2"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="69480007"/>
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          <subject>
            <reference value="Patient/2"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="438"/>
            <unit value="U/L"/>
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          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
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          <referenceRange>
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              <value value="0"/>
              <unit value="U/L"/>
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            <high>
              <value value="45"/>
              <unit value="U/L"/>
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      <contained>
        <Observation>
          <id value="o14"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1742-6"/>
              <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="34608000"/>
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          <subject>
            <reference value="Patient/2"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="263"/>
            <unit value="U/L"/>
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            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
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              <value value="0"/>
              <unit value="U/L"/>
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            <high>
              <value value="45"/>
              <unit value="U/L"/>
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      <contained>
        <Observation>
          <id value="o15"/>
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            <coding>
              <system value="http://loinc.org"/>
              <code value="1920-8"/>
              <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="45896001"/>
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          </code>
          <subject>
            <reference value="Patient/2"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="87"/>
            <unit value="U/L"/>
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          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
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              <value value="0"/>
              <unit value="U/L"/>
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            <high>
              <value value="41"/>
              <unit value="U/L"/>
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      <contained>
        <Observation>
          <id value="o16"/>
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            <coding>
              <system value="http://loinc.org"/>
              <code value="2532-0"/>
              <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="11274001"/>
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          </code>
          <subject>
            <reference value="Patient/2"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
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              <value value="80"/>
              <unit value="U/L"/>
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            <high>
              <value value="250"/>
              <unit value="U/L"/>
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          </referenceRange>
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      </contained>
      <contained>
        <Observation>
          <id value="o17"/>
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            <coding>
              <system value="http://loinc.org"/>
              <code value="2000-8"/>
              <display value="Calcium [Moles/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="71878006"/>
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          </code>
          <subject>
            <reference value="Patient/2"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="2.32"/>
            <unit value="mmol/L"/>
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              <value value="2.25"/>
              <unit value="mmol/L"/>
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            <high>
              <value value="2.65"/>
              <unit value="mmol/L"/>
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      </contained>
      <contained>
        <Observation>
          <id value="o18"/>
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            <coding>
              <system value="http://loinc.org"/>
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              <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="166708003"/>
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          </code>
          <subject>
            <reference value="Patient/2"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
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          <valueQuantity>
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              <value value="2.25"/>
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            <high>
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      <contained>
        <Observation>
          <id value="o19"/>
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            <coding>
              <system value="http://loinc.org"/>
              <code value="14879-1"/>
              <display value="Phosphate [Moles/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104866001"/>
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          <subject>
            <reference value="Patient/2"/>
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          <valueQuantity>
            <value value="1.3"/>
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              <value value="0.8"/>
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            <high>
              <value value="1.5"/>
              <unit value="mmol/L"/>
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      </contained>
      <contained>
        <Observation>
          <id value="o20"/>
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            <coding>
              <system value="http://loinc.org"/>
              <code value="2885-2"/>
              <display value="Protein [Mass/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="74040009"/>
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          <subject>
            <reference value="Patient/2"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
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          <valueQuantity>
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            <unit value="g/L"/>
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              <value value="60"/>
              <unit value="g/L"/>
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            <high>
              <value value="82"/>
              <unit value="g/L"/>
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        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o21"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1751-7"/>
              <display value="Albumin [Mass/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104485008"/>
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          <subject>
            <reference value="Patient/2"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
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          <valueQuantity>
            <value value="39"/>
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          <referenceRange>
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              <value value="35"/>
              <unit value="g/L"/>
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            <high>
              <value value="50"/>
              <unit value="g/L"/>
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          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o22"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="10834-0"/>
              <display value="Globulin [Mass/volume] in Serum by calculation"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104979009"/>
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          </code>
          <subject>
            <reference value="Patient/2"/>
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          <valueQuantity>
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            <unit value="g/L"/>
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          <referenceRange>
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              <value value="20"/>
              <unit value="g/L"/>
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            <high>
              <value value="40"/>
              <unit value="g/L"/>
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          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o23"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14798-3"/>
              <display value="Iron [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="42950004"/>
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          </code>
          <subject>
            <reference value="Patient/2"/>
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          <valueQuantity>
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            <unit value="umol/L"/>
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            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="L"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
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              <unit value="umol/L"/>
            </low>
            <high>
              <value value="33"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o24"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14647-2"/>
              <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="77068002"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/2"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="4.8"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
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              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="6.7"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o25"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14927-8"/>
              <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104784006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/2"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="2.2"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
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              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="4.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <identifier>
        <system value="http://acme.com/lab/reports"/>
        <value value="5234342"/>
      </identifier>
      <status value="final"/>
      <code>
        <text value="SERUM CHEMISTRY"/>
      </code>
      <subject>
        <reference value="Patient/2"/>
      </subject>
      <effectiveDateTime value="2004-12-08T07:45:17Z"/>
      <issued value="2005-02-23T10:04:01Z"/>
      <performer>
                                      <actor>
                                              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
                                              <display value="Acme Laboratory, Inc"/>
                                      </actor>
                              </performer>
      <result>
        <reference value="#o1"/>
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      <result>
        <reference value="#o2"/>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
        <reference value="#o14"/>
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      <result>
        <reference value="#o15"/>
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      <result>
        <reference value="#o16"/>
      </result>
      <result>
        <reference value="#o17"/>
      </result>
      <result>
        <reference value="#o18"/>
      </result>
      <result>
        <reference value="#o19"/>
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      <result>
        <reference value="#o20"/>
      </result>
      <result>
        <reference value="#o21"/>
      </result>
      <result>
        <reference value="#o22"/>
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      <result>
        <reference value="#o23"/>
      </result>
      <result>
        <reference value="#o24"/>
      </result>
      <result>
        <reference value="#o25"/>
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</entry>
<entry>
  <fullUrl value="http://hl7.org/fhir/DiagnosticReport/5"/>
  <resource>
    <DiagnosticReport>
      <id value="5"/>
      <meta>
        <lastUpdated value="2012-04-14T10:35:23Z"/>
      </meta>
      <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 5</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/3</a></p><p><b>effective</b>: Dec 15, 2004 7:20:17 AM</p><p><b>issued</b>: Feb 23, 2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2951-2&#39; = &#39;Sodium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Sodium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104934005&#39; = &#39;Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 142 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2823-3&#39; = &#39;Potassium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Potassium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;59573005&#39; = &#39;Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.0 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2075-0&#39; = &#39;Chloride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Chloride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;46511006&#39; = &#39;Chloride measurement)</span>; ????; Acme Laboratory, Inc; 105 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code &#39;1963-8&#39; = &#39;Bicarbonate [Moles/volume] in Serum&#39;, given as &#39;Bicarbonate [Moles/volume] in Serum&#39;}; {SNOMED CT code &#39;88645003&#39; = &#39;Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 28 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code &#39;1863-0&#39; = &#39;Anion gap 4 in Serum or Plasma&#39;, given as &#39;Anion gap 4 in Serum or Plasma&#39;}; {SNOMED CT code &#39;271057005&#39; = &#39;Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 13 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14749-6&#39; = &#39;Glucose [Moles/volume] in Serum or Plasma&#39;, given as &#39;Glucose [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;36048009&#39; = &#39;Glucose measurement)</span>; ????; Acme Laboratory, Inc; 5.2 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14937-7&#39; = &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;273967009&#39; = &#39;Serum urea level)</span>; ????; Acme Laboratory, Inc; 6.4 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14682-9&#39; = &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;, given as &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;70901006&#39; = &#39;Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.09 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14933-6&#39; = &#39;Urate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;86228006&#39; = &#39;Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.46 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14631-6&#39; = &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;, given as &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;27171005&#39; = &#39;Urinalysis)</span>; ????; Acme Laboratory, Inc; 13 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14629-0&#39; = &#39;Bilirubin.direct [Moles/volume] in Serum or Plasma&#39;, given as &#39;Bilirubin.direct [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;39748002&#39; = &#39;Bilirubin, direct measurement)</span>; ????; Acme Laboratory, Inc; 6 umol/L</li><li>id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;6768-6&#39; = &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;88810008&#39; = &#39;Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 204 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2324-2&#39; = &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;69480007&#39; = &#39;Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 192 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1742-6&#39; = &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;34608000&#39; = &#39;Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 70 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1920-8&#39; = &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;45896001&#39; = &#39;Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 26 U/L</li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2532-0&#39; = &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;11274001&#39; = &#39;Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 150 U/L</li><li>id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2000-8&#39; = &#39;Calcium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Calcium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;71878006&#39; = &#39;Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.37 mmol/L</li><li>id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code &#39;13959-2&#39; = &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;, given as &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;}; {SNOMED CT code &#39;166708003&#39; = &#39;Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.47 mmol/L</li><li>id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14879-1&#39; = &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104866001&#39; = &#39;Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 1.4 mmol/L</li><li>id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2885-2&#39; = &#39;Protein [Mass/volume] in Serum or Plasma&#39;, given as &#39;Protein [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;74040009&#39; = &#39;Protein measurement)</span>; ????; Acme Laboratory, Inc; 67 g/L</li><li>id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1751-7&#39; = &#39;Albumin [Mass/volume] in Serum or Plasma&#39;, given as &#39;Albumin [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104485008&#39; = &#39;Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 39 g/L</li><li>id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code &#39;10834-0&#39; = &#39;Globulin [Mass/volume] in Serum by calculation&#39;, given as &#39;Globulin [Mass/volume] in Serum by calculation&#39;}; {SNOMED CT code &#39;104979009&#39; = &#39;Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 28 g/L</li><li>id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14798-3&#39; = &#39;Iron [Moles/volume] in Serum or Plasma&#39;, given as &#39;Iron [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;42950004&#39; = &#39;Iron measurement)</span>; ????; Acme Laboratory, Inc; 5 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;LL&#39; = &#39;Critically low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14647-2&#39; = &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;, given as &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;77068002&#39; = &#39;Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 4.4 mmol/L</li><li>id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14927-8&#39; = &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104784006&#39; = &#39;Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.1 mmol/L</li></ul></div></text><contained>
        <Observation>
          <id value="o1"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2951-2"/>
              <display value="Sodium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104934005"/>
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          <subject>
            <reference value="Patient/3"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="142"/>
            <unit value="mmol/L"/>
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            <low>
              <value value="137"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="147"/>
              <unit value="mmol/L"/>
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          </referenceRange>
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      </contained>
      <contained>
        <Observation>
          <id value="o2"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2823-3"/>
              <display value="Potassium [Moles/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="59573005"/>
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          <subject>
            <reference value="Patient/3"/>
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            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="4.0"/>
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              <value value="3.5"/>
              <unit value="mmol/L"/>
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            <high>
              <value value="5.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o3"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2075-0"/>
              <display value="Chloride [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="46511006"/>
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          <subject>
            <reference value="Patient/3"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="105"/>
            <unit value="mmol/L"/>
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              <value value="96"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="109"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o4"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1963-8"/>
              <display value="Bicarbonate [Moles/volume] in Serum"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88645003"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="28"/>
            <unit value="mmol/L"/>
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              <value value="25"/>
              <unit value="mmol/L"/>
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            <high>
              <value value="33"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o5"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1863-0"/>
              <display value="Anion gap 4 in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="271057005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="13"/>
            <unit value="mmol/L"/>
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              <unit value="mmol/L"/>
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            <high>
              <value value="17"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o6"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14749-6"/>
              <display value="Glucose [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="36048009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="5.2"/>
            <unit value="mmol/L"/>
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          <referenceRange>
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              <value value="3.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="7.7"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o7"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14937-7"/>
              <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="273967009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="6.4"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="7.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o8"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14682-9"/>
              <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="70901006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.09"/>
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<!– OBX|28|FT|TXT^^AUSPDI|| Units Ref Range.br\ .br\ SERUM CHEMISTRY.br\ Sodium 142 mmol/L 137-147.br\ Serum Potassium 4.0 mmol/L 3.5-5.0.br\ Chloride 105 mmol/L 96-109.br\ Bicarbonate 28 mmol/L 25-33.br\ Other Anions 13 mmol/L 4-17.br\ Glucose 5.2 mmol/L 3.0-7.7.br\ Urea 6.4 mmol/L 2.0-7.0.br\ Serum Creatinine 0.09 mmol/L 0.04-0.11.br\ Serum Uric Acid 0.46 +++ mmol/L 0.14-0.35.br\ Total Bilirubin 13 umol/L 2-20.br\ Direct Bilirubin 6 umol/L 0-8.br\ Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma 204 +++ U/L 30-115.br\ Gamma G.T. 192 +++ U/L 0-45.br\ ALT 70 + U/L 0-45.br\ AST 26 U/L 0-41.br\ LD 150 U/L 80-250.br\ Serum Calcium 2.37 mmol/L 2.25-2.65.br\ Corrected Calcium 2.47 mmol/L 2.25-2.65.br\ Serum Phosphate 1.4 mmol/L 0.8-1.5.br\ Total Protein 67 g/L 60-82.br\ Serum Albumin 39 g/L 35-50.br\ Globulins 28 g/L 20-40.br\ Iron 5 - - umol/L 10-33.br\ Cholesterol 4.4 mmol/L 3.6-6.7.br\ .br\ Revised NHF cholesterol guidelines (Nov.,2001):.br\ Target below 4.0 mmol/L if high risk patient..br\ Consider lipid lowering treatment if cholesterol above 6.0 mmol/L.br\ and no other risk factor of CHD..br\ .br\ Triglycerides 1.1 mmol/L 0.3-4.0.br|| –>

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        <lastUpdated value="2012-04-14T10:35:23Z"/>
      </meta>
      <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 6</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/4</a></p><p><b>effective</b>: Dec 22, 2004 7:45:17 AM</p><p><b>issued</b>: Dec 21, 2004 12:00:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2951-2&#39; = &#39;Sodium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Sodium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104934005&#39; = &#39;Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 142 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2823-3&#39; = &#39;Potassium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Potassium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;59573005&#39; = &#39;Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.0 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2075-0&#39; = &#39;Chloride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Chloride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;46511006&#39; = &#39;Chloride measurement)</span>; ????; Acme Laboratory, Inc; 107 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code &#39;1963-8&#39; = &#39;Bicarbonate [Moles/volume] in Serum&#39;, given as &#39;Bicarbonate [Moles/volume] in Serum&#39;}; {SNOMED CT code &#39;88645003&#39; = &#39;Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 26 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code &#39;1863-0&#39; = &#39;Anion gap 4 in Serum or Plasma&#39;, given as &#39;Anion gap 4 in Serum or Plasma&#39;}; {SNOMED CT code &#39;271057005&#39; = &#39;Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 13 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14749-6&#39; = &#39;Glucose [Moles/volume] in Serum or Plasma&#39;, given as &#39;Glucose [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;36048009&#39; = &#39;Glucose measurement)</span>; ????; Acme Laboratory, Inc; 6.3 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14937-7&#39; = &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;273967009&#39; = &#39;Serum urea level)</span>; ????; Acme Laboratory, Inc; 6.7 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14682-9&#39; = &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;, given as &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;70901006&#39; = &#39;Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.08 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14933-6&#39; = &#39;Urate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;86228006&#39; = &#39;Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.40 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14631-6&#39; = &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;, given as &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;27171005&#39; = &#39;Urinalysis)</span>; ????; Acme Laboratory, Inc; 9 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14629-0&#39; = &#39;Bilirubin.direct [Moles/volume] in Serum or Plasma&#39;, given as &#39;Bilirubin.direct [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;39748002&#39; = &#39;Bilirubin, direct measurement)</span>; ????; Acme Laboratory, Inc; 4 umol/L</li><li>id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;6768-6&#39; = &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;88810008&#39; = &#39;Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 144 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2324-2&#39; = &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;69480007&#39; = &#39;Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 106 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1742-6&#39; = &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;34608000&#39; = &#39;Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 30 U/L</li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1920-8&#39; = &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;45896001&#39; = &#39;Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 18 U/L</li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2532-0&#39; = &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;11274001&#39; = &#39;Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 143 U/L</li><li>id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2000-8&#39; = &#39;Calcium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Calcium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;71878006&#39; = &#39;Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.28 mmol/L</li><li>id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code &#39;13959-2&#39; = &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;, given as &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;}; {SNOMED CT code &#39;166708003&#39; = &#39;Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14879-1&#39; = &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104866001&#39; = &#39;Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 1.3 mmol/L</li><li>id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2885-2&#39; = &#39;Protein [Mass/volume] in Serum or Plasma&#39;, given as &#39;Protein [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;74040009&#39; = &#39;Protein measurement)</span>; ????; Acme Laboratory, Inc; 66 g/L</li><li>id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1751-7&#39; = &#39;Albumin [Mass/volume] in Serum or Plasma&#39;, given as &#39;Albumin [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104485008&#39; = &#39;Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 41 g/L</li><li>id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code &#39;10834-0&#39; = &#39;Globulin [Mass/volume] in Serum by calculation&#39;, given as &#39;Globulin [Mass/volume] in Serum by calculation&#39;}; {SNOMED CT code &#39;104979009&#39; = &#39;Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 25 g/L</li><li>id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14798-3&#39; = &#39;Iron [Moles/volume] in Serum or Plasma&#39;, given as &#39;Iron [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;42950004&#39; = &#39;Iron measurement)</span>; ????; Acme Laboratory, Inc; 3 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;LL&#39; = &#39;Critically low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14647-2&#39; = &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;, given as &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;77068002&#39; = &#39;Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 4.0 mmol/L</li><li>id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14927-8&#39; = &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104784006&#39; = &#39;Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.0 mmol/L</li></ul></div></text><contained>
        <Observation>
          <id value="o1"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2951-2"/>
              <display value="Sodium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104934005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="142"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="137"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="147"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o2"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2823-3"/>
              <display value="Potassium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="59573005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="4.0"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="3.5"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="5.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o3"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2075-0"/>
              <display value="Chloride [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="46511006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="107"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="96"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="109"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o4"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1963-8"/>
              <display value="Bicarbonate [Moles/volume] in Serum"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88645003"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="26"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="25"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="33"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o5"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1863-0"/>
              <display value="Anion gap 4 in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="271057005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="13"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="4"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="17"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o6"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14749-6"/>
              <display value="Glucose [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="36048009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="6.3"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="3.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="7.7"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o7"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14937-7"/>
              <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="273967009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="6.7"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="7.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o8"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14682-9"/>
              <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="70901006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.08"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.04"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="0.11"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o9"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14933-6"/>
              <display value="Urate [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="86228006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.40"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0.14"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="0.35"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o10"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14631-6"/>
              <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="27171005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="9"/>
            <unit value="umol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="20"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o11"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14629-0"/>
              <display value="Bilirubin.direct [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="39748002"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="4"/>
            <unit value="umol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="8"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o12"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="6768-6"/>
              <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88810008"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="144"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="H"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="30"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="115"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o13"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2324-2"/>
              <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
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<!– OBX|28|FT|PIT^^AUSPDI||001 Medical-Objects 07 01/07/1996.br002 .br003 Report Run Number: 1 Created: 19/04/2005 at 22:58:15.br004 Surgery: XXX Reports: 23/02/2005 10:04:00 to 23/02/2005 10:04:00 .br009 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.br010 ANDERSON,DR. THOMAS 0191322W.br019 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.br020 Your Ref. Patient Name Lab Ref. Test.br021 JONES,June 04-4154148 E/LFT (MASTER).br029 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.br100 Start Patient : JONES,June .br101 24 Sutherland Street, BUDERIM QLD 4556 .br104 Birthdate: 08/01/1976 Age: Y29 Sex:F.br105 Telephone: 07 .br109 .br110 Your Reference : .br111 MO Reference : 04-4154148-25T-0.br112 Medicare Number: .br115 Phone Enquiries: (DR MARCUS WELBY) .br119 .br121 Referred by : WHITE,DR. WILSON .br122 Copy to : ANDERSON,DR. THOMAS .br123 Addressee : ANDERSON,DR. THOMAS 0191322W.br129 .br200 Start of Result:.br201 Specimen :.br203 Requested : 21/12/2004.br204 Collected : 22/12/2004 07:45.br205 Name of Test : E/LFT (MASTER) .br206 Reported : 23/02/2005 10:04.br207 Confidential : N.br208 Test Category : N.br209 .br210 Normal Result : N.br299 .br301 Units Ref Range.br301 .br301 SERUM CHEMISTRY.br301 Sodium 142 mmol/L 137-147.br301 Serum Potassium 4.0 mmol/L 3.5-5.0.br301 Chloride 107 mmol/L 96-109.br301 Bicarbonate 26 mmol/L 25-33.br301 Other Anions 13 mmol/L 4-17.br301 Glucose 6.3 mmol/L 3.0-7.7.br301 Urea 6.7 mmol/L 2.0-7.0.br301 Serum Creatinine 0.08 mmol/L 0.04-0.11.br301 RFG04RSerum Uric Acid 0.40 ++ mmol/L 0.14-0.35RFG99R\.br301 Total Bilirubin 9 umol/L 2-20.br301 Direct Bilirubin 4 umol/L 0-8.br301 RFG04RAlkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma 144 + U/L 30-115RFG99R\.br301 RFG04RGamma G.T. 106 +++ U/L 0-45RFG99R\.br301 ALT 30 U/L 0-45.br301 AST 18 U/L 0-41.br301 LD 143 U/L 80-250.br301 Serum Calcium 2.28 mmol/L 2.25-2.65.br301 Corrected Calcium 2.32 mmol/L 2.25-2.65.br301 Serum Phosphate 1.3 mmol/L 0.8-1.5.br301 Total Protein 66 g/L 60-82.br301 Serum Albumin 41 g/L 35-50.br301 Globulins 25 g/L 20-40.br301 RFG04RIron 3 - - - umol/L 10-33RFG99R\.br301 Cholesterol 4.0 mmol/L 3.6-6.7.br301 .br301 Revised NHF cholesterol guidelines (Nov.,2001):.br301 Target below 4.0 mmol/L if high risk patient..br301 Consider lipid lowering treatment if cholesterol above 6.0 mmol/L.br301 and no other risk factor of CHD..br301 .br301 Triglycerides 1.0 mmol/L 0.3-4.0.br309 .br319 .br390 End of Report :.br399 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.br999 END OF LISTING - Run Number:1 19/04/2005 22:58:15.br|| –>

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      <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 7</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/5</a></p><p><b>effective</b>: Dec 3, 2004 9:45:17 AM</p><p><b>issued</b>: Dec 3, 2004 12:00:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2951-2&#39; = &#39;Sodium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Sodium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104934005&#39; = &#39;Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 141 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2823-3&#39; = &#39;Potassium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Potassium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;59573005&#39; = &#39;Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.2 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2075-0&#39; = &#39;Chloride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Chloride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;46511006&#39; = &#39;Chloride measurement)</span>; ????; Acme Laboratory, Inc; 106 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code &#39;1963-8&#39; = &#39;Bicarbonate [Moles/volume] in Serum&#39;, given as &#39;Bicarbonate [Moles/volume] in Serum&#39;}; {SNOMED CT code &#39;88645003&#39; = &#39;Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 29 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code &#39;1863-0&#39; = &#39;Anion gap 4 in Serum or Plasma&#39;, given as &#39;Anion gap 4 in Serum or Plasma&#39;}; {SNOMED CT code &#39;271057005&#39; = &#39;Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 10 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14749-6&#39; = &#39;Glucose [Moles/volume] in Serum or Plasma&#39;, given as &#39;Glucose [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;36048009&#39; = &#39;Glucose measurement)</span>; ????; Acme Laboratory, Inc; 7.0 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14937-7&#39; = &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;273967009&#39; = &#39;Serum urea level)</span>; ????; Acme Laboratory, Inc; 4.7 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14682-9&#39; = &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;, given as &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;70901006&#39; = &#39;Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.05 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14933-6&#39; = &#39;Urate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;86228006&#39; = &#39;Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.32 mmol/L</li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14631-6&#39; = &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;, given as &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;27171005&#39; = &#39;Urinalysis)</span>; ????; Acme Laboratory, Inc; 43 umol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;6768-6&#39; = &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;88810008&#39; = &#39;Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 708 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2324-2&#39; = &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;69480007&#39; = &#39;Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 1131 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1742-6&#39; = &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;34608000&#39; = &#39;Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 475 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1920-8&#39; = &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;45896001&#39; = &#39;Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 176 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2532-0&#39; = &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;11274001&#39; = &#39;Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 324 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2000-8&#39; = &#39;Calcium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Calcium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;71878006&#39; = &#39;Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code &#39;13959-2&#39; = &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;, given as &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;}; {SNOMED CT code &#39;166708003&#39; = &#39;Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.45 mmol/L</li><li>id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14879-1&#39; = &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104866001&#39; = &#39;Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li><li>id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2885-2&#39; = &#39;Protein [Mass/volume] in Serum or Plasma&#39;, given as &#39;Protein [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;74040009&#39; = &#39;Protein measurement)</span>; ????; Acme Laboratory, Inc; 71 g/L</li><li>id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1751-7&#39; = &#39;Albumin [Mass/volume] in Serum or Plasma&#39;, given as &#39;Albumin [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104485008&#39; = &#39;Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 38 g/L</li><li>id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code &#39;10834-0&#39; = &#39;Globulin [Mass/volume] in Serum by calculation&#39;, given as &#39;Globulin [Mass/volume] in Serum by calculation&#39;}; {SNOMED CT code &#39;104979009&#39; = &#39;Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 33 g/L</li><li>id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14798-3&#39; = &#39;Iron [Moles/volume] in Serum or Plasma&#39;, given as &#39;Iron [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;42950004&#39; = &#39;Iron measurement)</span>; ????; Acme Laboratory, Inc; 17 umol/L</li><li>id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14647-2&#39; = &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;, given as &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;77068002&#39; = &#39;Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 7.0 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14927-8&#39; = &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104784006&#39; = &#39;Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li></ul></div></text><contained>
        <Observation>
          <id value="o1"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2951-2"/>
              <display value="Sodium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104934005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="141"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="137"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="147"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o2"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2823-3"/>
              <display value="Potassium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="59573005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="4.2"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="3.5"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="5.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o3"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2075-0"/>
              <display value="Chloride [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="46511006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="106"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="96"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="109"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o4"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1963-8"/>
              <display value="Bicarbonate [Moles/volume] in Serum"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88645003"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="29"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="25"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="33"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o5"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1863-0"/>
              <display value="Anion gap 4 in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="271057005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="10"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="4"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="17"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o6"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14749-6"/>
              <display value="Glucose [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="36048009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="7.0"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="3.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="7.7"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o7"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14937-7"/>
              <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="273967009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="4.7"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="7.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o8"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14682-9"/>
              <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="70901006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.05"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.04"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="0.11"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o9"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14933-6"/>
              <display value="Urate [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="86228006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.32"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.14"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="0.35"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o10"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14631-6"/>
              <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="27171005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="43"/>
            <unit value="umol/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="2"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="20"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o11"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="6768-6"/>
              <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88810008"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="708"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="30"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="115"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o12"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2324-2"/>
              <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="69480007"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="1131"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="45"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o13"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1742-6"/>
              <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="34608000"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="475"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="45"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o14"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1920-8"/>
              <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="45896001"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="176"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
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            <high>
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              <unit value="U/L"/>
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          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o15"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2532-0"/>
              <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="11274001"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="324"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="80"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="250"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o16"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2000-8"/>
              <display value="Calcium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="71878006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="2.32"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2.25"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="2.65"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o17"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="13959-2"/>
              <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="166708003"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="2.45"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2.25"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="2.65"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o18"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14879-1"/>
              <display value="Phosphate [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104866001"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.9"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.8"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="1.5"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o19"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2885-2"/>
              <display value="Protein [Mass/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="74040009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="71"/>
            <unit value="g/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="60"/>
              <unit value="g/L"/>
            </low>
            <high>
              <value value="82"/>
              <unit value="g/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o20"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1751-7"/>
              <display value="Albumin [Mass/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104485008"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="38"/>
            <unit value="g/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="35"/>
              <unit value="g/L"/>
            </low>
            <high>
              <value value="50"/>
              <unit value="g/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o21"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="10834-0"/>
              <display value="Globulin [Mass/volume] in Serum by calculation"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104979009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="33"/>
            <unit value="g/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="20"/>
              <unit value="g/L"/>
            </low>
            <high>
              <value value="40"/>
              <unit value="g/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o22"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14798-3"/>
              <display value="Iron [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="42950004"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="17"/>
            <unit value="umol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="10"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="33"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o23"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14647-2"/>
              <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="77068002"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="7.0"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="H"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="3.6"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="6.7"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o24"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14927-8"/>
              <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104784006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.9"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.3"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="4.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <identifier>
        <system value="http://acme.com/lab/reports"/>
        <value value="5234342"/>
      </identifier>
      <status value="final"/>
      <code>
        <text value="SERUM CHEMISTRY"/>
      </code>
      <subject>
        <reference value="Patient/5"/>
      </subject>
      <effectiveDateTime value="2004-12-03T09:45:17Z"/>
      <issued value="2004-12-03T00:00:01Z"/>
      <performer>
                                      <actor>
                                              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
                                              <display value="Acme Laboratory, Inc"/>
                                      </actor>
                              </performer>
      <result>
        <reference value="#o1"/>
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      <result>
        <reference value="#o2"/>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
        <reference value="#o12"/>
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      <result>
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      <result>
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      <result>
        <reference value="#o15"/>
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      <result>
        <reference value="#o16"/>
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      <result>
        <reference value="#o17"/>
      </result>
      <result>
        <reference value="#o18"/>
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      <result>
        <reference value="#o19"/>
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      <result>
        <reference value="#o20"/>
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      <result>
        <reference value="#o21"/>
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      <result>
        <reference value="#o22"/>
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      <result>
        <reference value="#o23"/>
      </result>
      <result>
        <reference value="#o24"/>
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</entry>
<entry>
  <fullUrl value="http://hl7.org/fhir/DiagnosticReport/8"/>
  <resource>
    <DiagnosticReport>
      <id value="8"/>
      <meta>
        <lastUpdated value="2012-04-14T10:35:23Z"/>
      </meta>
      <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 8</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/6</a></p><p><b>effective</b>: Dec 3, 2004 8:30:17 PM</p><p><b>issued</b>: Feb 23, 2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2951-2&#39; = &#39;Sodium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Sodium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104934005&#39; = &#39;Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 142 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2823-3&#39; = &#39;Potassium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Potassium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;59573005&#39; = &#39;Potassium measurement)</span>; ????; Acme Laboratory, Inc; 3.6 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2075-0&#39; = &#39;Chloride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Chloride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;46511006&#39; = &#39;Chloride measurement)</span>; ????; Acme Laboratory, Inc; 104 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code &#39;1963-8&#39; = &#39;Bicarbonate [Moles/volume] in Serum&#39;, given as &#39;Bicarbonate [Moles/volume] in Serum&#39;}; {SNOMED CT code &#39;88645003&#39; = &#39;Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 30 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code &#39;1863-0&#39; = &#39;Anion gap 4 in Serum or Plasma&#39;, given as &#39;Anion gap 4 in Serum or Plasma&#39;}; {SNOMED CT code &#39;271057005&#39; = &#39;Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 12 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14749-6&#39; = &#39;Glucose [Moles/volume] in Serum or Plasma&#39;, given as &#39;Glucose [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;36048009&#39; = &#39;Glucose measurement)</span>; ????; Acme Laboratory, Inc; 6.2 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14937-7&#39; = &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;273967009&#39; = &#39;Serum urea level)</span>; ????; Acme Laboratory, Inc; 4.5 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14682-9&#39; = &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;, given as &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;70901006&#39; = &#39;Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.06 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14933-6&#39; = &#39;Urate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;86228006&#39; = &#39;Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.37 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14631-6&#39; = &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;, given as &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;27171005&#39; = &#39;Urinalysis)</span>; ????; Acme Laboratory, Inc; 50 umol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;6768-6&#39; = &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;88810008&#39; = &#39;Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 684 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2324-2&#39; = &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;69480007&#39; = &#39;Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 1105 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1742-6&#39; = &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;34608000&#39; = &#39;Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 466 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1920-8&#39; = &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;45896001&#39; = &#39;Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 198 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2532-0&#39; = &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;11274001&#39; = &#39;Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 323 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2000-8&#39; = &#39;Calcium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Calcium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;71878006&#39; = &#39;Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code &#39;13959-2&#39; = &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;, given as &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;}; {SNOMED CT code &#39;166708003&#39; = &#39;Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.45 mmol/L</li><li>id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14879-1&#39; = &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104866001&#39; = &#39;Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li><li>id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2885-2&#39; = &#39;Protein [Mass/volume] in Serum or Plasma&#39;, given as &#39;Protein [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;74040009&#39; = &#39;Protein measurement)</span>; ????; Acme Laboratory, Inc; 70 g/L</li><li>id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1751-7&#39; = &#39;Albumin [Mass/volume] in Serum or Plasma&#39;, given as &#39;Albumin [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104485008&#39; = &#39;Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 38 g/L</li><li>id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code &#39;10834-0&#39; = &#39;Globulin [Mass/volume] in Serum by calculation&#39;, given as &#39;Globulin [Mass/volume] in Serum by calculation&#39;}; {SNOMED CT code &#39;104979009&#39; = &#39;Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 32 g/L</li><li>id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14798-3&#39; = &#39;Iron [Moles/volume] in Serum or Plasma&#39;, given as &#39;Iron [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;42950004&#39; = &#39;Iron measurement)</span>; ????; Acme Laboratory, Inc; 11 umol/L</li><li>id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14647-2&#39; = &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;, given as &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;77068002&#39; = &#39;Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 6.9 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14927-8&#39; = &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104784006&#39; = &#39;Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.9 mmol/L</li></ul></div></text><contained>
        <Observation>
          <id value="o1"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2951-2"/>
              <display value="Sodium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104934005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="142"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="137"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="147"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o2"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2823-3"/>
              <display value="Potassium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="59573005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="3.6"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="3.5"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="5.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o3"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2075-0"/>
              <display value="Chloride [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="46511006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="104"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="96"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="109"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o4"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1963-8"/>
              <display value="Bicarbonate [Moles/volume] in Serum"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88645003"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="30"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="25"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="33"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o5"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1863-0"/>
              <display value="Anion gap 4 in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="271057005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="12"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="4"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="17"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o6"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14749-6"/>
              <display value="Glucose [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="36048009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="6.2"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="3.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="7.7"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o7"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14937-7"/>
              <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="273967009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="4.5"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="7.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o8"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14682-9"/>
              <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="70901006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.06"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.04"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="0.11"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o9"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14933-6"/>
              <display value="Urate [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="86228006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.37"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="H"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0.14"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="0.35"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o10"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14631-6"/>
              <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="27171005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="50"/>
            <unit value="umol/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="2"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="20"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o11"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="6768-6"/>
              <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88810008"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="684"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="30"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="115"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o12"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2324-2"/>
              <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="69480007"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="1105"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="45"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o13"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1742-6"/>
              <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="34608000"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="466"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="45"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o14"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1920-8"/>
              <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="45896001"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="198"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="41"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o15"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2532-0"/>
              <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="11274001"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="323"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="80"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="250"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o16"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2000-8"/>
              <display value="Calcium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="71878006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="2.32"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2.25"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="2.65"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o17"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="13959-2"/>
              <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="166708003"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="2.45"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2.25"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="2.65"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o18"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14879-1"/>
              <display value="Phosphate [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104866001"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.9"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.8"/>
              <unit value="mmol/L"/>
            </low>
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          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2885-2"/>
              <display value="Protein [Mass/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="74040009"/>
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          </referenceRange>
        </Observation>
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      <contained>
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          <id value="o20"/>
          <status value="final"/>
          <code>
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              <system value="http://loinc.org"/>
              <code value="1751-7"/>
              <display value="Albumin [Mass/volume] in Serum or Plasma"/>
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              <system value="http://snomed.info/sct"/>
              <code value="104485008"/>
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              <unit value="g/L"/>
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          </referenceRange>
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      <contained>
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          <status value="final"/>
          <code>
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              <system value="http://loinc.org"/>
              <code value="10834-0"/>
              <display value="Globulin [Mass/volume] in Serum by calculation"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104979009"/>
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            <display value="Acme Laboratory, Inc"/>
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            <high>
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              <unit value="g/L"/>
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          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o22"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14798-3"/>
              <display value="Iron [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="42950004"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
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            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="11"/>
            <unit value="umol/L"/>
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          <referenceRange>
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              <unit value="umol/L"/>
            </low>
            <high>
              <value value="33"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o23"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14647-2"/>
              <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="77068002"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="6.9"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="H"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="3.6"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="6.7"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o24"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14927-8"/>
              <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104784006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="1.9"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.3"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="4.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <identifier>
        <system value="http://acme.com/lab/reports"/>
        <value value="5234342"/>
      </identifier>
      <status value="final"/>
      <code>
        <text value="SERUM CHEMISTRY"/>
      </code>
      <subject>
        <reference value="Patient/6"/>
      </subject>
      <effectiveDateTime value="2004-12-03T20:30:17Z"/>
      <issued value="2005-02-23T10:04:01Z"/>
      <performer>
                                      <actor>
                                              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
                                              <display value="Acme Laboratory, Inc"/>
                                      </actor>
                              </performer>
      <result>
        <reference value="#o1"/>
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      <result>
        <reference value="#o2"/>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
        <reference value="#o10"/>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
        <reference value="#o15"/>
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      <result>
        <reference value="#o16"/>
      </result>
      <result>
        <reference value="#o17"/>
      </result>
      <result>
        <reference value="#o18"/>
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      <result>
        <reference value="#o19"/>
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      <result>
        <reference value="#o20"/>
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      <result>
        <reference value="#o21"/>
      </result>
      <result>
        <reference value="#o22"/>
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      <result>
        <reference value="#o23"/>
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      <result>
        <reference value="#o24"/>
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    </DiagnosticReport>
  </resource>
</entry>
<entry>
  <fullUrl value="http://hl7.org/fhir/DiagnosticReport/9"/>
  <resource>
    <DiagnosticReport>
      <id value="9"/>
      <meta>
        <lastUpdated value="2012-04-14T10:35:23Z"/>
      </meta>
      <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 9</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/7</a></p><p><b>effective</b>: Dec 5, 2004 7:15:17 AM</p><p><b>issued</b>: Feb 23, 2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2951-2&#39; = &#39;Sodium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Sodium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104934005&#39; = &#39;Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 143 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2823-3&#39; = &#39;Potassium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Potassium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;59573005&#39; = &#39;Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.3 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2075-0&#39; = &#39;Chloride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Chloride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;46511006&#39; = &#39;Chloride measurement)</span>; ????; Acme Laboratory, Inc; 108 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code &#39;1963-8&#39; = &#39;Bicarbonate [Moles/volume] in Serum&#39;, given as &#39;Bicarbonate [Moles/volume] in Serum&#39;}; {SNOMED CT code &#39;88645003&#39; = &#39;Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 25 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code &#39;1863-0&#39; = &#39;Anion gap 4 in Serum or Plasma&#39;, given as &#39;Anion gap 4 in Serum or Plasma&#39;}; {SNOMED CT code &#39;271057005&#39; = &#39;Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 14 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14749-6&#39; = &#39;Glucose [Moles/volume] in Serum or Plasma&#39;, given as &#39;Glucose [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;36048009&#39; = &#39;Glucose measurement)</span>; ????; Acme Laboratory, Inc; 4.3 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14937-7&#39; = &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;273967009&#39; = &#39;Serum urea level)</span>; ????; Acme Laboratory, Inc; 4.6 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14682-9&#39; = &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;, given as &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;70901006&#39; = &#39;Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.06 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14933-6&#39; = &#39;Urate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;86228006&#39; = &#39;Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.41 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14631-6&#39; = &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;, given as &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;27171005&#39; = &#39;Urinalysis)</span>; ????; Acme Laboratory, Inc; 27 umol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;6768-6&#39; = &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;88810008&#39; = &#39;Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 631 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2324-2&#39; = &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;69480007&#39; = &#39;Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 956 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1742-6&#39; = &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;34608000&#39; = &#39;Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 398 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1920-8&#39; = &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;45896001&#39; = &#39;Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 120 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2532-0&#39; = &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;11274001&#39; = &#39;Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 243 U/L</li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2000-8&#39; = &#39;Calcium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Calcium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;71878006&#39; = &#39;Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.33 mmol/L</li><li>id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code &#39;13959-2&#39; = &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;, given as &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;}; {SNOMED CT code &#39;166708003&#39; = &#39;Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.52 mmol/L</li><li>id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14879-1&#39; = &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104866001&#39; = &#39;Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 1.2 mmol/L</li><li>id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2885-2&#39; = &#39;Protein [Mass/volume] in Serum or Plasma&#39;, given as &#39;Protein [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;74040009&#39; = &#39;Protein measurement)</span>; ????; Acme Laboratory, Inc; 71 g/L</li><li>id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1751-7&#39; = &#39;Albumin [Mass/volume] in Serum or Plasma&#39;, given as &#39;Albumin [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104485008&#39; = &#39;Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 36 g/L</li><li>id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code &#39;10834-0&#39; = &#39;Globulin [Mass/volume] in Serum by calculation&#39;, given as &#39;Globulin [Mass/volume] in Serum by calculation&#39;}; {SNOMED CT code &#39;104979009&#39; = &#39;Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 35 g/L</li><li>id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14798-3&#39; = &#39;Iron [Moles/volume] in Serum or Plasma&#39;, given as &#39;Iron [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;42950004&#39; = &#39;Iron measurement)</span>; ????; Acme Laboratory, Inc; 39 umol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></li><li>id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14647-2&#39; = &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;, given as &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;77068002&#39; = &#39;Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 6.8 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14927-8&#39; = &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104784006&#39; = &#39;Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.5 mmol/L</li></ul></div></text><contained>
        <Observation>
          <id value="o1"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2951-2"/>
              <display value="Sodium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104934005"/>
            </coding>
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          <subject>
            <reference value="Patient/7"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="143"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="137"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="147"/>
              <unit value="mmol/L"/>
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          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o2"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2823-3"/>
              <display value="Potassium [Moles/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="59573005"/>
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          <subject>
            <reference value="Patient/7"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="4.3"/>
            <unit value="mmol/L"/>
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          <referenceRange>
            <low>
              <value value="3.5"/>
              <unit value="mmol/L"/>
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            <high>
              <value value="5.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o3"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2075-0"/>
              <display value="Chloride [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="46511006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/7"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="108"/>
            <unit value="mmol/L"/>
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          <referenceRange>
            <low>
              <value value="96"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="109"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o4"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1963-8"/>
              <display value="Bicarbonate [Moles/volume] in Serum"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88645003"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/7"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="25"/>
            <unit value="mmol/L"/>
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          <referenceRange>
            <low>
              <value value="25"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="33"/>
              <unit value="mmol/L"/>
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      <contained>
        <Observation>
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            <coding>
              <system value="http://loinc.org"/>
              <code value="1863-0"/>
              <display value="Anion gap 4 in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="271057005"/>
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            <reference value="Patient/7"/>
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          <valueQuantity>
            <value value="14"/>
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      <contained>
        <Observation>
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            <coding>
              <system value="http://loinc.org"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="36048009"/>
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        <Observation>
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            <coding>
              <system value="http://loinc.org"/>
              <code value="14937-7"/>
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              <system value="http://snomed.info/sct"/>
              <code value="273967009"/>
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            <value value="4.6"/>
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              <value value="7.0"/>
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      <contained>
        <Observation>
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            <coding>
              <system value="http://loinc.org"/>
              <code value="14682-9"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="70901006"/>
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            <reference value="Patient/7"/>
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          <valueQuantity>
            <value value="0.06"/>
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              <value value="0.04"/>
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            <high>
              <value value="0.11"/>
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      <contained>
        <Observation>
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            <coding>
              <system value="http://loinc.org"/>
              <code value="14933-6"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="86228006"/>
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            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
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              <value value="0.14"/>
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            <high>
              <value value="0.35"/>
              <unit value="mmol/L"/>
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      <contained>
        <Observation>
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            <coding>
              <system value="http://loinc.org"/>
              <code value="14631-6"/>
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              <system value="http://snomed.info/sct"/>
              <code value="27171005"/>
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            <display value="Acme Laboratory, Inc"/>
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            <value value="27"/>
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            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
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              <value value="20"/>
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        <Observation>
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            <coding>
              <system value="http://loinc.org"/>
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              <system value="http://snomed.info/sct"/>
              <code value="88810008"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
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            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
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              <value value="30"/>
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            <high>
              <value value="115"/>
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        <Observation>
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            <coding>
              <system value="http://loinc.org"/>
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              <system value="http://snomed.info/sct"/>
              <code value="69480007"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
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            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
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              <value value="45"/>
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        <Observation>
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            <coding>
              <system value="http://loinc.org"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="34608000"/>
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            <coding>
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        <Observation>
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            <coding>
              <system value="http://loinc.org"/>
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        <Observation>
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            <coding>
              <system value="http://loinc.org"/>
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        <Observation>
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        <Observation>
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            <coding>
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              <code value="14798-3"/>
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      <contained>
        <Observation>
          <id value="o23"/>
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            <coding>
              <system value="http://loinc.org"/>
              <code value="14647-2"/>
              <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
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            <coding>
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      <identifier>
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        <value value="5234342"/>
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      <result>
        <reference value="#o13"/>
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        <reference value="#o14"/>
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      <result>
        <reference value="#o15"/>
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        <reference value="#o16"/>
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        <reference value="#o18"/>
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      <result>
        <reference value="#o19"/>
      </result>
      <result>
        <reference value="#o20"/>
      </result>
      <result>
        <reference value="#o21"/>
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      <result>
        <reference value="#o22"/>
      </result>
      <result>
        <reference value="#o23"/>
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      <result>
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</entry>
<entry>
  <fullUrl value="http://hl7.org/fhir/DiagnosticReport/15"/>
  <resource>
    <DiagnosticReport>
      <id value="15"/>
      <meta>
        <lastUpdated value="2012-04-14T10:35:23Z"/>
      </meta>
      <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 15</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/8</a></p><p><b>effective</b>: Jan 27, 2005 6:40:17 AM</p><p><b>issued</b>: Feb 23, 2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2951-2&#39; = &#39;Sodium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Sodium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104934005&#39; = &#39;Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 140 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2823-3&#39; = &#39;Potassium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Potassium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;59573005&#39; = &#39;Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.2 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2075-0&#39; = &#39;Chloride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Chloride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;46511006&#39; = &#39;Chloride measurement)</span>; ????; Acme Laboratory, Inc; 105 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code &#39;1963-8&#39; = &#39;Bicarbonate [Moles/volume] in Serum&#39;, given as &#39;Bicarbonate [Moles/volume] in Serum&#39;}; {SNOMED CT code &#39;88645003&#39; = &#39;Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 26 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code &#39;1863-0&#39; = &#39;Anion gap 4 in Serum or Plasma&#39;, given as &#39;Anion gap 4 in Serum or Plasma&#39;}; {SNOMED CT code &#39;271057005&#39; = &#39;Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 13 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14749-6&#39; = &#39;Glucose [Moles/volume] in Serum or Plasma&#39;, given as &#39;Glucose [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;36048009&#39; = &#39;Glucose measurement)</span>; ????; Acme Laboratory, Inc; 7.4 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14937-7&#39; = &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;273967009&#39; = &#39;Serum urea level)</span>; ????; Acme Laboratory, Inc; 4.7 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14682-9&#39; = &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;, given as &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;70901006&#39; = &#39;Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.09 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14933-6&#39; = &#39;Urate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;86228006&#39; = &#39;Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.39 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14631-6&#39; = &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;, given as &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;27171005&#39; = &#39;Urinalysis)</span>; ????; Acme Laboratory, Inc; 7 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14629-0&#39; = &#39;Bilirubin.direct [Moles/volume] in Serum or Plasma&#39;, given as &#39;Bilirubin.direct [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;39748002&#39; = &#39;Bilirubin, direct measurement)</span>; ????; Acme Laboratory, Inc; 3 umol/L</li><li>id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;6768-6&#39; = &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;88810008&#39; = &#39;Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 108 U/L</li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2324-2&#39; = &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;69480007&#39; = &#39;Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 35 U/L</li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1742-6&#39; = &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;34608000&#39; = &#39;Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 54 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1920-8&#39; = &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;45896001&#39; = &#39;Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 30 U/L</li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2532-0&#39; = &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;11274001&#39; = &#39;Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 131 U/L</li><li>id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2000-8&#39; = &#39;Calcium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Calcium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;71878006&#39; = &#39;Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.38 mmol/L</li><li>id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code &#39;13959-2&#39; = &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;, given as &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;}; {SNOMED CT code &#39;166708003&#39; = &#39;Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.39 mmol/L</li><li>id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14879-1&#39; = &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104866001&#39; = &#39;Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 1.5 mmol/L</li><li>id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2885-2&#39; = &#39;Protein [Mass/volume] in Serum or Plasma&#39;, given as &#39;Protein [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;74040009&#39; = &#39;Protein measurement)</span>; ????; Acme Laboratory, Inc; 67 g/L</li><li>id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1751-7&#39; = &#39;Albumin [Mass/volume] in Serum or Plasma&#39;, given as &#39;Albumin [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104485008&#39; = &#39;Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 42 g/L</li><li>id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code &#39;10834-0&#39; = &#39;Globulin [Mass/volume] in Serum by calculation&#39;, given as &#39;Globulin [Mass/volume] in Serum by calculation&#39;}; {SNOMED CT code &#39;104979009&#39; = &#39;Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 25 g/L</li><li>id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14798-3&#39; = &#39;Iron [Moles/volume] in Serum or Plasma&#39;, given as &#39;Iron [Moles/volume] in Serum or Plasma&#39;}; {[not stated] code &#39;42950004&#39; = &#39;42950004)</span>; ????; Acme Laboratory, Inc; 5 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;LL&#39; = &#39;Critically low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14647-2&#39; = &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;, given as &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;77068002&#39; = &#39;Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 3.8 mmol/L</li><li>id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14927-8&#39; = &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104784006&#39; = &#39;Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li></ul></div></text><contained>
        <Observation>
          <id value="o1"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2951-2"/>
              <display value="Sodium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104934005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="140"/>
            <unit value="mmol/L"/>
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          <referenceRange>
            <low>
              <value value="137"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="147"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o2"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2823-3"/>
              <display value="Potassium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="59573005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="4.2"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="3.5"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="5.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o3"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2075-0"/>
              <display value="Chloride [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="46511006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="105"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="96"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="109"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o4"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1963-8"/>
              <display value="Bicarbonate [Moles/volume] in Serum"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88645003"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="26"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="25"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="33"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o5"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1863-0"/>
              <display value="Anion gap 4 in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="271057005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="13"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="4"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="17"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o6"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14749-6"/>
              <display value="Glucose [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="36048009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="7.4"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
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              <value value="3.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="7.7"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o7"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14937-7"/>
              <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="273967009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="4.7"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="7.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o8"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14682-9"/>
              <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="70901006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.09"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.04"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="0.11"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o9"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14933-6"/>
              <display value="Urate [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="86228006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.39"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="H"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0.14"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="0.35"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o10"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14631-6"/>
              <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="27171005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="7"/>
            <unit value="umol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="20"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o11"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14629-0"/>
              <display value="Bilirubin.direct [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="39748002"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="3"/>
            <unit value="umol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="8"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o12"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="6768-6"/>
              <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88810008"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="108"/>
            <unit value="U/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="30"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="115"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o13"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2324-2"/>
              <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="69480007"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="35"/>
            <unit value="U/L"/>
          </valueQuantity>
          <referenceRange>
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              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="45"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o14"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1742-6"/>
              <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="34608000"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="54"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="H"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="45"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o15"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1920-8"/>
              <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="45896001"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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              <unit value="U/L"/>
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            <high>
              <value value="41"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o16"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2532-0"/>
              <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="11274001"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
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            <unit value="U/L"/>
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          <referenceRange>
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              <unit value="U/L"/>
            </low>
            <high>
              <value value="250"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o17"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2000-8"/>
              <display value="Calcium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="71878006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="2.38"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
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              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="2.65"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o18"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="13959-2"/>
              <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="166708003"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="2.39"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2.25"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="2.65"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o19"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14879-1"/>
              <display value="Phosphate [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104866001"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="1.5"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.8"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="1.5"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o20"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2885-2"/>
              <display value="Protein [Mass/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="74040009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="67"/>
            <unit value="g/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="60"/>
              <unit value="g/L"/>
            </low>
            <high>
              <value value="82"/>
              <unit value="g/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o21"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1751-7"/>
              <display value="Albumin [Mass/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104485008"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="42"/>
            <unit value="g/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="35"/>
              <unit value="g/L"/>
            </low>
            <high>
              <value value="50"/>
              <unit value="g/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o22"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="10834-0"/>
              <display value="Globulin [Mass/volume] in Serum by calculation"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104979009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="25"/>
            <unit value="g/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="20"/>
              <unit value="g/L"/>
            </low>
            <high>
              <value value="40"/>
              <unit value="g/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o23"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14798-3"/>
              <display value="Iron [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <code value="42950004"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="5"/>
            <unit value="umol/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="LL"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="10"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="33"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o24"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14647-2"/>
              <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="77068002"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="3.8"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
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              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="6.7"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o25"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14927-8"/>
              <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104784006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/8"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.9"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.3"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="4.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <identifier>
        <system value="http://acme.com/lab/reports"/>
        <value value="5234342"/>
      </identifier>
      <status value="final"/>
      <code>
        <text value="SERUM CHEMISTRY"/>
      </code>
      <subject>
        <reference value="Patient/8"/>
      </subject>
      <effectiveDateTime value="2005-01-27T06:40:17Z"/>
      <issued value="2005-02-23T10:04:01Z"/>
      <performer>
                                      <actor>
                                              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
                                              <display value="Acme Laboratory, Inc"/>
                                      </actor>
                              </performer>
      <result>
        <reference value="#o1"/>
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      <result>
        <reference value="#o2"/>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      </result>
      <result>
        <reference value="#o19"/>
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      <result>
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      <result>
        <reference value="#o21"/>
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      <result>
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      <result>
        <reference value="#o23"/>
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      <result>
        <reference value="#o24"/>
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      <result>
        <reference value="#o25"/>
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</entry>
<entry>
  <fullUrl value="http://hl7.org/fhir/DiagnosticReport/16"/>
  <resource>
    <DiagnosticReport>
      <id value="16"/>
      <meta>
        <lastUpdated value="2012-04-14T10:35:23Z"/>
      </meta>
      <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 16</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/9</a></p><p><b>effective</b>: Dec 8, 2004 7:45:17 AM</p><p><b>issued</b>: Feb 23, 2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2951-2&#39; = &#39;Sodium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Sodium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104934005&#39; = &#39;Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 138 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2823-3&#39; = &#39;Potassium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Potassium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;59573005&#39; = &#39;Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.1 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2075-0&#39; = &#39;Chloride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Chloride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;46511006&#39; = &#39;Chloride measurement)</span>; ????; Acme Laboratory, Inc; 103 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code &#39;1963-8&#39; = &#39;Bicarbonate [Moles/volume] in Serum&#39;, given as &#39;Bicarbonate [Moles/volume] in Serum&#39;}; {SNOMED CT code &#39;88645003&#39; = &#39;Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 27 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code &#39;1863-0&#39; = &#39;Anion gap 4 in Serum or Plasma&#39;, given as &#39;Anion gap 4 in Serum or Plasma&#39;}; {SNOMED CT code &#39;271057005&#39; = &#39;Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 12 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14749-6&#39; = &#39;Glucose [Moles/volume] in Serum or Plasma&#39;, given as &#39;Glucose [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;36048009&#39; = &#39;Glucose measurement)</span>; ????; Acme Laboratory, Inc; 6.8 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14937-7&#39; = &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;273967009&#39; = &#39;Serum urea level)</span>; ????; Acme Laboratory, Inc; 8.2 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14682-9&#39; = &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;, given as &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;70901006&#39; = &#39;Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.07 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14933-6&#39; = &#39;Urate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;86228006&#39; = &#39;Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.42 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14631-6&#39; = &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;, given as &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;27171005&#39; = &#39;Urinalysis)</span>; ????; Acme Laboratory, Inc; 16 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14629-0&#39; = &#39;Bilirubin.direct [Moles/volume] in Serum or Plasma&#39;, given as &#39;Bilirubin.direct [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;39748002&#39; = &#39;Bilirubin, direct measurement)</span>; ????; Acme Laboratory, Inc; 8 umol/L</li><li>id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;6768-6&#39; = &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;88810008&#39; = &#39;Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 369 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2324-2&#39; = &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;69480007&#39; = &#39;Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 438 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1742-6&#39; = &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;34608000&#39; = &#39;Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 263 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1920-8&#39; = &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;45896001&#39; = &#39;Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 87 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2532-0&#39; = &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;11274001&#39; = &#39;Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 179 U/L</li><li>id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2000-8&#39; = &#39;Calcium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Calcium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;71878006&#39; = &#39;Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code &#39;13959-2&#39; = &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;, given as &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;}; {SNOMED CT code &#39;166708003&#39; = &#39;Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.42 mmol/L</li><li>id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14879-1&#39; = &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104866001&#39; = &#39;Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 1.3 mmol/L</li><li>id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2885-2&#39; = &#39;Protein [Mass/volume] in Serum or Plasma&#39;, given as &#39;Protein [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;74040009&#39; = &#39;Protein measurement)</span>; ????; Acme Laboratory, Inc; 67 g/L</li><li>id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1751-7&#39; = &#39;Albumin [Mass/volume] in Serum or Plasma&#39;, given as &#39;Albumin [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104485008&#39; = &#39;Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 39 g/L</li><li>id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code &#39;10834-0&#39; = &#39;Globulin [Mass/volume] in Serum by calculation&#39;, given as &#39;Globulin [Mass/volume] in Serum by calculation&#39;}; {SNOMED CT code &#39;104979009&#39; = &#39;Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 28 g/L</li><li>id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14798-3&#39; = &#39;Iron [Moles/volume] in Serum or Plasma&#39;, given as &#39;Iron [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;42950004&#39; = &#39;Iron measurement)</span>; ????; Acme Laboratory, Inc; 8 umol/L; Low <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;L&#39; = &#39;Low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14647-2&#39; = &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;, given as &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;77068002&#39; = &#39;Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 4.8 mmol/L</li><li>id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14927-8&#39; = &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104784006&#39; = &#39;Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 2.2 mmol/L</li></ul></div></text><contained>
        <Observation>
          <id value="o1"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2951-2"/>
              <display value="Sodium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104934005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="138"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="137"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="147"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o2"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2823-3"/>
              <display value="Potassium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="59573005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="4.1"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="3.5"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="5.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o3"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2075-0"/>
              <display value="Chloride [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="46511006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="103"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="96"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="109"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o4"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1963-8"/>
              <display value="Bicarbonate [Moles/volume] in Serum"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88645003"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="27"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="25"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="33"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o5"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1863-0"/>
              <display value="Anion gap 4 in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="271057005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="12"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="4"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="17"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o6"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14749-6"/>
              <display value="Glucose [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="36048009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="6.8"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="3.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="7.7"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o7"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14937-7"/>
              <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="273967009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="8.2"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="H"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="2.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="7.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o8"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14682-9"/>
              <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="70901006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.07"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.04"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="0.11"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o9"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14933-6"/>
              <display value="Urate [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="86228006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.42"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0.14"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="0.35"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o10"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14631-6"/>
              <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="27171005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="16"/>
            <unit value="umol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="20"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o11"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14629-0"/>
              <display value="Bilirubin.direct [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="39748002"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="8"/>
            <unit value="umol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="8"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o12"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="6768-6"/>
              <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88810008"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="369"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="30"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="115"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o13"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2324-2"/>
              <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="69480007"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="438"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="45"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o14"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1742-6"/>
              <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="34608000"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="263"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="45"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o15"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1920-8"/>
              <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="45896001"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="87"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="41"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o16"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2532-0"/>
              <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="11274001"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="179"/>
            <unit value="U/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="80"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="250"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o17"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2000-8"/>
              <display value="Calcium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="71878006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="2.32"/>
            <unit value="mmol/L"/>
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              <unit value="mmol/L"/>
            </low>
            <high>
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              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o18"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="13959-2"/>
              <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="166708003"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="2.42"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
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              <unit value="mmol/L"/>
            </low>
            <high>
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              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o19"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14879-1"/>
              <display value="Phosphate [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104866001"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
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            <unit value="mmol/L"/>
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              <unit value="mmol/L"/>
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            <high>
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              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o20"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2885-2"/>
              <display value="Protein [Mass/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="74040009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="67"/>
            <unit value="g/L"/>
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              <unit value="g/L"/>
            </low>
            <high>
              <value value="82"/>
              <unit value="g/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o21"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1751-7"/>
              <display value="Albumin [Mass/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104485008"/>
            </coding>
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          <subject>
            <reference value="Patient/9"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="39"/>
            <unit value="g/L"/>
          </valueQuantity>
          <referenceRange>
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              <value value="35"/>
              <unit value="g/L"/>
            </low>
            <high>
              <value value="50"/>
              <unit value="g/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o22"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="10834-0"/>
              <display value="Globulin [Mass/volume] in Serum by calculation"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104979009"/>
            </coding>
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          <subject>
            <reference value="Patient/9"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="28"/>
            <unit value="g/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
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              <unit value="g/L"/>
            </low>
            <high>
              <value value="40"/>
              <unit value="g/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o23"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14798-3"/>
              <display value="Iron [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="42950004"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="8"/>
            <unit value="umol/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="L"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="10"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="33"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o24"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14647-2"/>
              <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="77068002"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="4.8"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="3.6"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="6.7"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o25"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14927-8"/>
              <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104784006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/9"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="2.2"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.3"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="4.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <identifier>
        <system value="http://acme.com/lab/reports"/>
        <value value="5234342"/>
      </identifier>
      <status value="final"/>
      <code>
        <text value="SERUM CHEMISTRY"/>
      </code>
      <subject>
        <reference value="Patient/9"/>
      </subject>
      <effectiveDateTime value="2004-12-08T07:45:17Z"/>
      <issued value="2005-02-23T10:04:01Z"/>
      <performer>
                                      <actor>
                                              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
                                              <display value="Acme Laboratory, Inc"/>
                                      </actor>
                              </performer>
      <result>
        <reference value="#o1"/>
      </result>
      <result>
        <reference value="#o2"/>
      </result>
      <result>
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      <result>
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      <result>
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      <result>
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      <result>
        <reference value="#o7"/>
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      <result>
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      <result>
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      <result>
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      <result>
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      </result>
      <result>
        <reference value="#o12"/>
      </result>
      <result>
        <reference value="#o13"/>
      </result>
      <result>
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      <result>
        <reference value="#o15"/>
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      <result>
        <reference value="#o16"/>
      </result>
      <result>
        <reference value="#o17"/>
      </result>
      <result>
        <reference value="#o18"/>
      </result>
      <result>
        <reference value="#o19"/>
      </result>
      <result>
        <reference value="#o20"/>
      </result>
      <result>
        <reference value="#o21"/>
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      <result>
        <reference value="#o22"/>
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      <result>
        <reference value="#o23"/>
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      <result>
        <reference value="#o24"/>
      </result>
      <result>
        <reference value="#o25"/>
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    </DiagnosticReport>
  </resource>
</entry>
<entry>
  <fullUrl value="http://hl7.org/fhir/DiagnosticReport/17"/>
  <resource>
    <DiagnosticReport>
      <id value="17"/>
      <meta>
        <lastUpdated value="2012-04-14T10:35:23Z"/>
      </meta>
      <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 17</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/10</a></p><p><b>effective</b>: Dec 15, 2004 7:20:17 AM</p><p><b>issued</b>: Feb 23, 2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2951-2&#39; = &#39;Sodium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Sodium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104934005&#39; = &#39;Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 142 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2823-3&#39; = &#39;Potassium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Potassium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;59573005&#39; = &#39;Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.0 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2075-0&#39; = &#39;Chloride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Chloride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;46511006&#39; = &#39;Chloride measurement)</span>; ????; Acme Laboratory, Inc; 105 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code &#39;1963-8&#39; = &#39;Bicarbonate [Moles/volume] in Serum&#39;, given as &#39;Bicarbonate [Moles/volume] in Serum&#39;}; {SNOMED CT code &#39;88645003&#39; = &#39;Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 28 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code &#39;1863-0&#39; = &#39;Anion gap 4 in Serum or Plasma&#39;, given as &#39;Anion gap 4 in Serum or Plasma&#39;}; {SNOMED CT code &#39;271057005&#39; = &#39;Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 13 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14749-6&#39; = &#39;Glucose [Moles/volume] in Serum or Plasma&#39;, given as &#39;Glucose [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;36048009&#39; = &#39;Glucose measurement)</span>; ????; Acme Laboratory, Inc; 5.2 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14937-7&#39; = &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;273967009&#39; = &#39;Serum urea level)</span>; ????; Acme Laboratory, Inc; 6.4 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14682-9&#39; = &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;, given as &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;70901006&#39; = &#39;Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.09 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14933-6&#39; = &#39;Urate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;86228006&#39; = &#39;Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.46 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14631-6&#39; = &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;, given as &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;27171005&#39; = &#39;Urinalysis)</span>; ????; Acme Laboratory, Inc; 13 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14629-0&#39; = &#39;Bilirubin.direct [Moles/volume] in Serum or Plasma&#39;, given as &#39;Bilirubin.direct [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;39748002&#39; = &#39;Bilirubin, direct measurement)</span>; ????; Acme Laboratory, Inc; 6 umol/L</li><li>id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;6768-6&#39; = &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;88810008&#39; = &#39;Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 204 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2324-2&#39; = &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;69480007&#39; = &#39;Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 192 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1742-6&#39; = &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;34608000&#39; = &#39;Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 70 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1920-8&#39; = &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;45896001&#39; = &#39;Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 26 U/L</li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2532-0&#39; = &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;11274001&#39; = &#39;Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 150 U/L</li><li>id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2000-8&#39; = &#39;Calcium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Calcium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;71878006&#39; = &#39;Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.37 mmol/L</li><li>id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code &#39;13959-2&#39; = &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;, given as &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;}; {SNOMED CT code &#39;166708003&#39; = &#39;Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.47 mmol/L</li><li>id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14879-1&#39; = &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104866001&#39; = &#39;Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 1.4 mmol/L</li><li>id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2885-2&#39; = &#39;Protein [Mass/volume] in Serum or Plasma&#39;, given as &#39;Protein [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;74040009&#39; = &#39;Protein measurement)</span>; ????; Acme Laboratory, Inc; 67 g/L</li><li>id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1751-7&#39; = &#39;Albumin [Mass/volume] in Serum or Plasma&#39;, given as &#39;Albumin [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104485008&#39; = &#39;Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 39 g/L</li><li>id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code &#39;10834-0&#39; = &#39;Globulin [Mass/volume] in Serum by calculation&#39;, given as &#39;Globulin [Mass/volume] in Serum by calculation&#39;}; {SNOMED CT code &#39;104979009&#39; = &#39;Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 28 g/L</li><li>id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14798-3&#39; = &#39;Iron [Moles/volume] in Serum or Plasma&#39;, given as &#39;Iron [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;42950004&#39; = &#39;Iron measurement)</span>; ????; Acme Laboratory, Inc; 5 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;LL&#39; = &#39;Critically low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14647-2&#39; = &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;, given as &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;77068002&#39; = &#39;Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 4.4 mmol/L</li><li>id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14927-8&#39; = &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104784006&#39; = &#39;Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.1 mmol/L</li></ul></div></text><contained>
        <Observation>
          <id value="o1"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2951-2"/>
              <display value="Sodium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104934005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/10"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="142"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="137"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="147"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o2"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2823-3"/>
              <display value="Potassium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="59573005"/>
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          <subject>
            <reference value="Patient/10"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="4.0"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="3.5"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="5.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o3"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2075-0"/>
              <display value="Chloride [Moles/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="46511006"/>
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          </code>
          <subject>
            <reference value="Patient/10"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="105"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="96"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="109"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o4"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1963-8"/>
              <display value="Bicarbonate [Moles/volume] in Serum"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88645003"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/10"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="28"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="25"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="33"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o5"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1863-0"/>
              <display value="Anion gap 4 in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="271057005"/>
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          </code>
          <subject>
            <reference value="Patient/10"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="13"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="4"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="17"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o6"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14749-6"/>
              <display value="Glucose [Moles/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="36048009"/>
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          </code>
          <subject>
            <reference value="Patient/10"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="5.2"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="3.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="7.7"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o7"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14937-7"/>
              <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="273967009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/10"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="6.4"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="7.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o8"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14682-9"/>
              <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="70901006"/>
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          </code>
          <subject>
            <reference value="Patient/10"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="0.09"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.04"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="0.11"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o9"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14933-6"/>
              <display value="Urate [Moles/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="86228006"/>
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          </code>
          <subject>
            <reference value="Patient/10"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="0.46"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
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          <referenceRange>
            <low>
              <value value="0.14"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="0.35"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o10"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14631-6"/>
              <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="27171005"/>
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          </code>
          <subject>
            <reference value="Patient/10"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="13"/>
            <unit value="umol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="20"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o11"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14629-0"/>
              <display value="Bilirubin.direct [Moles/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="39748002"/>
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          </code>
          <subject>
            <reference value="Patient/10"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="6"/>
            <unit value="umol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="8"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o12"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="6768-6"/>
              <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88810008"/>
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          </code>
          <subject>
            <reference value="Patient/10"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="204"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
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          <referenceRange>
            <low>
              <value value="30"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="115"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o13"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2324-2"/>
              <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="69480007"/>
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          </code>
          <subject>
            <reference value="Patient/10"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="192"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
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          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="45"/>
              <unit value="U/L"/>
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          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o14"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1742-6"/>
              <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="34608000"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/10"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="70"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="H"/>
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            <low>
              <value value="0"/>
              <unit value="U/L"/>
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            <high>
              <value value="45"/>
              <unit value="U/L"/>
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          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o15"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1920-8"/>
              <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="45896001"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/10"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="26"/>
            <unit value="U/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="41"/>
              <unit value="U/L"/>
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          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o16"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2532-0"/>
              <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="11274001"/>
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          </code>
          <subject>
            <reference value="Patient/10"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="150"/>
            <unit value="U/L"/>
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          <referenceRange>
            <low>
              <value value="80"/>
              <unit value="U/L"/>
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            <high>
              <value value="250"/>
              <unit value="U/L"/>
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          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o17"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2000-8"/>
              <display value="Calcium [Moles/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="71878006"/>
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          </code>
          <subject>
            <reference value="Patient/10"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="2.37"/>
            <unit value="mmol/L"/>
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          <referenceRange>
            <low>
              <value value="2.25"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="2.65"/>
              <unit value="mmol/L"/>
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          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o18"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="13959-2"/>
              <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="166708003"/>
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          </code>
          <subject>
            <reference value="Patient/10"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="2.47"/>
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            <low>
              <value value="2.25"/>
              <unit value="mmol/L"/>
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            <high>
              <value value="2.65"/>
              <unit value="mmol/L"/>
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      <contained>
        <Observation>
          <id value="o19"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14879-1"/>
              <display value="Phosphate [Moles/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104866001"/>
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          </code>
          <subject>
            <reference value="Patient/10"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="1.4"/>
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              <value value="0.8"/>
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            <high>
              <value value="1.5"/>
              <unit value="mmol/L"/>
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          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o20"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2885-2"/>
              <display value="Protein [Mass/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="74040009"/>
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          </code>
          <subject>
            <reference value="Patient/10"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
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          <valueQuantity>
            <value value="67"/>
            <unit value="g/L"/>
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          <referenceRange>
            <low>
              <value value="60"/>
              <unit value="g/L"/>
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            <high>
              <value value="82"/>
              <unit value="g/L"/>
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          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o21"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1751-7"/>
              <display value="Albumin [Mass/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104485008"/>
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          </code>
          <subject>
            <reference value="Patient/10"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="39"/>
            <unit value="g/L"/>
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          <referenceRange>
            <low>
              <value value="35"/>
              <unit value="g/L"/>
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            <high>
              <value value="50"/>
              <unit value="g/L"/>
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          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o22"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="10834-0"/>
              <display value="Globulin [Mass/volume] in Serum by calculation"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104979009"/>
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          </code>
          <subject>
            <reference value="Patient/10"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
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          <valueQuantity>
            <value value="28"/>
            <unit value="g/L"/>
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          <referenceRange>
            <low>
              <value value="20"/>
              <unit value="g/L"/>
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            <high>
              <value value="40"/>
              <unit value="g/L"/>
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          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o23"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14798-3"/>
              <display value="Iron [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="42950004"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/10"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="5"/>
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            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="LL"/>
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          <referenceRange>
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              <value value="10"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="33"/>
              <unit value="umol/L"/>
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          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o24"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14647-2"/>
              <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="77068002"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/10"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="4.4"/>
            <unit value="mmol/L"/>
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          <referenceRange>
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              <code value="14927-8"/>
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              <code value="104784006"/>
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      <issued value="2005-02-23T10:04:01Z"/>
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                                              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
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<!– OBX|28|FT|TXT^^AUSPDI|| Units Ref Range.br\ .br\ SERUM CHEMISTRY.br\ Sodium 142 mmol/L 137-147.br\ Serum Potassium 4.0 mmol/L 3.5-5.0.br\ Chloride 105 mmol/L 96-109.br\ Bicarbonate 28 mmol/L 25-33.br\ Other Anions 13 mmol/L 4-17.br\ Glucose 5.2 mmol/L 3.0-7.7.br\ Urea 6.4 mmol/L 2.0-7.0.br\ Serum Creatinine 0.09 mmol/L 0.04-0.11.br\ Serum Uric Acid 0.46 +++ mmol/L 0.14-0.35.br\ Total Bilirubin 13 umol/L 2-20.br\ Direct Bilirubin 6 umol/L 0-8.br\ Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma 204 +++ U/L 30-115.br\ Gamma G.T. 192 +++ U/L 0-45.br\ ALT 70 + U/L 0-45.br\ AST 26 U/L 0-41.br\ LD 150 U/L 80-250.br\ Serum Calcium 2.37 mmol/L 2.25-2.65.br\ Corrected Calcium 2.47 mmol/L 2.25-2.65.br\ Serum Phosphate 1.4 mmol/L 0.8-1.5.br\ Total Protein 67 g/L 60-82.br\ Serum Albumin 39 g/L 35-50.br\ Globulins 28 g/L 20-40.br\ Iron 5 - - umol/L 10-33.br\ Cholesterol 4.4 mmol/L 3.6-6.7.br\ .br\ Revised NHF cholesterol guidelines (Nov.,2001):.br\ Target below 4.0 mmol/L if high risk patient..br\ Consider lipid lowering treatment if cholesterol above 6.0 mmol/L.br\ and no other risk factor of CHD..br\ .br\ Triglycerides 1.1 mmol/L 0.3-4.0.br|| –>

<entry>
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    <DiagnosticReport>
      <id value="18"/>
      <meta>
        <lastUpdated value="2012-04-14T10:35:23Z"/>
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      <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 18</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/1</a></p><p><b>effective</b>: Dec 22, 2004 7:45:17 AM</p><p><b>issued</b>: Feb 23, 2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2951-2&#39; = &#39;Sodium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Sodium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104934005&#39; = &#39;Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 142 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2823-3&#39; = &#39;Potassium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Potassium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;59573005&#39; = &#39;Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.0 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2075-0&#39; = &#39;Chloride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Chloride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;46511006&#39; = &#39;Chloride measurement)</span>; ????; Acme Laboratory, Inc; 107 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code &#39;1963-8&#39; = &#39;Bicarbonate [Moles/volume] in Serum&#39;, given as &#39;Bicarbonate [Moles/volume] in Serum&#39;}; {SNOMED CT code &#39;88645003&#39; = &#39;Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 26 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code &#39;1863-0&#39; = &#39;Anion gap 4 in Serum or Plasma&#39;, given as &#39;Anion gap 4 in Serum or Plasma&#39;}; {SNOMED CT code &#39;271057005&#39; = &#39;Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 13 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14749-6&#39; = &#39;Glucose [Moles/volume] in Serum or Plasma&#39;, given as &#39;Glucose [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;36048009&#39; = &#39;Glucose measurement)</span>; ????; Acme Laboratory, Inc; 6.3 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14937-7&#39; = &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;273967009&#39; = &#39;Serum urea level)</span>; ????; Acme Laboratory, Inc; 6.7 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14682-9&#39; = &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;, given as &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;70901006&#39; = &#39;Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.08 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14933-6&#39; = &#39;Urate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;86228006&#39; = &#39;Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.40 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14631-6&#39; = &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;, given as &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;27171005&#39; = &#39;Urinalysis)</span>; ????; Acme Laboratory, Inc; 9 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14629-0&#39; = &#39;Bilirubin.direct [Moles/volume] in Serum or Plasma&#39;, given as &#39;Bilirubin.direct [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;39748002&#39; = &#39;Bilirubin, direct measurement)</span>; ????; Acme Laboratory, Inc; 4 umol/L</li><li>id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;6768-6&#39; = &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;88810008&#39; = &#39;Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 144 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2324-2&#39; = &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;69480007&#39; = &#39;Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 106 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1742-6&#39; = &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;34608000&#39; = &#39;Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 30 U/L</li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1920-8&#39; = &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;45896001&#39; = &#39;Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 18 U/L</li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2532-0&#39; = &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;11274001&#39; = &#39;Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 143 U/L</li><li>id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2000-8&#39; = &#39;Calcium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Calcium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;71878006&#39; = &#39;Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.28 mmol/L</li><li>id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code &#39;13959-2&#39; = &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;, given as &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;}; {SNOMED CT code &#39;166708003&#39; = &#39;Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14879-1&#39; = &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104866001&#39; = &#39;Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 1.3 mmol/L</li><li>id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2885-2&#39; = &#39;Protein [Mass/volume] in Serum or Plasma&#39;, given as &#39;Protein [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;74040009&#39; = &#39;Protein measurement)</span>; ????; Acme Laboratory, Inc; 66 g/L</li><li>id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1751-7&#39; = &#39;Albumin [Mass/volume] in Serum or Plasma&#39;, given as &#39;Albumin [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104485008&#39; = &#39;Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 41 g/L</li><li>id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code &#39;10834-0&#39; = &#39;Globulin [Mass/volume] in Serum by calculation&#39;, given as &#39;Globulin [Mass/volume] in Serum by calculation&#39;}; {SNOMED CT code &#39;104979009&#39; = &#39;Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 25 g/L</li><li>id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14798-3&#39; = &#39;Iron [Moles/volume] in Serum or Plasma&#39;, given as &#39;Iron [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;42950004&#39; = &#39;Iron measurement)</span>; ????; Acme Laboratory, Inc; 3 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;LL&#39; = &#39;Critically low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14647-2&#39; = &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;, given as &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;77068002&#39; = &#39;Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 4.0 mmol/L</li><li>id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14927-8&#39; = &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104784006&#39; = &#39;Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.0 mmol/L</li></ul></div></text><contained>
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              <system value="http://loinc.org"/>
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            <coding>
              <system value="http://loinc.org"/>
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              <system value="http://snomed.info/sct"/>
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            <coding>
              <system value="http://loinc.org"/>
              <code value="1963-8"/>
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              <code value="88645003"/>
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              <system value="http://loinc.org"/>
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              <code value="36048009"/>
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            <coding>
              <system value="http://loinc.org"/>
              <code value="14937-7"/>
              <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="273967009"/>
            </coding>
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              <unit value="mmol/L"/>
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          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14682-9"/>
              <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="70901006"/>
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            <reference value="Patient/1"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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            <coding>
              <system value="http://loinc.org"/>
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              <system value="http://snomed.info/sct"/>
              <code value="86228006"/>
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            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
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              <value value="0.35"/>
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        <Observation>
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            <coding>
              <system value="http://loinc.org"/>
              <code value="14631-6"/>
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              <system value="http://snomed.info/sct"/>
              <code value="27171005"/>
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            <reference value="Patient/1"/>
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              <value value="20"/>
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            <coding>
              <system value="http://loinc.org"/>
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            <coding>
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            <coding>
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            <coding>
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              <system value="http://snomed.info/sct"/>
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            <reference value="Patient/1"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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            <coding>
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              <value value="0"/>
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              <value value="45"/>
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            <coding>
              <system value="http://loinc.org"/>
              <code value="1742-6"/>
              <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="34608000"/>
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            <reference value="Patient/1"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
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              <value value="0"/>
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              <value value="45"/>
              <unit value="U/L"/>
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            <coding>
              <system value="http://loinc.org"/>
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              <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
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              <system value="http://snomed.info/sct"/>
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            <reference value="Patient/1"/>
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        <Observation>
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            <coding>
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              <system value="http://snomed.info/sct"/>
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      <contained>
        <Observation>
          <id value="o17"/>
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        <Observation>
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            <coding>
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              <code value="14798-3"/>
              <display value="Iron [Moles/volume] in Serum or Plasma"/>
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            <coding>
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      <contained>
        <Observation>
          <id value="o24"/>
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            <coding>
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              <system value="http://snomed.info/sct"/>
              <code value="104784006"/>
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      <identifier>
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      <code>
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      <result>
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</entry>

<!– OBX|28|FT|PIT^^AUSPDI||001 Medical-Objects 07 01/07/1996.br002 .br003 Report Run Number: 1 Created: 19/04/2005 at 22:58:15.br004 Surgery: XXX Reports: 23/02/2005 10:04:00 to 23/02/2005 10:04:00 .br009 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.br010 ANDERSON,DR. THOMAS 0191322W.br019 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.br020 Your Ref. Patient Name Lab Ref. Test.br021 JONES,June 04-4154148 E/LFT (MASTER).br029 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.br100 Start Patient : JONES,June .br101 24 Sutherland Street, BUDERIM QLD 4556 .br104 Birthdate: 08/01/1976 Age: Y29 Sex:F.br105 Telephone: 07 .br109 .br110 Your Reference : .br111 MO Reference : 04-4154148-25T-0.br112 Medicare Number: .br115 Phone Enquiries: (DR MARCUS WELBY) .br119 .br121 Referred by : WHITE,DR. WILSON .br122 Copy to : ANDERSON,DR. THOMAS .br123 Addressee : ANDERSON,DR. THOMAS 0191322W.br129 .br200 Start of Result:.br201 Specimen :.br203 Requested : 21/12/2004.br204 Collected : 22/12/2004 07:45.br205 Name of Test : E/LFT (MASTER) .br206 Reported : 23/02/2005 10:04.br207 Confidential : N.br208 Test Category : N.br209 .br210 Normal Result : N.br299 .br301 Units Ref Range.br301 .br301 SERUM CHEMISTRY.br301 Sodium 142 mmol/L 137-147.br301 Serum Potassium 4.0 mmol/L 3.5-5.0.br301 Chloride 107 mmol/L 96-109.br301 Bicarbonate 26 mmol/L 25-33.br301 Other Anions 13 mmol/L 4-17.br301 Glucose 6.3 mmol/L 3.0-7.7.br301 Urea 6.7 mmol/L 2.0-7.0.br301 Serum Creatinine 0.08 mmol/L 0.04-0.11.br301 RFG04RSerum Uric Acid 0.40 ++ mmol/L 0.14-0.35RFG99R\.br301 Total Bilirubin 9 umol/L 2-20.br301 Direct Bilirubin 4 umol/L 0-8.br301 RFG04RAlkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma 144 + U/L 30-115RFG99R\.br301 RFG04RGamma G.T. 106 +++ U/L 0-45RFG99R\.br301 ALT 30 U/L 0-45.br301 AST 18 U/L 0-41.br301 LD 143 U/L 80-250.br301 Serum Calcium 2.28 mmol/L 2.25-2.65.br301 Corrected Calcium 2.32 mmol/L 2.25-2.65.br301 Serum Phosphate 1.3 mmol/L 0.8-1.5.br301 Total Protein 66 g/L 60-82.br301 Serum Albumin 41 g/L 35-50.br301 Globulins 25 g/L 20-40.br301 RFG04RIron 3 - - - umol/L 10-33RFG99R\.br301 Cholesterol 4.0 mmol/L 3.6-6.7.br301 .br301 Revised NHF cholesterol guidelines (Nov.,2001):.br301 Target below 4.0 mmol/L if high risk patient..br301 Consider lipid lowering treatment if cholesterol above 6.0 mmol/L.br301 and no other risk factor of CHD..br301 .br301 Triglycerides 1.0 mmol/L 0.3-4.0.br309 .br319 .br390 End of Report :.br399 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.br999 END OF LISTING - Run Number:1 19/04/2005 22:58:15.br|| –>

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      <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 19</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/2</a></p><p><b>effective</b>: Dec 3, 2004 9:45:17 AM</p><p><b>issued</b>: Feb 23, 2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2951-2&#39; = &#39;Sodium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Sodium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104934005&#39; = &#39;Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 141 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2823-3&#39; = &#39;Potassium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Potassium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;59573005&#39; = &#39;Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.2 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2075-0&#39; = &#39;Chloride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Chloride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;46511006&#39; = &#39;Chloride measurement)</span>; ????; Acme Laboratory, Inc; 106 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code &#39;1963-8&#39; = &#39;Bicarbonate [Moles/volume] in Serum&#39;, given as &#39;Bicarbonate [Moles/volume] in Serum&#39;}; {SNOMED CT code &#39;88645003&#39; = &#39;Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 29 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code &#39;1863-0&#39; = &#39;Anion gap 4 in Serum or Plasma&#39;, given as &#39;Anion gap 4 in Serum or Plasma&#39;}; {SNOMED CT code &#39;271057005&#39; = &#39;Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 10 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14749-6&#39; = &#39;Glucose [Moles/volume] in Serum or Plasma&#39;, given as &#39;Glucose [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;36048009&#39; = &#39;Glucose measurement)</span>; ????; Acme Laboratory, Inc; 7.0 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14937-7&#39; = &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;273967009&#39; = &#39;Serum urea level)</span>; ????; Acme Laboratory, Inc; 4.7 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14682-9&#39; = &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;, given as &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;70901006&#39; = &#39;Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.05 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14933-6&#39; = &#39;Urate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;86228006&#39; = &#39;Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.32 mmol/L</li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14631-6&#39; = &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;, given as &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;27171005&#39; = &#39;Urinalysis)</span>; ????; Acme Laboratory, Inc; 43 umol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;6768-6&#39; = &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;88810008&#39; = &#39;Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 708 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2324-2&#39; = &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;69480007&#39; = &#39;Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 1131 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1742-6&#39; = &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;34608000&#39; = &#39;Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 475 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1920-8&#39; = &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;45896001&#39; = &#39;Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 176 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2532-0&#39; = &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;11274001&#39; = &#39;Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 324 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2000-8&#39; = &#39;Calcium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Calcium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;71878006&#39; = &#39;Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code &#39;13959-2&#39; = &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;, given as &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;}; {SNOMED CT code &#39;166708003&#39; = &#39;Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.45 mmol/L</li><li>id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14879-1&#39; = &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104866001&#39; = &#39;Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li><li>id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2885-2&#39; = &#39;Protein [Mass/volume] in Serum or Plasma&#39;, given as &#39;Protein [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;74040009&#39; = &#39;Protein measurement)</span>; ????; Acme Laboratory, Inc; 71 g/L</li><li>id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1751-7&#39; = &#39;Albumin [Mass/volume] in Serum or Plasma&#39;, given as &#39;Albumin [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104485008&#39; = &#39;Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 38 g/L</li><li>id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code &#39;10834-0&#39; = &#39;Globulin [Mass/volume] in Serum by calculation&#39;, given as &#39;Globulin [Mass/volume] in Serum by calculation&#39;}; {SNOMED CT code &#39;104979009&#39; = &#39;Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 33 g/L</li><li>id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14798-3&#39; = &#39;Iron [Moles/volume] in Serum or Plasma&#39;, given as &#39;Iron [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;42950004&#39; = &#39;Iron measurement)</span>; ????; Acme Laboratory, Inc; 17 umol/L</li><li>id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14647-2&#39; = &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;, given as &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;77068002&#39; = &#39;Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 7.0 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14927-8&#39; = &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104784006&#39; = &#39;Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li></ul></div></text><contained>
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          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14631-6"/>
              <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="27171005"/>
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            <display value="Acme Laboratory, Inc"/>
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            <unit value="umol/L"/>
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              <code value="HH"/>
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          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="6768-6"/>
              <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
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              <system value="http://snomed.info/sct"/>
              <code value="88810008"/>
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            <high>
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          </referenceRange>
        </Observation>
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      <contained>
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          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2324-2"/>
              <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="69480007"/>
            </coding>
          </code>
          <subject>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          </valueQuantity>
          <interpretation>
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              <code value="HH"/>
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          </interpretation>
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              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="45"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
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          <id value="o13"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1742-6"/>
              <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="34608000"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/2"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="475"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="45"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
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          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1920-8"/>
              <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="45896001"/>
            </coding>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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              <code value="HH"/>
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              <unit value="U/L"/>
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      <contained>
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          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2532-0"/>
              <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
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            <coding>
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              <code value="11274001"/>
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            <display value="Acme Laboratory, Inc"/>
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            <unit value="U/L"/>
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          <interpretation>
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              <code value="HH"/>
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              <unit value="U/L"/>
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            <high>
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              <unit value="U/L"/>
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          <id value="o16"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2000-8"/>
              <display value="Calcium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="71878006"/>
            </coding>
          </code>
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            <reference value="Patient/2"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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            <unit value="mmol/L"/>
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              <unit value="mmol/L"/>
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            <high>
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            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o17"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="13959-2"/>
              <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="166708003"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/2"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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            <unit value="mmol/L"/>
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              <unit value="mmol/L"/>
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              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
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          <id value="o18"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14879-1"/>
              <display value="Phosphate [Moles/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104866001"/>
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          </code>
          <subject>
            <reference value="Patient/2"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
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          <id value="o19"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2885-2"/>
              <display value="Protein [Mass/volume] in Serum or Plasma"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="74040009"/>
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            <reference value="Patient/2"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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            <coding>
              <system value="http://loinc.org"/>
              <code value="1751-7"/>
              <display value="Albumin [Mass/volume] in Serum or Plasma"/>
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              <code value="104485008"/>
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            <reference value="Patient/2"/>
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            <display value="Acme Laboratory, Inc"/>
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            <high>
              <value value="50"/>
              <unit value="g/L"/>
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              <system value="http://loinc.org"/>
              <code value="10834-0"/>
              <display value="Globulin [Mass/volume] in Serum by calculation"/>
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              <system value="http://snomed.info/sct"/>
              <code value="104979009"/>
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            <display value="Acme Laboratory, Inc"/>
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            <unit value="g/L"/>
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              <unit value="g/L"/>
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          <id value="o22"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14798-3"/>
              <display value="Iron [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="42950004"/>
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          <subject>
            <reference value="Patient/2"/>
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            <display value="Acme Laboratory, Inc"/>
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            <unit value="umol/L"/>
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              <unit value="umol/L"/>
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            <high>
              <value value="33"/>
              <unit value="umol/L"/>
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          </referenceRange>
        </Observation>
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      <contained>
        <Observation>
          <id value="o23"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14647-2"/>
              <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="77068002"/>
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            <reference value="Patient/2"/>
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            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
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            <unit value="mmol/L"/>
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          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="H"/>
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          </interpretation>
          <referenceRange>
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              <unit value="mmol/L"/>
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            <high>
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              <unit value="mmol/L"/>
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          <id value="o24"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14927-8"/>
              <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104784006"/>
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          <subject>
            <reference value="Patient/2"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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            <unit value="mmol/L"/>
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              <unit value="mmol/L"/>
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            <high>
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        <system value="http://acme.com/lab/reports"/>
        <value value="5234342"/>
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      <status value="final"/>
      <code>
        <text value="SERUM CHEMISTRY"/>
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      <subject>
        <reference value="Patient/2"/>
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      <effectiveDateTime value="2004-12-03T09:45:17Z"/>
      <issued value="2005-02-23T10:04:01Z"/>
      <performer>
                                      <actor>
                                              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
                                              <display value="Acme Laboratory, Inc"/>
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      <result>
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<entry>
  <fullUrl value="http://hl7.org/fhir/DiagnosticReport/20"/>
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    <DiagnosticReport>
      <id value="20"/>
      <meta>
        <lastUpdated value="2012-04-14T10:35:23Z"/>
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      <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 20</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/3</a></p><p><b>effective</b>: Dec 3, 2004 8:30:17 PM</p><p><b>issued</b>: Feb 23, 2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2951-2&#39; = &#39;Sodium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Sodium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104934005&#39; = &#39;Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 142 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2823-3&#39; = &#39;Potassium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Potassium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;59573005&#39; = &#39;Potassium measurement)</span>; ????; Acme Laboratory, Inc; 3.6 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2075-0&#39; = &#39;Chloride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Chloride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;46511006&#39; = &#39;Chloride measurement)</span>; ????; Acme Laboratory, Inc; 104 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code &#39;1963-8&#39; = &#39;Bicarbonate [Moles/volume] in Serum&#39;, given as &#39;Bicarbonate [Moles/volume] in Serum&#39;}; {SNOMED CT code &#39;88645003&#39; = &#39;Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 30 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code &#39;1863-0&#39; = &#39;Anion gap 4 in Serum or Plasma&#39;, given as &#39;Anion gap 4 in Serum or Plasma&#39;}; {SNOMED CT code &#39;271057005&#39; = &#39;Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 12 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14749-6&#39; = &#39;Glucose [Moles/volume] in Serum or Plasma&#39;, given as &#39;Glucose [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;36048009&#39; = &#39;Glucose measurement)</span>; ????; Acme Laboratory, Inc; 6.2 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14937-7&#39; = &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;273967009&#39; = &#39;Serum urea level)</span>; ????; Acme Laboratory, Inc; 4.5 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14682-9&#39; = &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;, given as &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;70901006&#39; = &#39;Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.06 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14933-6&#39; = &#39;Urate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;86228006&#39; = &#39;Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.37 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14631-6&#39; = &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;, given as &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;27171005&#39; = &#39;Urinalysis)</span>; ????; Acme Laboratory, Inc; 50 umol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;6768-6&#39; = &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;88810008&#39; = &#39;Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 684 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2324-2&#39; = &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;69480007&#39; = &#39;Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 1105 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1742-6&#39; = &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;34608000&#39; = &#39;Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 466 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1920-8&#39; = &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;45896001&#39; = &#39;Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 198 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2532-0&#39; = &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;11274001&#39; = &#39;Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 323 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2000-8&#39; = &#39;Calcium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Calcium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;71878006&#39; = &#39;Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code &#39;13959-2&#39; = &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;, given as &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;}; {SNOMED CT code &#39;166708003&#39; = &#39;Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.45 mmol/L</li><li>id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14879-1&#39; = &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104866001&#39; = &#39;Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li><li>id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2885-2&#39; = &#39;Protein [Mass/volume] in Serum or Plasma&#39;, given as &#39;Protein [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;74040009&#39; = &#39;Protein measurement)</span>; ????; Acme Laboratory, Inc; 70 g/L</li><li>id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1751-7&#39; = &#39;Albumin [Mass/volume] in Serum or Plasma&#39;, given as &#39;Albumin [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104485008&#39; = &#39;Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 38 g/L</li><li>id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code &#39;10834-0&#39; = &#39;Globulin [Mass/volume] in Serum by calculation&#39;, given as &#39;Globulin [Mass/volume] in Serum by calculation&#39;}; {SNOMED CT code &#39;104979009&#39; = &#39;Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 32 g/L</li><li>id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14798-3&#39; = &#39;Iron [Moles/volume] in Serum or Plasma&#39;, given as &#39;Iron [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;42950004&#39; = &#39;Iron measurement)</span>; ????; Acme Laboratory, Inc; 11 umol/L</li><li>id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14647-2&#39; = &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;, given as &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;77068002&#39; = &#39;Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 6.9 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14927-8&#39; = &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104784006&#39; = &#39;Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.9 mmol/L</li></ul></div></text><contained>
        <Observation>
          <id value="o1"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2951-2"/>
              <display value="Sodium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104934005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="142"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="137"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="147"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o2"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2823-3"/>
              <display value="Potassium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="59573005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="3.6"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="3.5"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="5.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o3"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2075-0"/>
              <display value="Chloride [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="46511006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="104"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="96"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="109"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o4"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1963-8"/>
              <display value="Bicarbonate [Moles/volume] in Serum"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88645003"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="30"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="25"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="33"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o5"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1863-0"/>
              <display value="Anion gap 4 in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="271057005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="12"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="4"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="17"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o6"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14749-6"/>
              <display value="Glucose [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="36048009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="6.2"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="3.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="7.7"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o7"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14937-7"/>
              <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="273967009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="4.5"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="7.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o8"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14682-9"/>
              <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="70901006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.06"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.04"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="0.11"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o9"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14933-6"/>
              <display value="Urate [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="86228006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.37"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="H"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0.14"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="0.35"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o10"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14631-6"/>
              <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="27171005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="50"/>
            <unit value="umol/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="2"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="20"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o11"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="6768-6"/>
              <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88810008"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="684"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="30"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="115"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o12"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2324-2"/>
              <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="69480007"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="1105"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="45"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o13"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1742-6"/>
              <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="34608000"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="466"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="45"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o14"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1920-8"/>
              <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="45896001"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="198"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="41"/>
              <unit value="U/L"/>
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      <contained>
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          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2532-0"/>
              <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="11274001"/>
            </coding>
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          <subject>
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            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="323"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
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              <value value="80"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="250"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o16"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2000-8"/>
              <display value="Calcium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="71878006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="2.32"/>
            <unit value="mmol/L"/>
          </valueQuantity>
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              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="2.65"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o17"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="13959-2"/>
              <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="166708003"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="2.45"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2.25"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="2.65"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o18"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14879-1"/>
              <display value="Phosphate [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104866001"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.9"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.8"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="1.5"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o19"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2885-2"/>
              <display value="Protein [Mass/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="74040009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="70"/>
            <unit value="g/L"/>
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          <referenceRange>
            <low>
              <value value="60"/>
              <unit value="g/L"/>
            </low>
            <high>
              <value value="82"/>
              <unit value="g/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o20"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1751-7"/>
              <display value="Albumin [Mass/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104485008"/>
            </coding>
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          <subject>
            <reference value="Patient/3"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="38"/>
            <unit value="g/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
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              <unit value="g/L"/>
            </low>
            <high>
              <value value="50"/>
              <unit value="g/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o21"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="10834-0"/>
              <display value="Globulin [Mass/volume] in Serum by calculation"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104979009"/>
            </coding>
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          <subject>
            <reference value="Patient/3"/>
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          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
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          <valueQuantity>
            <value value="32"/>
            <unit value="g/L"/>
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          <referenceRange>
            <low>
              <value value="20"/>
              <unit value="g/L"/>
            </low>
            <high>
              <value value="40"/>
              <unit value="g/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o22"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14798-3"/>
              <display value="Iron [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="42950004"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="11"/>
            <unit value="umol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="10"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="33"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o23"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14647-2"/>
              <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="77068002"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="6.9"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="H"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="3.6"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="6.7"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o24"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14927-8"/>
              <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104784006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/3"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="1.9"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.3"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="4.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <identifier>
        <system value="http://acme.com/lab/reports"/>
        <value value="5234342"/>
      </identifier>
      <status value="final"/>
      <code>
        <text value="SERUM CHEMISTRY"/>
      </code>
      <subject>
        <reference value="Patient/3"/>
      </subject>
      <effectiveDateTime value="2004-12-03T20:30:17Z"/>
      <issued value="2005-02-23T10:04:01Z"/>
      <performer>
                                      <actor>
                                              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
                                              <display value="Acme Laboratory, Inc"/>
                                      </actor>
                              </performer>
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        <reference value="#o1"/>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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      <result>
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</entry>
<entry>
  <fullUrl value="http://hl7.org/fhir/DiagnosticReport/21"/>
  <resource>
    <DiagnosticReport>
      <id value="21"/>
      <meta>
        <lastUpdated value="2012-04-14T10:35:23Z"/>
      </meta>
      <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 21</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/4</a></p><p><b>effective</b>: Dec 5, 2004 7:15:17 AM</p><p><b>issued</b>: Feb 23, 2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2951-2&#39; = &#39;Sodium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Sodium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104934005&#39; = &#39;Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 143 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2823-3&#39; = &#39;Potassium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Potassium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;59573005&#39; = &#39;Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.3 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2075-0&#39; = &#39;Chloride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Chloride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;46511006&#39; = &#39;Chloride measurement)</span>; ????; Acme Laboratory, Inc; 108 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code &#39;1963-8&#39; = &#39;Bicarbonate [Moles/volume] in Serum&#39;, given as &#39;Bicarbonate [Moles/volume] in Serum&#39;}; {SNOMED CT code &#39;88645003&#39; = &#39;Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 25 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code &#39;1863-0&#39; = &#39;Anion gap 4 in Serum or Plasma&#39;, given as &#39;Anion gap 4 in Serum or Plasma&#39;}; {SNOMED CT code &#39;271057005&#39; = &#39;Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 14 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14749-6&#39; = &#39;Glucose [Moles/volume] in Serum or Plasma&#39;, given as &#39;Glucose [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;36048009&#39; = &#39;Glucose measurement)</span>; ????; Acme Laboratory, Inc; 4.3 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14937-7&#39; = &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urea nitrogen [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;273967009&#39; = &#39;Serum urea level)</span>; ????; Acme Laboratory, Inc; 4.6 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14682-9&#39; = &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;, given as &#39;Creatinine [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;70901006&#39; = &#39;Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.06 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14933-6&#39; = &#39;Urate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Urate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;86228006&#39; = &#39;Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.41 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14631-6&#39; = &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;, given as &#39;Bilirubin.total [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;27171005&#39; = &#39;Urinalysis)</span>; ????; Acme Laboratory, Inc; 27 umol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;6768-6&#39; = &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;88810008&#39; = &#39;Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 631 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2324-2&#39; = &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;69480007&#39; = &#39;Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 956 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1742-6&#39; = &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;34608000&#39; = &#39;Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 398 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1920-8&#39; = &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;45896001&#39; = &#39;Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 120 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;HH&#39; = &#39;Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2532-0&#39; = &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;, given as &#39;Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;11274001&#39; = &#39;Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 243 U/L</li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2000-8&#39; = &#39;Calcium [Moles/volume] in Serum or Plasma&#39;, given as &#39;Calcium [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;71878006&#39; = &#39;Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.33 mmol/L</li><li>id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code &#39;13959-2&#39; = &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;, given as &#39;Calcium.ionized [Moles/volume] in Serum or Plasma by calculation&#39;}; {SNOMED CT code &#39;166708003&#39; = &#39;Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.52 mmol/L</li><li>id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14879-1&#39; = &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;, given as &#39;Phosphate [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104866001&#39; = &#39;Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 1.2 mmol/L</li><li>id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;2885-2&#39; = &#39;Protein [Mass/volume] in Serum or Plasma&#39;, given as &#39;Protein [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;74040009&#39; = &#39;Protein measurement)</span>; ????; Acme Laboratory, Inc; 71 g/L</li><li>id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;1751-7&#39; = &#39;Albumin [Mass/volume] in Serum or Plasma&#39;, given as &#39;Albumin [Mass/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104485008&#39; = &#39;Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 36 g/L</li><li>id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code &#39;10834-0&#39; = &#39;Globulin [Mass/volume] in Serum by calculation&#39;, given as &#39;Globulin [Mass/volume] in Serum by calculation&#39;}; {SNOMED CT code &#39;104979009&#39; = &#39;Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 35 g/L</li><li>id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14798-3&#39; = &#39;Iron [Moles/volume] in Serum or Plasma&#39;, given as &#39;Iron [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;42950004&#39; = &#39;Iron measurement)</span>; ????; Acme Laboratory, Inc; 39 umol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></li><li>id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14647-2&#39; = &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;, given as &#39;Cholesterol [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;77068002&#39; = &#39;Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 6.8 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code &#39;14927-8&#39; = &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;, given as &#39;Triglyceride [Moles/volume] in Serum or Plasma&#39;}; {SNOMED CT code &#39;104784006&#39; = &#39;Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.5 mmol/L</li></ul></div></text><contained>
        <Observation>
          <id value="o1"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2951-2"/>
              <display value="Sodium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104934005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="143"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="137"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="147"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o2"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2823-3"/>
              <display value="Potassium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="59573005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="4.3"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="3.5"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="5.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o3"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2075-0"/>
              <display value="Chloride [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="46511006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="108"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="96"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="109"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o4"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1963-8"/>
              <display value="Bicarbonate [Moles/volume] in Serum"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88645003"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="25"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="25"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="33"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o5"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1863-0"/>
              <display value="Anion gap 4 in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="271057005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="14"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="4"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="17"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o6"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14749-6"/>
              <display value="Glucose [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="36048009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="4.3"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="3.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="7.7"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o7"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14937-7"/>
              <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="273967009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="4.6"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2.0"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="7.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o8"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14682-9"/>
              <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="70901006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.06"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.04"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="0.11"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o9"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14933-6"/>
              <display value="Urate [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="86228006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.41"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0.14"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="0.35"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o10"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14631-6"/>
              <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="27171005"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="27"/>
            <unit value="umol/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="H"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="2"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="20"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o11"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="6768-6"/>
              <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="88810008"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="631"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="30"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="115"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o12"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2324-2"/>
              <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="69480007"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="956"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="45"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o13"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1742-6"/>
              <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="34608000"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="398"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="45"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o14"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1920-8"/>
              <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="45896001"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="120"/>
            <unit value="U/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="HH"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="0"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="41"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o15"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2532-0"/>
              <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="11274001"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="243"/>
            <unit value="U/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="80"/>
              <unit value="U/L"/>
            </low>
            <high>
              <value value="250"/>
              <unit value="U/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o16"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2000-8"/>
              <display value="Calcium [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="71878006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="2.33"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2.25"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="2.65"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o17"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="13959-2"/>
              <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="166708003"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="2.52"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="2.25"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="2.65"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o18"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14879-1"/>
              <display value="Phosphate [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104866001"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="1.2"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.8"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="1.5"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o19"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="2885-2"/>
              <display value="Protein [Mass/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="74040009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="71"/>
            <unit value="g/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="60"/>
              <unit value="g/L"/>
            </low>
            <high>
              <value value="82"/>
              <unit value="g/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o20"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="1751-7"/>
              <display value="Albumin [Mass/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104485008"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="36"/>
            <unit value="g/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="35"/>
              <unit value="g/L"/>
            </low>
            <high>
              <value value="50"/>
              <unit value="g/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o21"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="10834-0"/>
              <display value="Globulin [Mass/volume] in Serum by calculation"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104979009"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="35"/>
            <unit value="g/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="20"/>
              <unit value="g/L"/>
            </low>
            <high>
              <value value="40"/>
              <unit value="g/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o22"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14798-3"/>
              <display value="Iron [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="42950004"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="39"/>
            <unit value="umol/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="H"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="10"/>
              <unit value="umol/L"/>
            </low>
            <high>
              <value value="33"/>
              <unit value="umol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o23"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14647-2"/>
              <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="77068002"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="6.8"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="H"/>
            </coding>
          </interpretation>
          <referenceRange>
            <low>
              <value value="3.6"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="6.7"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o24"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="14927-8"/>
              <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="104784006"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/4"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="1.5"/>
            <unit value="mmol/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="0.3"/>
              <unit value="mmol/L"/>
            </low>
            <high>
              <value value="4.0"/>
              <unit value="mmol/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <identifier>
        <system value="http://acme.com/lab/reports"/>
        <value value="5234342"/>
      </identifier>
      <status value="final"/>
      <code>
        <text value="SERUM CHEMISTRY"/>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <effectiveDateTime value="2004-12-05T07:15:17Z"/>
      <issued value="2005-02-23T10:04:01Z"/>
      <performer>
                                      <actor>
                                              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
                                              <display value="Acme Laboratory, Inc"/>
                                      </actor>
                              </performer>
      <result>
        <reference value="#o1"/>
      </result>
      <result>
        <reference value="#o2"/>
      </result>
      <result>
        <reference value="#o3"/>
      </result>
      <result>
        <reference value="#o4"/>
      </result>
      <result>
        <reference value="#o5"/>
      </result>
      <result>
        <reference value="#o6"/>
      </result>
      <result>
        <reference value="#o7"/>
      </result>
      <result>
        <reference value="#o8"/>
      </result>
      <result>
        <reference value="#o9"/>
      </result>
      <result>
        <reference value="#o10"/>
      </result>
      <result>
        <reference value="#o11"/>
      </result>
      <result>
        <reference value="#o12"/>
      </result>
      <result>
        <reference value="#o13"/>
      </result>
      <result>
        <reference value="#o14"/>
      </result>
      <result>
        <reference value="#o15"/>
      </result>
      <result>
        <reference value="#o16"/>
      </result>
      <result>
        <reference value="#o17"/>
      </result>
      <result>
        <reference value="#o18"/>
      </result>
      <result>
        <reference value="#o19"/>
      </result>
      <result>
        <reference value="#o20"/>
      </result>
      <result>
        <reference value="#o21"/>
      </result>
      <result>
        <reference value="#o22"/>
      </result>
      <result>
        <reference value="#o23"/>
      </result>
      <result>
        <reference value="#o24"/>
      </result>
    </DiagnosticReport>
  </resource>
</entry>
<entry>
  <fullUrl value="http://hl7.org/fhir/DiagnosticReport/25"/>
  <resource>
    <DiagnosticReport>
      <id value="25"/>
      <meta>
        <lastUpdated value="2012-04-14T10:35:23Z"/>
      </meta>
      <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 25</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: Microbial susceptibility tests Set <span>(Details : {LOINC code &#39;18769-0&#39; = &#39;Microbial susceptibility tests Set&#39;, given as &#39;Microbial susceptibility tests Set&#39;})</span></p><p><b>subject</b>: <a>Patient/5</a></p><p><b>effective</b>: Nov 7, 2005 9:44:17 PM</p><p><b>issued</b>: Nov 7, 2005 11:38:01 PM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>specimen</b>: URINE, CLEAN CATCH/MIDSTREAM</p><p><b>result</b>: </p><ul><li>id: o1; status: final; Microorganism identified in Unspecified specimen by Culture <span>(Details : {LOINC code &#39;11475-1&#39; = &#39;Microorganism identified in Unspecified specimen by Culture&#39;, given as &#39;Microorganism identified in Unspecified specimen by Culture&#39;})</span>; ????; Acme Laboratory, Inc; KLEBSIELLA PNEUMONIAE <span>(Details )</span></li><li>id: o2; status: final; Microorganism [#/volume] in Unspecified specimen by Viability count <span>(Details : {LOINC code &#39;43161-9&#39; = &#39;Microorganism [#/volume] in Unspecified specimen by Viability count&#39;, given as &#39;Microorganism [#/volume] in Unspecified specimen by Viability count&#39;})</span>; ????; Acme Laboratory, Inc; 20000 CFU/ML</li><li>id: o3; status: final; AMPICILLIN/SULBACTAM <span>(Details : {http://example.org/local code &#39;AMS&#39; = &#39;AMS&#39;, given as &#39;AMPICILLIN/SULBACTAM&#39;})</span>; ????; Acme Laboratory, Inc; 4 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;S&#39; = &#39;Susceptible)</span></li><li>id: o4; status: final; AMPICILLIN <span>(Details : {http://example.org/local code &#39;AM&#39; = &#39;AM&#39;, given as &#39;AMPICILLIN&#39;})</span>; ????; Acme Laboratory, Inc; 16 U; Resistant <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;R&#39; = &#39;Resistant)</span></li><li>id: o5; status: final; AZTREONAM <span>(Details : {http://example.org/local code &#39;ATM&#39; = &#39;ATM&#39;, given as &#39;AZTREONAM&#39;})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;S&#39; = &#39;Susceptible)</span></li><li>id: o6; status: final; CEFAZOLIN <span>(Details : {http://example.org/local code &#39;CFZ&#39; = &#39;CFZ&#39;, given as &#39;CEFAZOLIN&#39;})</span>; ????; Acme Laboratory, Inc; &lt;=4 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;S&#39; = &#39;Susceptible)</span></li><li>id: o7; status: final; CEFEPIME <span>(Details : {http://example.org/local code &#39;FEP&#39; = &#39;FEP&#39;, given as &#39;CEFEPIME&#39;})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;S&#39; = &#39;Susceptible)</span></li><li>id: o8; status: final; CEFOTETAN <span>(Details : {http://example.org/local code &#39;CTN&#39; = &#39;CTN&#39;, given as &#39;CEFOTETAN&#39;})</span>; ????; Acme Laboratory, Inc; &lt;=4 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;S&#39; = &#39;Susceptible)</span></li><li>id: o9; status: final; CEFTAZIDIME <span>(Details : {http://example.org/local code &#39;TAZ&#39; = &#39;TAZ&#39;, given as &#39;CEFTAZIDIME&#39;})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;S&#39; = &#39;Susceptible)</span></li><li>id: o10; status: final; CEFTRIAXONE <span>(Details : {http://example.org/local code &#39;CRO&#39; = &#39;CRO&#39;, given as &#39;CEFTRIAXONE&#39;})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;S&#39; = &#39;Susceptible)</span></li><li>id: o11; status: final; CIPROFLOXACIN <span>(Details : {http://example.org/local code &#39;CIPRO&#39; = &#39;CIPRO&#39;, given as &#39;CIPROFLOXACIN&#39;})</span>; ????; Acme Laboratory, Inc; &lt;=0.25 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;S&#39; = &#39;Susceptible)</span></li><li>id: o12; status: final; GENTAMICIN <span>(Details : {http://example.org/local code &#39;GM&#39; = &#39;GM&#39;, given as &#39;GENTAMICIN&#39;})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;S&#39; = &#39;Susceptible)</span></li><li>id: o13; status: final; IMIPENEM <span>(Details : {http://example.org/local code &#39;IPM&#39; = &#39;IPM&#39;, given as &#39;IMIPENEM&#39;})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;S&#39; = &#39;Susceptible)</span></li><li>id: o14; status: final; LEVOFLOXACIN <span>(Details : {http://example.org/local code &#39;LVX&#39; = &#39;LVX&#39;, given as &#39;LEVOFLOXACIN&#39;})</span>; ????; Acme Laboratory, Inc; &lt;=0.25 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;S&#39; = &#39;Susceptible)</span></li><li>id: o15; status: final; NITROFURANTOIN <span>(Details : {http://example.org/local code &#39;NIT&#39; = &#39;NIT&#39;, given as &#39;NITROFURANTOIN&#39;})</span>; ????; Acme Laboratory, Inc; 32 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;S&#39; = &#39;Susceptible)</span></li><li>id: o16; status: final; PIPERACILLIN/TAZOBAC <span>(Details : {http://example.org/local code &#39;PTZ&#39; = &#39;PTZ&#39;, given as &#39;PIPERACILLIN/TAZOBAC&#39;})</span>; ????; Acme Laboratory, Inc; &lt;=4 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;S&#39; = &#39;Susceptible)</span></li><li>id: o17; status: final; TRIMETH/SULFA <span>(Details : {http://example.org/local code &#39;TRSUV&#39; = &#39;TRSUV&#39;, given as &#39;TRIMETH/SULFA&#39;})</span>; ????; Acme Laboratory, Inc; &lt;=20 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;S&#39; = &#39;Susceptible)</span></li><li>id: o18; status: final; TOBRAMYCIN <span>(Details : {http://example.org/local code &#39;TOB&#39; = &#39;TOB&#39;, given as &#39;TOBRAMYCIN&#39;})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;S&#39; = &#39;Susceptible)</span></li></ul></div></text><contained>
        <Observation>
          <id value="o1"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="11475-1"/>
              <display value="Microorganism identified in Unspecified specimen by Culture"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueCodeableConcept>
            <text value="KLEBSIELLA PNEUMONIAE"/>
          </valueCodeableConcept>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o2"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="43161-9"/>
              <display value="Microorganism [#/volume] in Unspecified specimen by Viability count"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="20000"/>
            <unit value="CFU/ML"/>
          </valueQuantity>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o3"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://example.org/local"/>
              <code value="AMS"/>
              <display value="AMPICILLIN/SULBACTAM"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="4"/>
            <unit value="U"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="S"/>
            </coding>
          </interpretation>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o4"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://example.org/local"/>
              <code value="AM"/>
              <display value="AMPICILLIN"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="16"/>
            <unit value="U"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="R"/>
            </coding>
          </interpretation>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o5"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://example.org/local"/>
              <code value="ATM"/>
              <display value="AZTREONAM"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="1"/>
            <comparator value="&lt;="/>
            <unit value="U"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="S"/>
            </coding>
          </interpretation>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o6"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://example.org/local"/>
              <code value="CFZ"/>
              <display value="CEFAZOLIN"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="4"/>
            <comparator value="&lt;="/>
            <unit value="U"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="S"/>
            </coding>
          </interpretation>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o7"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://example.org/local"/>
              <code value="FEP"/>
              <display value="CEFEPIME"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="1"/>
            <comparator value="&lt;="/>
            <unit value="U"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="S"/>
            </coding>
          </interpretation>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o8"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://example.org/local"/>
              <code value="CTN"/>
              <display value="CEFOTETAN"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="4"/>
            <comparator value="&lt;="/>
            <unit value="U"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="S"/>
            </coding>
          </interpretation>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o9"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://example.org/local"/>
              <code value="TAZ"/>
              <display value="CEFTAZIDIME"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="1"/>
            <comparator value="&lt;="/>
            <unit value="U"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="S"/>
            </coding>
          </interpretation>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o10"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://example.org/local"/>
              <code value="CRO"/>
              <display value="CEFTRIAXONE"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="1"/>
            <comparator value="&lt;="/>
            <unit value="U"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="S"/>
            </coding>
          </interpretation>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o11"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://example.org/local"/>
              <code value="CIPRO"/>
              <display value="CIPROFLOXACIN"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.25"/>
            <comparator value="&lt;="/>
            <unit value="U"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="S"/>
            </coding>
          </interpretation>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o12"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://example.org/local"/>
              <code value="GM"/>
              <display value="GENTAMICIN"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="1"/>
            <comparator value="&lt;="/>
            <unit value="U"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="S"/>
            </coding>
          </interpretation>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o13"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://example.org/local"/>
              <code value="IPM"/>
              <display value="IMIPENEM"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="1"/>
            <comparator value="&lt;="/>
            <unit value="U"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="S"/>
            </coding>
          </interpretation>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o14"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://example.org/local"/>
              <code value="LVX"/>
              <display value="LEVOFLOXACIN"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="0.25"/>
            <comparator value="&lt;="/>
            <unit value="U"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="S"/>
            </coding>
          </interpretation>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o15"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://example.org/local"/>
              <code value="NIT"/>
              <display value="NITROFURANTOIN"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="32"/>
            <unit value="U"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="S"/>
            </coding>
          </interpretation>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o16"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://example.org/local"/>
              <code value="PTZ"/>
              <display value="PIPERACILLIN/TAZOBAC"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="4"/>
            <comparator value="&lt;="/>
            <unit value="U"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="S"/>
            </coding>
          </interpretation>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o17"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://example.org/local"/>
              <code value="TRSUV"/>
              <display value="TRIMETH/SULFA"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="20"/>
            <comparator value="&lt;="/>
            <unit value="U"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="S"/>
            </coding>
          </interpretation>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="o18"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://example.org/local"/>
              <code value="TOB"/>
              <display value="TOBRAMYCIN"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/5"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="1"/>
            <comparator value="&lt;="/>
            <unit value="U"/>
          </valueQuantity>
          <interpretation>
            <coding>
              <system value="http://hl7.org/fhir/v2/0078"/>
              <code value="S"/>
            </coding>
          </interpretation>
        </Observation>
      </contained>
      <identifier>
        <system value="http://acme.com/lab/reports"/>
        <value value="5234342"/>
      </identifier>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="18769-0"/>
          <display value="Microbial susceptibility tests Set"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/5"/>
      </subject>
      <effectiveDateTime value="2005-11-07T21:44:17Z"/>
      <issued value="2005-11-07T23:38:01Z"/>
      <performer>
                                      <actor>
                                              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
                                              <display value="Acme Laboratory, Inc"/>
                                      </actor>
                              </performer>
      <specimen>
        <display value="URINE, CLEAN CATCH/MIDSTREAM"/>
      </specimen>
      <result>
        <reference value="#o1"/>
      </result>
      <result>
        <reference value="#o2"/>
      </result>
      <result>
        <reference value="#o3"/>
      </result>
      <result>
        <reference value="#o4"/>
      </result>
      <result>
        <reference value="#o5"/>
      </result>
      <result>
        <reference value="#o6"/>
      </result>
      <result>
        <reference value="#o7"/>
      </result>
      <result>
        <reference value="#o8"/>
      </result>
      <result>
        <reference value="#o9"/>
      </result>
      <result>
        <reference value="#o10"/>
      </result>
      <result>
        <reference value="#o11"/>
      </result>
      <result>
        <reference value="#o12"/>
      </result>
      <result>
        <reference value="#o13"/>
      </result>
      <result>
        <reference value="#o14"/>
      </result>
      <result>
        <reference value="#o15"/>
      </result>
      <result>
        <reference value="#o16"/>
      </result>
      <result>
        <reference value="#o17"/>
      </result>
      <result>
        <reference value="#o18"/>
      </result>
    </DiagnosticReport>
  </resource>
</entry>
<entry>
  <fullUrl value="http://hl7.org/fhir/DiagnosticReport/26"/>
  <resource>
    <DiagnosticReport>
      <id value="26"/>
      <meta>
        <lastUpdated value="2012-04-14T10:35:23Z"/>
      </meta>
      <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 26</p><p><b>meta</b>: </p><p><b>contained</b>: </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: RPR <span>(Details : {http://acme.com/labs/reports code &#39;142080&#39; = &#39;142080&#39;, given as &#39;Rapid Plasma Reagin&#39;})</span></p><p><b>subject</b>: <a>Patient/6</a></p><p><b>effective</b>: Mar 7, 2005 2:02:17 PM</p><p><b>issued</b>: Mar 7, 2005 2:02:01 PM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: id: o1; status: final; Reagin Ab [Presence] in Serum by RPR <span>(Details : {LOINC code &#39;20507-0&#39; = &#39;Reagin Ab [Presence] in Serum by RPR&#39;, given as &#39;Reagin Ab [Presence] in Serum by RPR&#39;})</span>; ????; Acme Laboratory, Inc; value: Non-reactive</p></div></text><contained>
        <Observation>
          <id value="o1"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="20507-0"/>
              <display value="Reagin Ab [Presence] in Serum by RPR"/>
            </coding>
          </code>
          <subject>
            <reference value="Patient/6"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueString value="Non-reactive"/>
        </Observation>
      </contained>
      <identifier>
        <system value="http://acme.com/lab/reports"/>
        <value value="5234342"/>
      </identifier>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.com/labs/reports"/>
          <code value="142080"/>
          <display value="Rapid Plasma Reagin"/>
        </coding>
        <text value="RPR"/>
      </code>
      <subject>
        <reference value="Patient/6"/>
      </subject>
      <effectiveDateTime value="2005-03-07T14:02:17Z"/>
      <issued value="2005-03-07T14:02:01Z"/>
      <performer>
                                      <actor>
                                              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
                                              <display value="Acme Laboratory, Inc"/>
                                      </actor>
                              </performer>
      <result>
        <reference value="#o1"/>
      </result>
    </DiagnosticReport>
  </resource>
</entry>
<entry>
  <fullUrl value="http://hl7.org/fhir/DiagnosticReport/27"/>
  <resource>
    <DiagnosticReport>
      <id value="27"/>
      <meta>
        <lastUpdated value="2012-05-23T14:27:01Z"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml">
          <table>
            <tr>
              <td>hsCRP</td>
              <td>2.8</td>
              <td>mg/L</td>
              <td>1.0-3.0</td>
            </tr>
          </table>
        </div>
      </text>
      <contained>
        <Observation>
          <id value="o1"/>
          <status value="final"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="30522-7"/>
              <display value="C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="55235003"/>
            </coding>
            <text value="hsCRP"/>
          </code>
          <subject>
            <reference value="Patient/1"/>
          </subject>
          <performer>
            <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
            <display value="Acme Laboratory, Inc"/>
          </performer>
          <valueQuantity>
            <value value="2.8"/>
            <unit value="mg/L"/>
          </valueQuantity>
          <referenceRange>
            <low>
              <value value="1.0"/>
              <unit value="mg/L"/>
            </low>
            <high>
              <value value="3.0"/>
              <unit value="mg/L"/>
            </high>
          </referenceRange>
        </Observation>
      </contained>
      <identifier>
        <system value="http://acme.com/lab/reports"/>
        <value value="23412355"/>
      </identifier>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.com/labs/reports"/>
          <code value="bchem2"/>
          <display value="Specialist Biochemistry"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/1"/>
      </subject>
      <effectiveDateTime value="2012-05-21T10:45:00Z"/>
      <issued value="2012-05-23T14:27:01Z"/>
      <performer>
                                      <actor>
                                              <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
                                              <display value="Acme Laboratory, Inc"/>
                                      </actor>
                              </performer>
      <result>
        <reference value="#o1"/>
      </result>
    </DiagnosticReport>
  </resource>
</entry>

</Bundle>