{
  "resourceType": "DiagnosticReport",
  "id": "core-examples-DiagnosticReport-example19",
  "meta": {
    "versionId": "3",
    "lastUpdated": "2016-09-08T12:22:26.329+00:00"
  },
  "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>: 03/12/2004 8:45:17 PM</p><p><b>issued</b>: 03/12/2004 11:00:01 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/5; 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' = '59573005)</span>; Patient/5; 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' = '46511006)</span>; Patient/5; 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' = '88645003)</span>; Patient/5; 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' = '271057005)</span>; Patient/5; 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' = '36048009)</span>; Patient/5; 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' = '273967009)</span>; Patient/5; 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' = '70901006)</span>; Patient/5; 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' = '86228006)</span>; Patient/5; 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' = '27171005)</span>; Patient/5; 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' = '88810008)</span>; Patient/5; 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' = '69480007)</span>; Patient/5; 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' = '34608000)</span>; Patient/5; 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' = '45896001)</span>; Patient/5; 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' = '11274001)</span>; Patient/5; 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' = '71878006)</span>; Patient/5; 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' = '166708003)</span>; Patient/5; 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' = '104866001)</span>; Patient/5; 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' = '74040009)</span>; Patient/5; 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' = '104485008)</span>; Patient/5; 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' = '104979009)</span>; Patient/5; 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' = '42950004)</span>; Patient/5; 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' = '77068002)</span>; Patient/5; 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' = '104784006)</span>; Patient/5; Acme Laboratory, Inc; 0.9 mmol/L</li></ul></div>"
  },
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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"
          }
        ]
      },
      "subject": {
        "reference": "Patient/5"
      },
      "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/5"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
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      "valueQuantity": {
        "value": 4.2,
        "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/5"
      },
      "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/5"
      },
      "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/5"
      },
      "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/5"
      },
      "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/5"
      },
      "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/5"
      },
      "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/5"
      },
      "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/5"
      },
      "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/5"
      },
      "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/5"
      },
      "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/5"
      },
      "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": [
          {
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