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        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <table>\n              <tr>\n                <td>Sodium</td>\n                <td>140</td>\n                <td>mmol/L</td>\n                <td>137-147</td>\n              </tr>\n              <tr>\n                <td>Serum Potassium</td>\n                <td>4.2</td>\n                <td>mmol/L</td>\n                <td>3.5-5.0</td>\n              </tr>\n              <tr>\n                <td>Chloride</td>\n                <td>105</td>\n                <td>mmol/L</td>\n                <td>96-109</td>\n              </tr>\n              <tr>\n                <td>Bicarbonate</td>\n                <td>26</td>\n                <td>mmol/L</td>\n                <td>25-33</td>\n              </tr>\n              <tr>\n                <td>Other Anions</td>\n                <td>13</td>\n                <td>mmol/L</td>\n                <td>4-17</td>\n              </tr>\n              <tr>\n                <td>Glucose</td>\n                <td>7.4</td>\n                <td>mmol/L</td>\n                <td>3.0-7.7</td>\n              </tr>\n              <tr>\n                <td>Urea</td>\n                <td>4.7</td>\n                <td>mmol/L</td>\n                <td>2.0-7.0</td>\n              </tr>\n              <tr>\n                <td>Serum Creatinine</td>\n                <td>0.09</td>\n                <td>mmol/L</td>\n                <td>0.04-0.11</td>\n              </tr>\n              <tr>\n                <td>Serum Uric Acid</td>\n                <td>0.39</td>\n                <td>mmol/L</td>\n                <td>0.14-0.35</td>\n                <td>\n                  <b>+</b>\n                </td>\n              </tr>\n              <tr>\n                <td>Total Bilirubin</td>\n                <td>7</td>\n                <td>umol/L</td>\n                <td>2-20</td>\n              </tr>\n              <tr>\n                <td>Direct Bilirubin</td>\n                <td>3</td>\n                <td>umol/L</td>\n                <td>0-8</td>\n              </tr>\n              <tr>\n                <td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td>\n                <td>108</td>\n                <td>U/L</td>\n                <td>30-115</td>\n              </tr>\n              <tr>\n                <td>Gamma G.T.</td>\n                <td>35</td>\n                <td>U/L</td>\n                <td>0-45</td>\n              </tr>\n              <tr>\n                <td>ALT</td>\n                <td>54</td>\n                <td>U/L</td>\n                <td>0-45</td>\n                <td>\n                  <b>+</b>\n                </td>\n              </tr>\n              <tr>\n                <td>AST</td>\n                <td>30</td>\n                <td>U/L</td>\n                <td>0-41</td>\n              </tr>\n              <tr>\n                <td>LD</td>\n                <td>131</td>\n                <td>U/L</td>\n                <td>80-250</td>\n              </tr>\n              <tr>\n                <td>Serum Calcium</td>\n                <td>2.38</td>\n                <td>mmol/L</td>\n                <td>2.25-2.65</td>\n              </tr>\n              <tr>\n                <td>Corrected Calcium</td>\n                <td>2.39</td>\n                <td>mmol/L</td>\n                <td>2.25-2.65</td>\n              </tr>\n              <tr>\n                <td>Serum Phosphate</td>\n                <td>1.5</td>\n                <td>mmol/L</td>\n                <td>0.8-1.5</td>\n              </tr>\n              <tr>\n                <td>Total Protein</td>\n                <td>67</td>\n                <td>g/L</td>\n                <td>60-82</td>\n              </tr>\n              <tr>\n                <td>Serum Albumin</td>\n                <td>42</td>\n                <td>g/L</td>\n                <td>35-50</td>\n              </tr>\n              <tr>\n                <td>Globulins</td>\n                <td>25</td>\n                <td>g/L</td>\n                <td>20-40</td>\n              </tr>\n              <tr>\n                <td>Iron</td>\n                <td>5</td>\n                <td>umol/L</td>\n                <td>10-33</td>\n                <td>\n                  <b>--</b>\n                </td>\n              </tr>\n              <tr>\n                <td>Cholesterol</td>\n                <td>3.8</td>\n                <td>mmol/L</td>\n                <td>3.6-6.7</td>\n              </tr>\n              <tr>\n                <td> </td>\n                <td colspan=\"4\">Revised NHF cholesterol guidelines (Nov.,2001): Target below 4.0 mmol/L if high risk patient. Consider lipid lowering treatment if cholesterol above 6.0 mmol/L, and no other risk factor of CHD.</td>\n              </tr>\n              <tr>\n                <td>Triglycerides</td>\n                <td>0.9</td>\n                <td>mmol/L</td>\n                <td>0.3-4.0</td>\n              </tr>\n              <tr>\n                <td>HDL Cholesterol</td>\n                <td>1.2</td>\n                <td>mmol/L</td>\n                <td>1.0-2.0</td>\n              </tr>\n            </table>\n          </div>"
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                "display": "Cholesterol [Moles/volume] in Serum or Plasma"
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            "value": 3.8,
            "unit": "mmol/L"
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              "high": {
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            }
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        {
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                "system": "http://loinc.org",
                "code": "2085-9",
                "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
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              {
                "system": "http://snomed.info/sct",
                "code": "17888004"
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            ]
          },
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      "status": "final",
      "code": {
        "coding": [
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            "system": "http://acme.com/labs/reports",
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      "effectiveDateTime": "2005-01-27T06:40:17Z",
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        {
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  {
    "fullUrl": "http://hl7.org/fhir/DiagnosticReport/4",
    "resource": {
      "resourceType": "DiagnosticReport",
      "id": "4",
      "meta": {
        "lastUpdated": "2012-04-14T10:35:23Z"
      },
      "text": {
        "status": "generated",
        "div": "<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 '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = '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 '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = '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 '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 103 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = '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 '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = '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 '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = '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 '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = 'Serum urea level)</span>; ????; Acme Laboratory, Inc; 8.2 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = '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 '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.42 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = '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 '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma', given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002' = '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 '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 369 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 438 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 263 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 87 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = '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 '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = '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 '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = '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 '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = '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 '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = '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 '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = '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 '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = '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 '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span>; ????; Acme Laboratory, Inc; 8 umol/L; Low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'L' = 'Low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = '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 '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 2.2 mmol/L</li></ul></div>"
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          "id": "o1",
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          "code": {
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                "code": "2951-2",
                "display": "Sodium [Moles/volume] in Serum or Plasma"
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              {
                "system": "http://snomed.info/sct",
                "code": "104934005"
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          "subject": {
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          "performer": [
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              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
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          "valueQuantity": {
            "value": 138,
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              "high": {
                "value": 147,
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        },
        {
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                "system": "http://loinc.org",
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                "display": "Potassium [Moles/volume] in Serum or Plasma"
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              {
                "system": "http://snomed.info/sct",
                "code": "59573005"
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          "performer": [
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            "value": 4.1,
            "unit": "mmol/L"
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              "high": {
                "value": 5.0,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o3",
          "status": "final",
          "code": {
            "coding": [
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                "system": "http://loinc.org",
                "code": "2075-0",
                "display": "Chloride [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "46511006"
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            ]
          },
          "subject": {
            "reference": "Patient/2"
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          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
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          "valueQuantity": {
            "value": 103,
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          "referenceRange": [
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      "identifier": [
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          "system": "http://acme.com/lab/reports",
          "value": "5234342"
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      "effectiveDateTime": "2004-12-08T07:45:17Z",
      "issued": "2005-02-23T10:04:01Z",
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    "resource": {
      "resourceType": "DiagnosticReport",
      "id": "5",
      "meta": {
        "lastUpdated": "2012-04-14T10:35:23Z"
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        "status": "generated",
        "div": "<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 '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = '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 '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = '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 '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 105 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = '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 '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = '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 '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = '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 '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = '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 '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = '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 '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.46 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = '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 '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma', given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002' = '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 '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 204 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 192 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 70 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = '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 '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = '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 '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = '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 '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = '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 '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = '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 '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = '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 '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = '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 '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = '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 '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span>; ????; Acme Laboratory, Inc; 5 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = '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 '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.1 mmol/L</li></ul></div>"
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                "value": 0.35,
                "unit": "mmol/L"
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            }
          ]
        },
        {
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              {
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              }
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          },
          "subject": {
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              {
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          },
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                "unit": "U/L"
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            }
          ]
        },
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              {
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          },
          "subject": {
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                "value": 2.25,
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              {
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          },
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                "unit": "g/L"
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                "unit": "g/L"
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              {
                "system": "http://snomed.info/sct",
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          },
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              "display": "Acme Laboratory, Inc"
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                "value": 35,
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                "value": 50,
                "unit": "g/L"
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            }
          ]
        },
        {
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                "system": "http://loinc.org",
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                "display": "Globulin [Mass/volume] in Serum by calculation"
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              {
                "system": "http://snomed.info/sct",
                "code": "104979009"
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          "subject": {
            "reference": "Patient/3"
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              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
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                "value": 20,
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                "unit": "g/L"
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            }
          ]
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          "resourceType": "Observation",
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          "status": "final",
          "code": {
            "coding": [
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                "system": "http://loinc.org",
                "code": "14798-3",
                "display": "Iron [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "42950004"
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            ]
          },
          "subject": {
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          "performer": [
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              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
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          ],
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            "value": 5,
            "unit": "umol/L"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "LL"
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            ]
          },
          "referenceRange": [
            {
              "low": {
                "value": 10,
                "unit": "umol/L"
              },
              "high": {
                "value": 33,
                "unit": "umol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
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          "status": "final",
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                "system": "http://loinc.org",
                "code": "14647-2",
                "display": "Cholesterol [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "77068002"
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            ]
          },
          "subject": {
            "reference": "Patient/3"
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          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
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          ],
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            "unit": "mmol/L"
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          "referenceRange": [
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                "value": 3.6,
                "unit": "mmol/L"
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              "high": {
                "value": 6.7,
                "unit": "mmol/L"
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            }
          ]
        },
        {
          "resourceType": "Observation",
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          "status": "final",
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            "coding": [
              {
                "system": "http://loinc.org",
                "code": "14927-8",
                "display": "Triglyceride [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "104784006"
              }
            ]
          },
          "subject": {
            "reference": "Patient/3"
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          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
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          ],
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            "unit": "mmol/L"
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                "value": 0.3,
                "unit": "mmol/L"
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              "high": {
                "value": 4.0,
                "unit": "mmol/L"
              }
            }
          ]
        }
      ],
      "identifier": [
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          "system": "http://acme.com/lab/reports",
          "value": "5234342"
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      ],
      "status": "final",
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      "subject": {
        "reference": "Patient/3"
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      "effectiveDateTime": "2004-12-15T07:20:17Z",
      "issued": "2005-02-23T10:04:01Z",
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        {
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            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
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        }
      ],
      "result": [
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          "reference": "#o1"
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        {
          "reference": "#o2"
        },
        {
          "reference": "#o3"
        },
        {
          "reference": "#o4"
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        {
          "reference": "#o5"
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        {
          "reference": "#o6"
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        {
          "reference": "#o7"
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        {
          "reference": "#o8"
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        {
          "reference": "#o9"
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        {
          "reference": "#o10"
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        {
          "reference": "#o11"
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        {
          "reference": "#o12"
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        {
          "reference": "#o13"
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        {
          "reference": "#o14"
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        {
          "reference": "#o15"
        },
        {
          "reference": "#o16"
        },
        {
          "reference": "#o17"
        },
        {
          "reference": "#o18"
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        {
          "reference": "#o19"
        },
        {
          "reference": "#o20"
        },
        {
          "reference": "#o21"
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        {
          "reference": "#o22"
        },
        {
          "reference": "#o23"
        },
        {
          "reference": "#o24"
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        {
          "reference": "#o25"
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      ]
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  },
  {
    "fullUrl": "http://hl7.org/fhir/DiagnosticReport/6",
    "resource": {
      "resourceType": "DiagnosticReport",
      "id": "6",
      "meta": {
        "lastUpdated": "2012-04-14T10:35:23Z"
      },
      "text": {
        "status": "generated",
        "div": "<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 '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = '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 '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = '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 '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 107 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = '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 '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = '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 '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = '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 '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = '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 '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = '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 '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.40 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = '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 '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma', given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002' = '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 '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 144 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 106 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = '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 '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = '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 '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = '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 '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = '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 '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = '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 '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = '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 '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = '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 '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = '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 '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = '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 '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span>; ????; Acme Laboratory, Inc; 3 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = '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 '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.0 mmol/L</li></ul></div>"
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                "system": "http://loinc.org",
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              {
                "system": "http://snomed.info/sct",
                "code": "104979009"
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                "system": "http://loinc.org",
                "code": "14798-3",
                "display": "Iron [Moles/volume] in Serum or Plasma"
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              {
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                "code": "42950004"
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            ]
          },
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            "unit": "umol/L"
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                "code": "LL"
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            ]
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            {
              "low": {
                "value": 10,
                "unit": "umol/L"
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              "high": {
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              {
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                "code": "77068002"
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                "system": "http://loinc.org",
                "code": "14927-8",
                "display": "Triglyceride [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "104784006"
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            ]
          },
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            }
          ]
        }
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      "identifier": [
        {
          "system": "http://acme.com/lab/reports",
          "value": "5234342"
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      "status": "final",
      "code": {
        "text": "SERUM CHEMISTRY"
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      "subject": {
        "reference": "Patient/4"
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      "effectiveDateTime": "2004-12-22T07:45:17Z",
      "issued": "2004-12-21T00:00:01Z",
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            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
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        {
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        {
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        {
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        {
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        {
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        {
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        {
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        {
          "reference": "#o14"
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        {
          "reference": "#o15"
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        {
          "reference": "#o16"
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        {
          "reference": "#o17"
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        {
          "reference": "#o18"
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        {
          "reference": "#o19"
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        {
          "reference": "#o20"
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        {
          "reference": "#o21"
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        {
          "reference": "#o22"
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        {
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        {
          "reference": "#o24"
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  {
    "fullUrl": "http://hl7.org/fhir/DiagnosticReport/7",
    "resource": {
      "resourceType": "DiagnosticReport",
      "id": "7",
      "meta": {
        "lastUpdated": "2012-04-14T10:35:23Z"
      },
      "text": {
        "status": "generated",
        "div": "<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 '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = '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 '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = '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 '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 106 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = '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 '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = '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 '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = '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 '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = '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 '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = '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 '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = '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 '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = 'Urinalysis)</span>; ????; Acme Laboratory, Inc; 43 umol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 708 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 1131 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 475 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 176 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 324 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = '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 '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = '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 '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = '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 '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = '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 '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = '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 '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = '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 '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = '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 '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 7.0 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li></ul></div>"
      },
      "contained": [
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          "resourceType": "Observation",
          "id": "o1",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "2951-2",
                "display": "Sodium [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "104934005"
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          },
          "subject": {
            "reference": "Patient/5"
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          "performer": [
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              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
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          ],
          "valueQuantity": {
            "value": 141,
            "unit": "mmol/L"
          },
          "referenceRange": [
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                "value": 137,
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              "high": {
                "value": 147,
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        },
        {
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          "code": {
            "coding": [
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                "system": "http://loinc.org",
                "code": "2823-3",
                "display": "Potassium [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
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          },
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          "performer": [
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              "high": {
                "value": 5.0,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o3",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "2075-0",
                "display": "Chloride [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "46511006"
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            ]
          },
          "subject": {
            "reference": "Patient/5"
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          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
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          ],
          "valueQuantity": {
            "value": 106,
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          "referenceRange": [
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                "value": 96,
                "unit": "mmol/L"
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              "high": {
                "value": 109,
                "unit": "mmol/L"
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            }
          ]
        },
        {
          "resourceType": "Observation",
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          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "1963-8",
                "display": "Bicarbonate [Moles/volume] in Serum"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "88645003"
              }
            ]
          },
          "subject": {
            "reference": "Patient/5"
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    "fullUrl": "http://hl7.org/fhir/DiagnosticReport/8",
    "resource": {
      "resourceType": "DiagnosticReport",
      "id": "8",
      "meta": {
        "lastUpdated": "2012-04-14T10:35:23Z"
      },
      "text": {
        "status": "generated",
        "div": "<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 '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = '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 '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = '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 '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 104 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = '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 '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = '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 '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = '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 '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = '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 '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = '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 '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.37 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = 'Urinalysis)</span>; ????; Acme Laboratory, Inc; 50 umol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 684 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 1105 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 466 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 198 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 323 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = '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 '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = '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 '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = '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 '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = '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 '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = '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 '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = '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 '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = '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 '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 6.9 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.9 mmol/L</li></ul></div>"
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          "id": "o1",
          "status": "final",
          "code": {
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          "valueQuantity": {
            "value": 142,
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        },
        {
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          ]
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        {
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          },
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                "display": "Bicarbonate [Moles/volume] in Serum"
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              {
                "system": "http://snomed.info/sct",
                "code": "88645003"
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            ]
          },
          "subject": {
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              "high": {
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                "system": "http://loinc.org",
                "code": "1863-0",
                "display": "Anion gap 4 in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "271057005"
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            ]
          },
          "subject": {
            "reference": "Patient/6"
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                "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "273967009"
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            ]
          },
          "subject": {
            "reference": "Patient/6"
          },
          "performer": [
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              "display": "Acme Laboratory, Inc"
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              "high": {
                "value": 7.0,
                "unit": "mmol/L"
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        {
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              {
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            ]
          },
          "subject": {
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              {
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          "subject": {
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              "display": "Acme Laboratory, Inc"
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                "value": 0.14,
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              "high": {
                "value": 0.35,
                "unit": "mmol/L"
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            }
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          "subject": {
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            }
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                "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
              },
              {
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                "code": "88810008"
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          "subject": {
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            "unit": "U/L"
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              {
                "system": "http://hl7.org/fhir/v2/0078",
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            ]
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            }
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                "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "69480007"
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          },
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              "display": "Acme Laboratory, Inc"
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            "unit": "U/L"
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            ]
          },
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                "value": 0,
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              "high": {
                "value": 45,
                "unit": "U/L"
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            }
          ]
        },
        {
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          "id": "o13",
          "status": "final",
          "code": {
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              {
                "system": "http://loinc.org",
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                "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "34608000"
              }
            ]
          },
          "subject": {
            "reference": "Patient/6"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
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            "value": 466,
            "unit": "U/L"
          },
          "interpretation": {
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              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "HH"
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            ]
          },
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              "low": {
                "value": 0,
                "unit": "U/L"
              },
              "high": {
                "value": 45,
                "unit": "U/L"
              }
            }
          ]
        },
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              {
                "system": "http://loinc.org",
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                "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
              },
              {
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                "code": "45896001"
              }
            ]
          },
          "subject": {
            "reference": "Patient/6"
          },
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            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
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            "unit": "U/L"
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              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "HH"
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          "referenceRange": [
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                "unit": "U/L"
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                "value": 41,
                "unit": "U/L"
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            }
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        {
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          "status": "final",
          "code": {
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              {
                "system": "http://loinc.org",
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              {
                "system": "http://snomed.info/sct",
                "code": "11274001"
              }
            ]
          },
          "subject": {
            "reference": "Patient/6"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
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            "value": 323,
            "unit": "U/L"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "HH"
              }
            ]
          },
          "referenceRange": [
            {
              "low": {
                "value": 80,
                "unit": "U/L"
              },
              "high": {
                "value": 250,
                "unit": "U/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o16",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "2000-8",
                "display": "Calcium [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "71878006"
              }
            ]
          },
          "subject": {
            "reference": "Patient/6"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 2.32,
            "unit": "mmol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 2.25,
                "unit": "mmol/L"
              },
              "high": {
                "value": 2.65,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o17",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "13959-2",
                "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "166708003"
              }
            ]
          },
          "subject": {
            "reference": "Patient/6"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 2.45,
            "unit": "mmol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 2.25,
                "unit": "mmol/L"
              },
              "high": {
                "value": 2.65,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
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          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
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                "display": "Phosphate [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "104866001"
              }
            ]
          },
          "subject": {
            "reference": "Patient/6"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 0.9,
            "unit": "mmol/L"
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          "referenceRange": [
            {
              "low": {
                "value": 0.8,
                "unit": "mmol/L"
              },
              "high": {
                "value": 1.5,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o19",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "2885-2",
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              {
                "system": "http://snomed.info/sct",
                "code": "74040009"
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            ]
          },
          "subject": {
            "reference": "Patient/6"
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          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
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          "valueQuantity": {
            "value": 70,
            "unit": "g/L"
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          "referenceRange": [
            {
              "low": {
                "value": 60,
                "unit": "g/L"
              },
              "high": {
                "value": 82,
                "unit": "g/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o20",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "1751-7",
                "display": "Albumin [Mass/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "104485008"
              }
            ]
          },
          "subject": {
            "reference": "Patient/6"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
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          ],
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            "unit": "g/L"
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            {
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                "value": 35,
                "unit": "g/L"
              },
              "high": {
                "value": 50,
                "unit": "g/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o21",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "10834-0",
                "display": "Globulin [Mass/volume] in Serum by calculation"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "104979009"
              }
            ]
          },
          "subject": {
            "reference": "Patient/6"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
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            "value": 32,
            "unit": "g/L"
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          "referenceRange": [
            {
              "low": {
                "value": 20,
                "unit": "g/L"
              },
              "high": {
                "value": 40,
                "unit": "g/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o22",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "14798-3",
                "display": "Iron [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "42950004"
              }
            ]
          },
          "subject": {
            "reference": "Patient/6"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 11,
            "unit": "umol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 10,
                "unit": "umol/L"
              },
              "high": {
                "value": 33,
                "unit": "umol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o23",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "14647-2",
                "display": "Cholesterol [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "77068002"
              }
            ]
          },
          "subject": {
            "reference": "Patient/6"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 6.9,
            "unit": "mmol/L"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "H"
              }
            ]
          },
          "referenceRange": [
            {
              "low": {
                "value": 3.6,
                "unit": "mmol/L"
              },
              "high": {
                "value": 6.7,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o24",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "14927-8",
                "display": "Triglyceride [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "104784006"
              }
            ]
          },
          "subject": {
            "reference": "Patient/6"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 1.9,
            "unit": "mmol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 0.3,
                "unit": "mmol/L"
              },
              "high": {
                "value": 4.0,
                "unit": "mmol/L"
              }
            }
          ]
        }
      ],
      "identifier": [
        {
          "system": "http://acme.com/lab/reports",
          "value": "5234342"
        }
      ],
      "status": "final",
      "code": {
        "text": "SERUM CHEMISTRY"
      },
      "subject": {
        "reference": "Patient/6"
      },
      "effectiveDateTime": "2004-12-03T20:30:17Z",
      "issued": "2005-02-23T10:04:01Z",
      "performer": [
        {
          "actor": {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        }
      ],
      "result": [
        {
          "reference": "#o1"
        },
        {
          "reference": "#o2"
        },
        {
          "reference": "#o3"
        },
        {
          "reference": "#o4"
        },
        {
          "reference": "#o5"
        },
        {
          "reference": "#o6"
        },
        {
          "reference": "#o7"
        },
        {
          "reference": "#o8"
        },
        {
          "reference": "#o9"
        },
        {
          "reference": "#o10"
        },
        {
          "reference": "#o11"
        },
        {
          "reference": "#o12"
        },
        {
          "reference": "#o13"
        },
        {
          "reference": "#o14"
        },
        {
          "reference": "#o15"
        },
        {
          "reference": "#o16"
        },
        {
          "reference": "#o17"
        },
        {
          "reference": "#o18"
        },
        {
          "reference": "#o19"
        },
        {
          "reference": "#o20"
        },
        {
          "reference": "#o21"
        },
        {
          "reference": "#o22"
        },
        {
          "reference": "#o23"
        },
        {
          "reference": "#o24"
        }
      ]
    }
  },
  {
    "fullUrl": "http://hl7.org/fhir/DiagnosticReport/9",
    "resource": {
      "resourceType": "DiagnosticReport",
      "id": "9",
      "meta": {
        "lastUpdated": "2012-04-14T10:35:23Z"
      },
      "text": {
        "status": "generated",
        "div": "<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 '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = '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 '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = '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 '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 108 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = '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 '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = '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 '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = '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 '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = '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 '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = '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 '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.41 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = 'Urinalysis)</span>; ????; Acme Laboratory, Inc; 27 umol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 631 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 956 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 398 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 120 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = '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 '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = '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 '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = '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 '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = '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 '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = '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 '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = '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 '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = '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 '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span>; ????; Acme Laboratory, Inc; 39 umol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 6.8 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.5 mmol/L</li></ul></div>"
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    "resource": {
      "resourceType": "DiagnosticReport",
      "id": "15",
      "meta": {
        "lastUpdated": "2012-04-14T10:35:23Z"
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      "text": {
        "status": "generated",
        "div": "<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 '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = '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 '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = '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 '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 105 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = '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 '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = '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 '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = '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 '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = '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 '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = '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 '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.39 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = '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 '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma', given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002' = '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 '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = '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 '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = '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 '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 54 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = '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 '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = '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 '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = '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 '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = '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 '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = '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 '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = '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 '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = '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 '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = '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 '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {[not stated] code '42950004' = '42950004)</span>; ????; Acme Laboratory, Inc; 5 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = '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 '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li></ul></div>"
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                "display": "Anion gap 4 in Serum or Plasma"
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              {
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        "status": "generated",
        "div": "<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 '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = '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 '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = '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 '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 103 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = '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 '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = '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 '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = '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 '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = 'Serum urea level)</span>; ????; Acme Laboratory, Inc; 8.2 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = '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 '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.42 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = '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 '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma', given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002' = '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 '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 369 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 438 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 263 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 87 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = '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 '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = '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 '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = '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 '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = '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 '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = '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 '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = '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 '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = '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 '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span>; ????; Acme Laboratory, Inc; 8 umol/L; Low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'L' = 'Low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = '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 '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 2.2 mmol/L</li></ul></div>"
      },
      "contained": [
        {
          "resourceType": "Observation",
          "id": "o1",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "2951-2",
                "display": "Sodium [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "104934005"
              }
            ]
          },
          "subject": {
            "reference": "Patient/9"
          },
          "performer": [
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              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 138,
            "unit": "mmol/L"
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          "referenceRange": [
            {
              "low": {
                "value": 137,
                "unit": "mmol/L"
              },
              "high": {
                "value": 147,
                "unit": "mmol/L"
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            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o2",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "2823-3",
                "display": "Potassium [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "59573005"
              }
            ]
          },
          "subject": {
            "reference": "Patient/9"
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          "performer": [
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              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 4.1,
            "unit": "mmol/L"
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          "referenceRange": [
            {
              "low": {
                "value": 3.5,
                "unit": "mmol/L"
              },
              "high": {
                "value": 5.0,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o3",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "2075-0",
                "display": "Chloride [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "46511006"
              }
            ]
          },
          "subject": {
            "reference": "Patient/9"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 103,
            "unit": "mmol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 96,
                "unit": "mmol/L"
              },
              "high": {
                "value": 109,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o4",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "1963-8",
                "display": "Bicarbonate [Moles/volume] in Serum"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "88645003"
              }
            ]
          },
          "subject": {
            "reference": "Patient/9"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 27,
            "unit": "mmol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 25,
                "unit": "mmol/L"
              },
              "high": {
                "value": 33,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o5",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "1863-0",
                "display": "Anion gap 4 in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "271057005"
              }
            ]
          },
          "subject": {
            "reference": "Patient/9"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 12,
            "unit": "mmol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 4,
                "unit": "mmol/L"
              },
              "high": {
                "value": 17,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o6",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "14749-6",
                "display": "Glucose [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "36048009"
              }
            ]
          },
          "subject": {
            "reference": "Patient/9"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 6.8,
            "unit": "mmol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 3.0,
                "unit": "mmol/L"
              },
              "high": {
                "value": 7.7,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o7",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "14937-7",
                "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "273967009"
              }
            ]
          },
          "subject": {
            "reference": "Patient/9"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 8.2,
            "unit": "mmol/L"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "H"
              }
            ]
          },
          "referenceRange": [
            {
              "low": {
                "value": 2.0,
                "unit": "mmol/L"
              },
              "high": {
                "value": 7.0,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o8",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "14682-9",
                "display": "Creatinine [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "70901006"
              }
            ]
          },
          "subject": {
            "reference": "Patient/9"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 0.07,
            "unit": "mmol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 0.04,
                "unit": "mmol/L"
              },
              "high": {
                "value": 0.11,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o9",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "14933-6",
                "display": "Urate [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "86228006"
              }
            ]
          },
          "subject": {
            "reference": "Patient/9"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 0.42,
            "unit": "mmol/L"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "HH"
              }
            ]
          },
          "referenceRange": [
            {
              "low": {
                "value": 0.14,
                "unit": "mmol/L"
              },
              "high": {
                "value": 0.35,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o10",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "14631-6",
                "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "27171005"
              }
            ]
          },
          "subject": {
            "reference": "Patient/9"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 16,
            "unit": "umol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 2,
                "unit": "umol/L"
              },
              "high": {
                "value": 20,
                "unit": "umol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o11",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "14629-0",
                "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "39748002"
              }
            ]
          },
          "subject": {
            "reference": "Patient/9"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 8,
            "unit": "umol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 0,
                "unit": "umol/L"
              },
              "high": {
                "value": 8,
                "unit": "umol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o12",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "6768-6",
                "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "88810008"
              }
            ]
          },
          "subject": {
            "reference": "Patient/9"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 369,
            "unit": "U/L"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "HH"
              }
            ]
          },
          "referenceRange": [
            {
              "low": {
                "value": 30,
                "unit": "U/L"
              },
              "high": {
                "value": 115,
                "unit": "U/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o13",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "2324-2",
                "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "69480007"
              }
            ]
          },
          "subject": {
            "reference": "Patient/9"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 438,
            "unit": "U/L"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "HH"
              }
            ]
          },
          "referenceRange": [
            {
              "low": {
                "value": 0,
                "unit": "U/L"
              },
              "high": {
                "value": 45,
                "unit": "U/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
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          "status": "final",
          "code": {
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              {
                "system": "http://loinc.org",
                "code": "1742-6",
                "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "34608000"
              }
            ]
          },
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            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
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            "unit": "U/L"
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              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "HH"
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                "unit": "U/L"
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              {
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                "code": "11274001"
              }
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          },
          "subject": {
            "reference": "Patient/9"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
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          "valueQuantity": {
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            "unit": "U/L"
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          "referenceRange": [
            {
              "low": {
                "value": 80,
                "unit": "U/L"
              },
              "high": {
                "value": 250,
                "unit": "U/L"
              }
            }
          ]
        },
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          "id": "o17",
          "status": "final",
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                "system": "http://loinc.org",
                "code": "2000-8",
                "display": "Calcium [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "71878006"
              }
            ]
          },
          "subject": {
            "reference": "Patient/9"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 2.32,
            "unit": "mmol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 2.25,
                "unit": "mmol/L"
              },
              "high": {
                "value": 2.65,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
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          "status": "final",
          "code": {
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              {
                "system": "http://snomed.info/sct",
                "code": "166708003"
              }
            ]
          },
          "subject": {
            "reference": "Patient/9"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
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          ],
          "valueQuantity": {
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            "unit": "mmol/L"
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                "unit": "mmol/L"
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                "unit": "mmol/L"
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            }
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        },
        {
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              {
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                "code": "104866001"
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            ]
          },
          "subject": {
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            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
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            "unit": "mmol/L"
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              "high": {
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            }
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        },
        {
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          "status": "final",
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              {
                "system": "http://loinc.org",
                "code": "2885-2",
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              {
                "system": "http://snomed.info/sct",
                "code": "74040009"
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          },
          "subject": {
            "reference": "Patient/9"
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            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
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            "unit": "g/L"
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          "referenceRange": [
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                "value": 60,
                "unit": "g/L"
              },
              "high": {
                "value": 82,
                "unit": "g/L"
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        },
        {
          "resourceType": "Observation",
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          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "1751-7",
                "display": "Albumin [Mass/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "104485008"
              }
            ]
          },
          "subject": {
            "reference": "Patient/9"
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          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
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            "value": 39,
            "unit": "g/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 35,
                "unit": "g/L"
              },
              "high": {
                "value": 50,
                "unit": "g/L"
              }
            }
          ]
        },
        {
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          "id": "o22",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "10834-0",
                "display": "Globulin [Mass/volume] in Serum by calculation"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "104979009"
              }
            ]
          },
          "subject": {
            "reference": "Patient/9"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 28,
            "unit": "g/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 20,
                "unit": "g/L"
              },
              "high": {
                "value": 40,
                "unit": "g/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o23",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "14798-3",
                "display": "Iron [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "42950004"
              }
            ]
          },
          "subject": {
            "reference": "Patient/9"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 8,
            "unit": "umol/L"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "L"
              }
            ]
          },
          "referenceRange": [
            {
              "low": {
                "value": 10,
                "unit": "umol/L"
              },
              "high": {
                "value": 33,
                "unit": "umol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o24",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "14647-2",
                "display": "Cholesterol [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "77068002"
              }
            ]
          },
          "subject": {
            "reference": "Patient/9"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 4.8,
            "unit": "mmol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 3.6,
                "unit": "mmol/L"
              },
              "high": {
                "value": 6.7,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o25",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "14927-8",
                "display": "Triglyceride [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "104784006"
              }
            ]
          },
          "subject": {
            "reference": "Patient/9"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 2.2,
            "unit": "mmol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 0.3,
                "unit": "mmol/L"
              },
              "high": {
                "value": 4.0,
                "unit": "mmol/L"
              }
            }
          ]
        }
      ],
      "identifier": [
        {
          "system": "http://acme.com/lab/reports",
          "value": "5234342"
        }
      ],
      "status": "final",
      "code": {
        "text": "SERUM CHEMISTRY"
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      "subject": {
        "reference": "Patient/9"
      },
      "effectiveDateTime": "2004-12-08T07:45:17Z",
      "issued": "2005-02-23T10:04:01Z",
      "performer": [
        {
          "actor": {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        }
      ],
      "result": [
        {
          "reference": "#o1"
        },
        {
          "reference": "#o2"
        },
        {
          "reference": "#o3"
        },
        {
          "reference": "#o4"
        },
        {
          "reference": "#o5"
        },
        {
          "reference": "#o6"
        },
        {
          "reference": "#o7"
        },
        {
          "reference": "#o8"
        },
        {
          "reference": "#o9"
        },
        {
          "reference": "#o10"
        },
        {
          "reference": "#o11"
        },
        {
          "reference": "#o12"
        },
        {
          "reference": "#o13"
        },
        {
          "reference": "#o14"
        },
        {
          "reference": "#o15"
        },
        {
          "reference": "#o16"
        },
        {
          "reference": "#o17"
        },
        {
          "reference": "#o18"
        },
        {
          "reference": "#o19"
        },
        {
          "reference": "#o20"
        },
        {
          "reference": "#o21"
        },
        {
          "reference": "#o22"
        },
        {
          "reference": "#o23"
        },
        {
          "reference": "#o24"
        },
        {
          "reference": "#o25"
        }
      ]
    }
  },
  {
    "fullUrl": "http://hl7.org/fhir/DiagnosticReport/17",
    "resource": {
      "resourceType": "DiagnosticReport",
      "id": "17",
      "meta": {
        "lastUpdated": "2012-04-14T10:35:23Z"
      },
      "text": {
        "status": "generated",
        "div": "<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 '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = '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 '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = '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 '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 105 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = '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 '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = '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 '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = '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 '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = '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 '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = '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 '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.46 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = '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 '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma', given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002' = '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 '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 204 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 192 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 70 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = '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 '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = '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 '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = '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 '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = '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 '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = '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 '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = '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 '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = '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 '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = '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 '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span>; ????; Acme Laboratory, Inc; 5 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = '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 '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.1 mmol/L</li></ul></div>"
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                "code": "42950004"
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                "value": 10,
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              {
                "system": "http://snomed.info/sct",
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      "effectiveDateTime": "2004-12-15T07:20:17Z",
      "issued": "2005-02-23T10:04:01Z",
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        {
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    "resource": {
      "resourceType": "DiagnosticReport",
      "id": "18",
      "meta": {
        "lastUpdated": "2012-04-14T10:35:23Z"
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        "status": "generated",
        "div": "<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 '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = '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 '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = '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 '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 107 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = '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 '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = '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 '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = '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 '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = '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 '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = '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 '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.40 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = '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 '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma', given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002' = '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 '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 144 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 106 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = '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 '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = '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 '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = '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 '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = '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 '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = '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 '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = '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 '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = '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 '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = '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 '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = '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 '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span>; ????; Acme Laboratory, Inc; 3 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = '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 '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.0 mmol/L</li></ul></div>"
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                "code": "2951-2",
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          ],
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            "value": 142,
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          ]
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        {
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              {
                "system": "http://snomed.info/sct",
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          },
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              "high": {
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                "system": "http://loinc.org",
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                "display": "Anion gap 4 in Serum or Plasma"
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              {
                "system": "http://snomed.info/sct",
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            }
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        "status": "generated",
        "div": "<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 '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = '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 '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = '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 '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 106 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = '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 '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = '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 '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = '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 '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = '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 '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = '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 '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = '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 '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = 'Urinalysis)</span>; ????; Acme Laboratory, Inc; 43 umol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 708 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 1131 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 475 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 176 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 324 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = '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 '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = '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 '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = '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 '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = '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 '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = '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 '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = '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 '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = '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 '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 7.0 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li></ul></div>"
      },
      "contained": [
        {
          "resourceType": "Observation",
          "id": "o1",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "2951-2",
                "display": "Sodium [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "104934005"
              }
            ]
          },
          "subject": {
            "reference": "Patient/2"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 141,
            "unit": "mmol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 137,
                "unit": "mmol/L"
              },
              "high": {
                "value": 147,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o2",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "2823-3",
                "display": "Potassium [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "59573005"
              }
            ]
          },
          "subject": {
            "reference": "Patient/2"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 4.2,
            "unit": "mmol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 3.5,
                "unit": "mmol/L"
              },
              "high": {
                "value": 5.0,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o3",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "2075-0",
                "display": "Chloride [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "46511006"
              }
            ]
          },
          "subject": {
            "reference": "Patient/2"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 106,
            "unit": "mmol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 96,
                "unit": "mmol/L"
              },
              "high": {
                "value": 109,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o4",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "1963-8",
                "display": "Bicarbonate [Moles/volume] in Serum"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "88645003"
              }
            ]
          },
          "subject": {
            "reference": "Patient/2"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 29,
            "unit": "mmol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 25,
                "unit": "mmol/L"
              },
              "high": {
                "value": 33,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o5",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "1863-0",
                "display": "Anion gap 4 in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "271057005"
              }
            ]
          },
          "subject": {
            "reference": "Patient/2"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 10,
            "unit": "mmol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 4,
                "unit": "mmol/L"
              },
              "high": {
                "value": 17,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o6",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "14749-6",
                "display": "Glucose [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "36048009"
              }
            ]
          },
          "subject": {
            "reference": "Patient/2"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 7.0,
            "unit": "mmol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 3.0,
                "unit": "mmol/L"
              },
              "high": {
                "value": 7.7,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o7",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "14937-7",
                "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "273967009"
              }
            ]
          },
          "subject": {
            "reference": "Patient/2"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 4.7,
            "unit": "mmol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 2.0,
                "unit": "mmol/L"
              },
              "high": {
                "value": 7.0,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o8",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "14682-9",
                "display": "Creatinine [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "70901006"
              }
            ]
          },
          "subject": {
            "reference": "Patient/2"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 0.05,
            "unit": "mmol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 0.04,
                "unit": "mmol/L"
              },
              "high": {
                "value": 0.11,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o9",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "14933-6",
                "display": "Urate [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "86228006"
              }
            ]
          },
          "subject": {
            "reference": "Patient/2"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 0.32,
            "unit": "mmol/L"
          },
          "referenceRange": [
            {
              "low": {
                "value": 0.14,
                "unit": "mmol/L"
              },
              "high": {
                "value": 0.35,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o10",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "14631-6",
                "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "27171005"
              }
            ]
          },
          "subject": {
            "reference": "Patient/2"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 43,
            "unit": "umol/L"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "HH"
              }
            ]
          },
          "referenceRange": [
            {
              "low": {
                "value": 2,
                "unit": "umol/L"
              },
              "high": {
                "value": 20,
                "unit": "umol/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o11",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "6768-6",
                "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "88810008"
              }
            ]
          },
          "subject": {
            "reference": "Patient/2"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 708,
            "unit": "U/L"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "HH"
              }
            ]
          },
          "referenceRange": [
            {
              "low": {
                "value": 30,
                "unit": "U/L"
              },
              "high": {
                "value": 115,
                "unit": "U/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o12",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "2324-2",
                "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "69480007"
              }
            ]
          },
          "subject": {
            "reference": "Patient/2"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 1131,
            "unit": "U/L"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "HH"
              }
            ]
          },
          "referenceRange": [
            {
              "low": {
                "value": 0,
                "unit": "U/L"
              },
              "high": {
                "value": 45,
                "unit": "U/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o13",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "1742-6",
                "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "34608000"
              }
            ]
          },
          "subject": {
            "reference": "Patient/2"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 475,
            "unit": "U/L"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "HH"
              }
            ]
          },
          "referenceRange": [
            {
              "low": {
                "value": 0,
                "unit": "U/L"
              },
              "high": {
                "value": 45,
                "unit": "U/L"
              }
            }
          ]
        },
        {
          "resourceType": "Observation",
          "id": "o14",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "1920-8",
                "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
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              {
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              {
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              {
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              {
                "system": "http://snomed.info/sct",
                "code": "104979009"
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          "subject": {
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                "system": "http://loinc.org",
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                "display": "Iron [Moles/volume] in Serum or Plasma"
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              {
                "system": "http://snomed.info/sct",
                "code": "42950004"
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          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
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          ],
          "valueQuantity": {
            "value": 17,
            "unit": "umol/L"
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          "referenceRange": [
            {
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                "value": 10,
                "unit": "umol/L"
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              "high": {
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                "unit": "umol/L"
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            }
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        },
        {
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          "status": "final",
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              {
                "system": "http://loinc.org",
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              {
                "system": "http://snomed.info/sct",
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          },
          "subject": {
            "reference": "Patient/2"
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          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
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            "unit": "mmol/L"
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              {
                "system": "http://hl7.org/fhir/v2/0078",
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            "coding": [
              {
                "system": "http://loinc.org",
                "code": "14927-8",
                "display": "Triglyceride [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "104784006"
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            ]
          },
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            "unit": "mmol/L"
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                "unit": "mmol/L"
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              "high": {
                "value": 4.0,
                "unit": "mmol/L"
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            }
          ]
        }
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          "system": "http://acme.com/lab/reports",
          "value": "5234342"
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      "status": "final",
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        "text": "SERUM CHEMISTRY"
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        "reference": "Patient/2"
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      "effectiveDateTime": "2004-12-03T09:45:17Z",
      "issued": "2005-02-23T10:04:01Z",
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            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
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        {
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        {
          "reference": "#o3"
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        {
          "reference": "#o4"
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        {
          "reference": "#o5"
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        {
          "reference": "#o6"
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        {
          "reference": "#o7"
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        {
          "reference": "#o8"
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        {
          "reference": "#o9"
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        {
          "reference": "#o10"
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        {
          "reference": "#o11"
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        {
          "reference": "#o12"
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        {
          "reference": "#o13"
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        {
          "reference": "#o14"
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        {
          "reference": "#o15"
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        {
          "reference": "#o16"
        },
        {
          "reference": "#o17"
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        {
          "reference": "#o18"
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        {
          "reference": "#o19"
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        {
          "reference": "#o20"
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        {
          "reference": "#o21"
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        {
          "reference": "#o22"
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        {
          "reference": "#o23"
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        {
          "reference": "#o24"
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  {
    "fullUrl": "http://hl7.org/fhir/DiagnosticReport/20",
    "resource": {
      "resourceType": "DiagnosticReport",
      "id": "20",
      "meta": {
        "lastUpdated": "2012-04-14T10:35:23Z"
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      "text": {
        "status": "generated",
        "div": "<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 '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = '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 '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = '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 '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 104 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = '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 '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = '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 '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = '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 '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = '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 '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = '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 '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.37 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = 'Urinalysis)</span>; ????; Acme Laboratory, Inc; 50 umol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 684 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 1105 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 466 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 198 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 323 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = '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 '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = '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 '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = '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 '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = '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 '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = '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 '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = '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 '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = '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 '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 6.9 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.9 mmol/L</li></ul></div>"
      },
      "contained": [
        {
          "resourceType": "Observation",
          "id": "o1",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "2951-2",
                "display": "Sodium [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "104934005"
              }
            ]
          },
          "subject": {
            "reference": "Patient/3"
          },
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                "unit": "mmol/L"
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              "high": {
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                "unit": "mmol/L"
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            }
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          "value": "5234342"
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      "status": "final",
      "code": {
        "text": "SERUM CHEMISTRY"
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      "subject": {
        "reference": "Patient/3"
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      "effectiveDateTime": "2004-12-03T20:30:17Z",
      "issued": "2005-02-23T10:04:01Z",
      "performer": [
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          "actor": {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
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        {
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        {
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          "reference": "#o5"
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          "reference": "#o6"
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        {
          "reference": "#o7"
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        {
          "reference": "#o8"
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        {
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        {
          "reference": "#o12"
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        {
          "reference": "#o13"
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        {
          "reference": "#o14"
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        {
          "reference": "#o15"
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        {
          "reference": "#o16"
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        {
          "reference": "#o17"
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        {
          "reference": "#o18"
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        {
          "reference": "#o19"
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        {
          "reference": "#o20"
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        {
          "reference": "#o21"
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        {
          "reference": "#o22"
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        {
          "reference": "#o23"
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        {
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    "resource": {
      "resourceType": "DiagnosticReport",
      "id": "21",
      "meta": {
        "lastUpdated": "2012-04-14T10:35:23Z"
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      "text": {
        "status": "generated",
        "div": "<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 '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = '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 '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = '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 '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 108 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = '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 '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = '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 '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = '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 '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = '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 '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = '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 '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.41 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = 'Urinalysis)</span>; ????; Acme Laboratory, Inc; 27 umol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 631 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 956 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 398 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 120 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = '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 '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = '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 '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = '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 '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = '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 '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = '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 '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = '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 '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = '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 '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span>; ????; Acme Laboratory, Inc; 39 umol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 6.8 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.5 mmol/L</li></ul></div>"
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                "system": "http://snomed.info/sct",
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              {
                "system": "http://snomed.info/sct",
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                "system": "http://snomed.info/sct",
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              "display": "Acme Laboratory, Inc"
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          ],
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            "unit": "mmol/L"
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              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "HH"
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            ]
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                "value": 0.14,
                "unit": "mmol/L"
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              "high": {
                "value": 0.35,
                "unit": "mmol/L"
              }
            }
          ]
        },
        {
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              {
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                "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
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          "subject": {
            "reference": "Patient/4"
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          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
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          ],
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          "interpretation": {
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              {
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              {
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            }
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              {
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                "code": "69480007"
              }
            ]
          },
          "subject": {
            "reference": "Patient/4"
          },
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            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
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            "unit": "U/L"
          },
          "interpretation": {
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              {
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                "unit": "U/L"
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              {
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            ]
          },
          "subject": {
            "reference": "Patient/4"
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                "unit": "U/L"
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            "unit": "U/L"
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                "unit": "U/L"
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          "subject": {
            "reference": "Patient/4"
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              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
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                "value": 250,
                "unit": "U/L"
              }
            }
          ]
        },
        {
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              {
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            ]
          },
          "subject": {
            "reference": "Patient/4"
          },
          "performer": [
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              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
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            "unit": "mmol/L"
          },
          "referenceRange": [
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            }
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        {
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              }
            ]
          },
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        {
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              {
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            ]
          },
          "subject": {
            "reference": "Patient/4"
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            {
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              "display": "Acme Laboratory, Inc"
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            "unit": "mmol/L"
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          "referenceRange": [
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                "display": "Protein [Mass/volume] in Serum or Plasma"
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              {
                "system": "http://snomed.info/sct",
                "code": "74040009"
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            ]
          },
          "subject": {
            "reference": "Patient/4"
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            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
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            "unit": "g/L"
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            {
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                "value": 60,
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                "value": 82,
                "unit": "g/L"
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        {
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            "coding": [
              {
                "system": "http://loinc.org",
                "code": "1751-7",
                "display": "Albumin [Mass/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "104485008"
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            ]
          },
          "subject": {
            "reference": "Patient/4"
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          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
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                "value": 35,
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                "unit": "g/L"
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              {
                "system": "http://snomed.info/sct",
                "code": "104979009"
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            ]
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          "subject": {
            "reference": "Patient/4"
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          "performer": [
            {
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              "display": "Acme Laboratory, Inc"
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            "unit": "g/L"
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          "referenceRange": [
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              "low": {
                "value": 20,
                "unit": "g/L"
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                "value": 40,
                "unit": "g/L"
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            }
          ]
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        {
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              {
                "system": "http://snomed.info/sct",
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          },
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            "reference": "Patient/4"
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            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
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            "unit": "umol/L"
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            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
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            ]
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          "referenceRange": [
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                "value": 10,
                "unit": "umol/L"
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                "value": 33,
                "unit": "umol/L"
              }
            }
          ]
        },
        {
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          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "14647-2",
                "display": "Cholesterol [Moles/volume] in Serum or Plasma"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "77068002"
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          },
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            "reference": "Patient/4"
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          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
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            "unit": "mmol/L"
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            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
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          "referenceRange": [
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                "unit": "mmol/L"
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              }
            }
          ]
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                "system": "http://loinc.org",
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              },
              {
                "system": "http://snomed.info/sct",
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            ]
          },
          "subject": {
            "reference": "Patient/4"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
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            "unit": "mmol/L"
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                "unit": "mmol/L"
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              "high": {
                "value": 4.0,
                "unit": "mmol/L"
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            }
          ]
        }
      ],
      "identifier": [
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          "system": "http://acme.com/lab/reports",
          "value": "5234342"
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      ],
      "status": "final",
      "code": {
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      "subject": {
        "reference": "Patient/4"
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      "effectiveDateTime": "2004-12-05T07:15:17Z",
      "issued": "2005-02-23T10:04:01Z",
      "performer": [
        {
          "actor": {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        }
      ],
      "result": [
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          "reference": "#o1"
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        {
          "reference": "#o2"
        },
        {
          "reference": "#o3"
        },
        {
          "reference": "#o4"
        },
        {
          "reference": "#o5"
        },
        {
          "reference": "#o6"
        },
        {
          "reference": "#o7"
        },
        {
          "reference": "#o8"
        },
        {
          "reference": "#o9"
        },
        {
          "reference": "#o10"
        },
        {
          "reference": "#o11"
        },
        {
          "reference": "#o12"
        },
        {
          "reference": "#o13"
        },
        {
          "reference": "#o14"
        },
        {
          "reference": "#o15"
        },
        {
          "reference": "#o16"
        },
        {
          "reference": "#o17"
        },
        {
          "reference": "#o18"
        },
        {
          "reference": "#o19"
        },
        {
          "reference": "#o20"
        },
        {
          "reference": "#o21"
        },
        {
          "reference": "#o22"
        },
        {
          "reference": "#o23"
        },
        {
          "reference": "#o24"
        }
      ]
    }
  },
  {
    "fullUrl": "http://hl7.org/fhir/DiagnosticReport/25",
    "resource": {
      "resourceType": "DiagnosticReport",
      "id": "25",
      "meta": {
        "lastUpdated": "2012-04-14T10:35:23Z"
      },
      "text": {
        "status": "generated",
        "div": "<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 '18769-0' = 'Microbial susceptibility tests Set', given as 'Microbial susceptibility tests Set'})</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 '11475-1' = 'Microorganism identified in Unspecified specimen by Culture', given as 'Microorganism identified in Unspecified specimen by Culture'})</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 '43161-9' = 'Microorganism [#/volume] in Unspecified specimen by Viability count', given as 'Microorganism [#/volume] in Unspecified specimen by Viability count'})</span>; ????; Acme Laboratory, Inc; 20000 CFU/ML</li><li>id: o3; status: final; AMPICILLIN/SULBACTAM <span>(Details : {http://example.org/local code 'AMS' = 'AMS', given as 'AMPICILLIN/SULBACTAM'})</span>; ????; Acme Laboratory, Inc; 4 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o4; status: final; AMPICILLIN <span>(Details : {http://example.org/local code 'AM' = 'AM', given as 'AMPICILLIN'})</span>; ????; Acme Laboratory, Inc; 16 U; Resistant <span>(Details : {http://hl7.org/fhir/v2/0078 code 'R' = 'Resistant)</span></li><li>id: o5; status: final; AZTREONAM <span>(Details : {http://example.org/local code 'ATM' = 'ATM', given as 'AZTREONAM'})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o6; status: final; CEFAZOLIN <span>(Details : {http://example.org/local code 'CFZ' = 'CFZ', given as 'CEFAZOLIN'})</span>; ????; Acme Laboratory, Inc; &lt;=4 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o7; status: final; CEFEPIME <span>(Details : {http://example.org/local code 'FEP' = 'FEP', given as 'CEFEPIME'})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o8; status: final; CEFOTETAN <span>(Details : {http://example.org/local code 'CTN' = 'CTN', given as 'CEFOTETAN'})</span>; ????; Acme Laboratory, Inc; &lt;=4 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o9; status: final; CEFTAZIDIME <span>(Details : {http://example.org/local code 'TAZ' = 'TAZ', given as 'CEFTAZIDIME'})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o10; status: final; CEFTRIAXONE <span>(Details : {http://example.org/local code 'CRO' = 'CRO', given as 'CEFTRIAXONE'})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o11; status: final; CIPROFLOXACIN <span>(Details : {http://example.org/local code 'CIPRO' = 'CIPRO', given as 'CIPROFLOXACIN'})</span>; ????; Acme Laboratory, Inc; &lt;=0.25 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o12; status: final; GENTAMICIN <span>(Details : {http://example.org/local code 'GM' = 'GM', given as 'GENTAMICIN'})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o13; status: final; IMIPENEM <span>(Details : {http://example.org/local code 'IPM' = 'IPM', given as 'IMIPENEM'})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o14; status: final; LEVOFLOXACIN <span>(Details : {http://example.org/local code 'LVX' = 'LVX', given as 'LEVOFLOXACIN'})</span>; ????; Acme Laboratory, Inc; &lt;=0.25 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o15; status: final; NITROFURANTOIN <span>(Details : {http://example.org/local code 'NIT' = 'NIT', given as 'NITROFURANTOIN'})</span>; ????; Acme Laboratory, Inc; 32 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o16; status: final; PIPERACILLIN/TAZOBAC <span>(Details : {http://example.org/local code 'PTZ' = 'PTZ', given as 'PIPERACILLIN/TAZOBAC'})</span>; ????; Acme Laboratory, Inc; &lt;=4 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o17; status: final; TRIMETH/SULFA <span>(Details : {http://example.org/local code 'TRSUV' = 'TRSUV', given as 'TRIMETH/SULFA'})</span>; ????; Acme Laboratory, Inc; &lt;=20 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o18; status: final; TOBRAMYCIN <span>(Details : {http://example.org/local code 'TOB' = 'TOB', given as 'TOBRAMYCIN'})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li></ul></div>"
      },
      "contained": [
        {
          "resourceType": "Observation",
          "id": "o1",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "11475-1",
                "display": "Microorganism identified in Unspecified specimen by Culture"
              }
            ]
          },
          "subject": {
            "reference": "Patient/5"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueCodeableConcept": {
            "text": "KLEBSIELLA PNEUMONIAE"
          }
        },
        {
          "resourceType": "Observation",
          "id": "o2",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "43161-9",
                "display": "Microorganism [#/volume] in Unspecified specimen by Viability count"
              }
            ]
          },
          "subject": {
            "reference": "Patient/5"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 20000,
            "unit": "CFU/ML"
          }
        },
        {
          "resourceType": "Observation",
          "id": "o3",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://example.org/local",
                "code": "AMS",
                "display": "AMPICILLIN/SULBACTAM"
              }
            ]
          },
          "subject": {
            "reference": "Patient/5"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 4,
            "unit": "U"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "S"
              }
            ]
          }
        },
        {
          "resourceType": "Observation",
          "id": "o4",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://example.org/local",
                "code": "AM",
                "display": "AMPICILLIN"
              }
            ]
          },
          "subject": {
            "reference": "Patient/5"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 16,
            "unit": "U"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "R"
              }
            ]
          }
        },
        {
          "resourceType": "Observation",
          "id": "o5",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://example.org/local",
                "code": "ATM",
                "display": "AZTREONAM"
              }
            ]
          },
          "subject": {
            "reference": "Patient/5"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 1,
            "comparator": "<=",
            "unit": "U"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "S"
              }
            ]
          }
        },
        {
          "resourceType": "Observation",
          "id": "o6",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://example.org/local",
                "code": "CFZ",
                "display": "CEFAZOLIN"
              }
            ]
          },
          "subject": {
            "reference": "Patient/5"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 4,
            "comparator": "<=",
            "unit": "U"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "S"
              }
            ]
          }
        },
        {
          "resourceType": "Observation",
          "id": "o7",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://example.org/local",
                "code": "FEP",
                "display": "CEFEPIME"
              }
            ]
          },
          "subject": {
            "reference": "Patient/5"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 1,
            "comparator": "<=",
            "unit": "U"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "S"
              }
            ]
          }
        },
        {
          "resourceType": "Observation",
          "id": "o8",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://example.org/local",
                "code": "CTN",
                "display": "CEFOTETAN"
              }
            ]
          },
          "subject": {
            "reference": "Patient/5"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 4,
            "comparator": "<=",
            "unit": "U"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "S"
              }
            ]
          }
        },
        {
          "resourceType": "Observation",
          "id": "o9",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://example.org/local",
                "code": "TAZ",
                "display": "CEFTAZIDIME"
              }
            ]
          },
          "subject": {
            "reference": "Patient/5"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 1,
            "comparator": "<=",
            "unit": "U"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "S"
              }
            ]
          }
        },
        {
          "resourceType": "Observation",
          "id": "o10",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://example.org/local",
                "code": "CRO",
                "display": "CEFTRIAXONE"
              }
            ]
          },
          "subject": {
            "reference": "Patient/5"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 1,
            "comparator": "<=",
            "unit": "U"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "S"
              }
            ]
          }
        },
        {
          "resourceType": "Observation",
          "id": "o11",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://example.org/local",
                "code": "CIPRO",
                "display": "CIPROFLOXACIN"
              }
            ]
          },
          "subject": {
            "reference": "Patient/5"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 0.25,
            "comparator": "<=",
            "unit": "U"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "S"
              }
            ]
          }
        },
        {
          "resourceType": "Observation",
          "id": "o12",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://example.org/local",
                "code": "GM",
                "display": "GENTAMICIN"
              }
            ]
          },
          "subject": {
            "reference": "Patient/5"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 1,
            "comparator": "<=",
            "unit": "U"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "S"
              }
            ]
          }
        },
        {
          "resourceType": "Observation",
          "id": "o13",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://example.org/local",
                "code": "IPM",
                "display": "IMIPENEM"
              }
            ]
          },
          "subject": {
            "reference": "Patient/5"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 1,
            "comparator": "<=",
            "unit": "U"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "S"
              }
            ]
          }
        },
        {
          "resourceType": "Observation",
          "id": "o14",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://example.org/local",
                "code": "LVX",
                "display": "LEVOFLOXACIN"
              }
            ]
          },
          "subject": {
            "reference": "Patient/5"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 0.25,
            "comparator": "<=",
            "unit": "U"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "S"
              }
            ]
          }
        },
        {
          "resourceType": "Observation",
          "id": "o15",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://example.org/local",
                "code": "NIT",
                "display": "NITROFURANTOIN"
              }
            ]
          },
          "subject": {
            "reference": "Patient/5"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 32,
            "unit": "U"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "S"
              }
            ]
          }
        },
        {
          "resourceType": "Observation",
          "id": "o16",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://example.org/local",
                "code": "PTZ",
                "display": "PIPERACILLIN/TAZOBAC"
              }
            ]
          },
          "subject": {
            "reference": "Patient/5"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 4,
            "comparator": "<=",
            "unit": "U"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "S"
              }
            ]
          }
        },
        {
          "resourceType": "Observation",
          "id": "o17",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://example.org/local",
                "code": "TRSUV",
                "display": "TRIMETH/SULFA"
              }
            ]
          },
          "subject": {
            "reference": "Patient/5"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 20,
            "comparator": "<=",
            "unit": "U"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "S"
              }
            ]
          }
        },
        {
          "resourceType": "Observation",
          "id": "o18",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://example.org/local",
                "code": "TOB",
                "display": "TOBRAMYCIN"
              }
            ]
          },
          "subject": {
            "reference": "Patient/5"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueQuantity": {
            "value": 1,
            "comparator": "<=",
            "unit": "U"
          },
          "interpretation": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/v2/0078",
                "code": "S"
              }
            ]
          }
        }
      ],
      "identifier": [
        {
          "system": "http://acme.com/lab/reports",
          "value": "5234342"
        }
      ],
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "18769-0",
            "display": "Microbial susceptibility tests Set"
          }
        ]
      },
      "subject": {
        "reference": "Patient/5"
      },
      "effectiveDateTime": "2005-11-07T21:44:17Z",
      "issued": "2005-11-07T23:38:01Z",
      "performer": [
        {
          "actor": {
            "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
            "display": "Acme Laboratory, Inc"
          }
        }
      ],
      "specimen": [
        {
          "display": "URINE, CLEAN CATCH/MIDSTREAM"
        }
      ],
      "result": [
        {
          "reference": "#o1"
        },
        {
          "reference": "#o2"
        },
        {
          "reference": "#o3"
        },
        {
          "reference": "#o4"
        },
        {
          "reference": "#o5"
        },
        {
          "reference": "#o6"
        },
        {
          "reference": "#o7"
        },
        {
          "reference": "#o8"
        },
        {
          "reference": "#o9"
        },
        {
          "reference": "#o10"
        },
        {
          "reference": "#o11"
        },
        {
          "reference": "#o12"
        },
        {
          "reference": "#o13"
        },
        {
          "reference": "#o14"
        },
        {
          "reference": "#o15"
        },
        {
          "reference": "#o16"
        },
        {
          "reference": "#o17"
        },
        {
          "reference": "#o18"
        }
      ]
    }
  },
  {
    "fullUrl": "http://hl7.org/fhir/DiagnosticReport/26",
    "resource": {
      "resourceType": "DiagnosticReport",
      "id": "26",
      "meta": {
        "lastUpdated": "2012-04-14T10:35:23Z"
      },
      "text": {
        "status": "generated",
        "div": "<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 '142080' = '142080', given as 'Rapid Plasma Reagin'})</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 '20507-0' = 'Reagin Ab [Presence] in Serum by RPR', given as 'Reagin Ab [Presence] in Serum by RPR'})</span>; ????; Acme Laboratory, Inc; value: Non-reactive</p></div>"
      },
      "contained": [
        {
          "resourceType": "Observation",
          "id": "o1",
          "status": "final",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "20507-0",
                "display": "Reagin Ab [Presence] in Serum by RPR"
              }
            ]
          },
          "subject": {
            "reference": "Patient/6"
          },
          "performer": [
            {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          ],
          "valueString": "Non-reactive"
        }
      ],
      "identifier": [
        {
          "system": "http://acme.com/lab/reports",
          "value": "5234342"
        }
      ],
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.com/labs/reports",
            "code": "142080",
            "display": "Rapid Plasma Reagin"
          }
        ],
        "text": "RPR"
      },
      "subject": {
        "reference": "Patient/6"
      },
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]

}