<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="core-examples-DiagnosticReport-example168" />
  <meta>
    <versionId value="3" />
    <lastUpdated value="2016-09-08T12:22:53.516+00:00" />
  </meta>
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">
      <pre>
CUMULATIVE REPORT
Req No:   Z176645  Z868279  Z868875  Z986450  Z968847
  Date:  01/04/12 03/04/12 04/04/12 05/04/12 05/04/12
  Time:     22:00    02:00    00:30    00:10    20:59  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb             83L      79L      80L      82L      96L g/L       130-170
WCC          12.7H     9.2      8.1     10.9     16.1H x10^9/L   4.0-11.0
PLT           147      190      236      321      410H x10^9/L   140-400
RCC          2.70L    2.54L    2.55L    2.64L    3.12L x10^12/L  4.50-5.70
PCV          0.24L    0.23L    0.23L    0.24L    0.28L L/L       0.40-0.50
MCV          90.5     90.2     90.1     91.3     89.3  fL        80.0-96.0
MCH          30.9     31.1     31.3     31.0     30.8  pg        27.0-33.0
MCHC          341      345      347      340      344  g/L       320-360
RDW          14.4     14.5     14.7     14.6     14.3  %         11.0-15.0
White Cell Differential
Neut         9.6H     5.5      5.1      7.6     11.6H  x10^9/L   2.0-8.0
Lymph        1.7      2.3      1.1L     1.5      0.5L  x10^9/L   1.2-4.0
Mono         1.3H     0.6      1.4H     1.5H     2.6H  x10^9/L   0.1-1.0
Eos          0.1      0.3      0.3      0.3      0.0   x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0      0.1      0.0   x10^9/L   0.0-0.1
Bands                 0.5      0.2               1.4H  x10^9/L   0.0-0.5

12Z868279 03/04/12 02:00
Film Comment : Neutrophils show a slight left shift and mild toxic
               changes. Manual differential. Red cells are mainly
               normocytic normochromic with some target cells,
               polychromatic cells and mild rouleaux. Platelets appear
               normal.

12Z886875 04/04/12 00:30
Film Comment : Manual differential.

12Z968847 05/04/12 20:59
Film Comment : Manual differential. Mild neutrophilia and monocytosis
               with left shift and slight toxic granulation. Red cells
               essentially unchanged.
Conclusion: Increase in leucocyte count since the last examination.
            ? any acute infection / inflammation.
</pre>
    </div>
  </text>
  <identifier>
    <system value="http://acme.com/lab/reports" />
    <value value="12Z968847-16258571" />
  </identifier>
  <status value="final" />
  <code>
    <text value="FBE &amp; Routine Haem" />
  </code>
  <subject>
    <reference value="Patient/120" />
  </subject>
  <effectiveDateTime value="2012-04-05T20:59:00Z" />
  <issued value="2012-04-05T22:29:00+00:00" />
  <performer>
    <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
    <display value="Acme Laboratory, Inc" />
  </performer>
</DiagnosticReport>