<DiagnosticReport xmlns="http://hl7.org/fhir">
    <id value="core-examples-DiagnosticReport-example21" />
    <meta>
        <versionId value="3" />
        <lastUpdated value="2016-09-08T12:22:26.598+00:00" />
    </meta>
    <text>
        <status value="generated" />
        --- We have skipped the narrative for better readability of the resource ---
    </text>
    <contained>
        <Observation>
            <id value="o1" />
            <status value="final" />
            <code>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="2951-2" />
                    <display value="Sodium [Moles/volume] in Serum or Plasma" />
                </coding>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="104934005" />
                </coding>
            </code>
            <subject>
                <reference value="Patient/7" />
            </subject>
            <performer>
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
                <display value="Acme Laboratory, Inc" />
            </performer>
            <valueQuantity>
                <value value="143" />
                <unit value="mmol/L" />
            </valueQuantity>
            <referenceRange>
                <low>
                    <value value="137" />
                    <unit value="mmol/L" />
                </low>
                <high>
                    <value value="147" />
                    <unit value="mmol/L" />
                </high>
            </referenceRange>
        </Observation>
    </contained>
    <contained>
        <Observation>
            <id value="o2" />
            <status value="final" />
            <code>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="2823-3" />
                    <display value="Potassium [Moles/volume] in Serum or Plasma" />
                </coding>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="59573005" />
                </coding>
            </code>
            <subject>
                <reference value="Patient/7" />
            </subject>
            <performer>
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
                <display value="Acme Laboratory, Inc" />
            </performer>
            <valueQuantity>
                <value value="4.3" />
                <unit value="mmol/L" />
            </valueQuantity>
            <referenceRange>
                <low>
                    <value value="3.5" />
                    <unit value="mmol/L" />
                </low>
                <high>
                    <value value="5.0" />
                    <unit value="mmol/L" />
                </high>
            </referenceRange>
        </Observation>
    </contained>
    <contained>
        <Observation>
            <id value="o3" />
            <status value="final" />
            <code>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="2075-0" />
                    <display value="Chloride [Moles/volume] in Serum or Plasma" />
                </coding>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="46511006" />
                </coding>
            </code>
            <subject>
                <reference value="Patient/7" />
            </subject>
            <performer>
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
                <display value="Acme Laboratory, Inc" />
            </performer>
            <valueQuantity>
                <value value="108" />
                <unit value="mmol/L" />
            </valueQuantity>
            <referenceRange>
                <low>
                    <value value="96" />
                    <unit value="mmol/L" />
                </low>
                <high>
                    <value value="109" />
                    <unit value="mmol/L" />
                </high>
            </referenceRange>
        </Observation>
    </contained>
    <contained>
        <Observation>
            <id value="o4" />
            <status value="final" />
            <code>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="1963-8" />
                    <display value="Bicarbonate [Moles/volume] in Serum" />
                </coding>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="88645003" />
                </coding>
            </code>
            <subject>
                <reference value="Patient/7" />
            </subject>
            <performer>
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
                <display value="Acme Laboratory, Inc" />
            </performer>
            <valueQuantity>
                <value value="25" />
                <unit value="mmol/L" />
            </valueQuantity>
            <referenceRange>
                <low>
                    <value value="25" />
                    <unit value="mmol/L" />
                </low>
                <high>
                    <value value="33" />
                    <unit value="mmol/L" />
                </high>
            </referenceRange>
        </Observation>
    </contained>
    <contained>
        <Observation>
            <id value="o5" />
            <status value="final" />
            <code>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="1863-0" />
                    <display value="Anion gap 4 in Serum or Plasma" />
                </coding>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="271057005" />
                </coding>
            </code>
            <subject>
                <reference value="Patient/7" />
            </subject>
            <performer>
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
                <display value="Acme Laboratory, Inc" />
            </performer>
            <valueQuantity>
                <value value="14" />
                <unit value="mmol/L" />
            </valueQuantity>
            <referenceRange>
                <low>
                    <value value="4" />
                    <unit value="mmol/L" />
                </low>
                <high>
                    <value value="17" />
                    <unit value="mmol/L" />
                </high>
            </referenceRange>
        </Observation>
    </contained>
    <contained>
        <Observation>
            <id value="o6" />
            <status value="final" />
            <code>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="14749-6" />
                    <display value="Glucose [Moles/volume] in Serum or Plasma" />
                </coding>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="36048009" />
                </coding>
            </code>
            <subject>
                <reference value="Patient/7" />
            </subject>
            <performer>
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
                <display value="Acme Laboratory, Inc" />
            </performer>
            <valueQuantity>
                <value value="4.3" />
                <unit value="mmol/L" />
            </valueQuantity>
            <referenceRange>
                <low>
                    <value value="3.0" />
                    <unit value="mmol/L" />
                </low>
                <high>
                    <value value="7.7" />
                    <unit value="mmol/L" />
                </high>
            </referenceRange>
        </Observation>
    </contained>
    <contained>
        <Observation>
            <id value="o7" />
            <status value="final" />
            <code>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="14937-7" />
                    <display value="Urea nitrogen [Moles/volume] in Serum or Plasma" />
                </coding>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="273967009" />
                </coding>
            </code>
            <subject>
                <reference value="Patient/7" />
            </subject>
            <performer>
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
                <display value="Acme Laboratory, Inc" />
            </performer>
            <valueQuantity>
                <value value="4.6" />
                <unit value="mmol/L" />
            </valueQuantity>
            <referenceRange>
                <low>
                    <value value="2.0" />
                    <unit value="mmol/L" />
                </low>
                <high>
                    <value value="7.0" />
                    <unit value="mmol/L" />
                </high>
            </referenceRange>
        </Observation>
    </contained>
    <contained>
        <Observation>
            <id value="o8" />
            <status value="final" />
            <code>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="14682-9" />
                    <display value="Creatinine [Moles/volume] in Serum or Plasma" />
                </coding>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="70901006" />
                </coding>
            </code>
            <subject>
                <reference value="Patient/7" />
            </subject>
            <performer>
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
                <display value="Acme Laboratory, Inc" />
            </performer>
            <valueQuantity>
                <value value="0.06" />
                <unit value="mmol/L" />
            </valueQuantity>
            <referenceRange>
                <low>
                    <value value="0.04" />
                    <unit value="mmol/L" />
                </low>
                <high>
                    <value value="0.11" />
                    <unit value="mmol/L" />
                </high>
            </referenceRange>
        </Observation>
    </contained>
    <contained>
        <Observation>
            <id value="o9" />
            <status value="final" />
            <code>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="14933-6" />
                    <display value="Urate [Moles/volume] in Serum or Plasma" />
                </coding>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="86228006" />
                </coding>
            </code>
            <subject>
                <reference value="Patient/7" />
            </subject>
            <performer>
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
                <display value="Acme Laboratory, Inc" />
            </performer>
            <valueQuantity>
                <value value="0.41" />
                <unit value="mmol/L" />
            </valueQuantity>
            <interpretation>
                <coding>
                    <system value="http://hl7.org/fhir/v2/0078" />
                    <code value="HH" />
                </coding>
            </interpretation>
            <referenceRange>
                <low>
                    <value value="0.14" />
                    <unit value="mmol/L" />
                </low>
                <high>
                    <value value="0.35" />
                    <unit value="mmol/L" />
                </high>
            </referenceRange>
        </Observation>
    </contained>
    <contained>
        <Observation>
            <id value="o10" />
            <status value="final" />
            <code>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="14631-6" />
                    <display value="Bilirubin.total [Moles/volume] in Serum or Plasma" />
                </coding>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="27171005" />
                </coding>
            </code>
            <subject>
                <reference value="Patient/7" />
            </subject>
            <performer>
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
                <display value="Acme Laboratory, Inc" />
            </performer>
            <valueQuantity>
                <value value="27" />
                <unit value="umol/L" />
            </valueQuantity>
            <interpretation>
                <coding>
                    <system value="http://hl7.org/fhir/v2/0078" />
                    <code value="H" />
                </coding>
            </interpretation>
            <referenceRange>
                <low>
                    <value value="2" />
                    <unit value="umol/L" />
                </low>
                <high>
                    <value value="20" />
                    <unit value="umol/L" />
                </high>
            </referenceRange>
        </Observation>
    </contained>
    <contained>
        <Observation>
            <id value="o11" />
            <status value="final" />
            <code>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="6768-6" />
                    <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma" />
                </coding>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="88810008" />
                </coding>
            </code>
            <subject>
                <reference value="Patient/7" />
            </subject>
            <performer>
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
                <display value="Acme Laboratory, Inc" />
            </performer>
            <valueQuantity>
                <value value="631" />
                <unit value="U/L" />
            </valueQuantity>
            <interpretation>
                <coding>
                    <system value="http://hl7.org/fhir/v2/0078" />
                    <code value="HH" />
                </coding>
            </interpretation>
            <referenceRange>
                <low>
                    <value value="30" />
                    <unit value="U/L" />
                </low>
                <high>
                    <value value="115" />
                    <unit value="U/L" />
                </high>
            </referenceRange>
        </Observation>
    </contained>
    <contained>
        <Observation>
            <id value="o12" />
            <status value="final" />
            <code>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="2324-2" />
                    <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma" />
                </coding>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="69480007" />
                </coding>
            </code>
            <subject>
                <reference value="Patient/7" />
            </subject>
            <performer>
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
                <display value="Acme Laboratory, Inc" />
            </performer>
            <valueQuantity>
                <value value="956" />
                <unit value="U/L" />
            </valueQuantity>
            <interpretation>
                <coding>
                    <system value="http://hl7.org/fhir/v2/0078" />
                    <code value="HH" />
                </coding>
            </interpretation>
            <referenceRange>
                <low>
                    <value value="0" />
                    <unit value="U/L" />
                </low>
                <high>
                    <value value="45" />
                    <unit value="U/L" />
                </high>
            </referenceRange>
        </Observation>
    </contained>
    <contained>
        <Observation>
            <id value="o13" />
            <status value="final" />
            <code>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="1742-6" />
                    <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma" />
                </coding>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="34608000" />
                </coding>
            </code>
            <subject>
                <reference value="Patient/7" />
            </subject>
            <performer>
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
                <display value="Acme Laboratory, Inc" />
            </performer>
            <valueQuantity>
                <value value="398" />
                <unit value="U/L" />
            </valueQuantity>
            <interpretation>
                <coding>
                    <system value="http://hl7.org/fhir/v2/0078" />
                    <code value="HH" />
                </coding>
            </interpretation>
            <referenceRange>
                <low>
                    <value value="0" />
                    <unit value="U/L" />
                </low>
                <high>
                    <value value="45" />
                    <unit value="U/L" />
                </high>
            </referenceRange>
        </Observation>
    </contained>
    <contained>
        <Observation>
            <id value="o14" />
            <status value="final" />
            <code>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="1920-8" />
                    <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" />
                </coding>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="45896001" />
                </coding>
            </code>
            <subject>
                <reference value="Patient/7" />
            </subject>
            <performer>
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
                <display value="Acme Laboratory, Inc" />
            </performer>
            <valueQuantity>
                <value value="120" />
                <unit value="U/L" />
            </valueQuantity>
            <interpretation>
                <coding>
                    <system value="http://hl7.org/fhir/v2/0078" />
                    <code value="HH" />
                </coding>
            </interpretation>
            <referenceRange>
                <low>
                    <value value="0" />
                    <unit value="U/L" />
                </low>
                <high>
                    <value value="41" />
                    <unit value="U/L" />
                </high>
            </referenceRange>
        </Observation>
    </contained>
    <contained>
        <Observation>
            <id value="o15" />
            <status value="final" />
            <code>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="2532-0" />
                    <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma" />
                </coding>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="11274001" />
                </coding>
            </code>
            <subject>
                <reference value="Patient/7" />
            </subject>
            <performer>
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
                <display value="Acme Laboratory, Inc" />
            </performer>
            <valueQuantity>
                <value value="243" />
                <unit value="U/L" />
            </valueQuantity>
            <referenceRange>
                <low>
                    <value value="80" />
                    <unit value="U/L" />
                </low>
                <high>
                    <value value="250" />
                    <unit value="U/L" />
                </high>
            </referenceRange>
        </Observation>
    </contained>
    <contained>
        <Observation>
            <id value="o16" />
            <status value="final" />
            <code>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="2000-8" />
                    <display value="Calcium [Moles/volume] in Serum or Plasma" />
                </coding>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="71878006" />
                </coding>
            </code>
            <subject>
                <reference value="Patient/7" />
            </subject>
            <performer>
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
                <display value="Acme Laboratory, Inc" />
            </performer>
            <valueQuantity>
                <value value="2.33" />
                <unit value="mmol/L" />
            </valueQuantity>
            <referenceRange>
                <low>
                    <value value="2.25" />
                    <unit value="mmol/L" />
                </low>
                <high>
                    <value value="2.65" />
                    <unit value="mmol/L" />
                </high>
            </referenceRange>
        </Observation>
    </contained>
    <contained>
        <Observation>
            <id value="o17" />
            <status value="final" />
            <code>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="13959-2" />
                    <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation" />
                </coding>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="166708003" />
                </coding>
            </code>
            <subject>
                <reference value="Patient/7" />
            </subject>
            <performer>
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
                <display value="Acme Laboratory, Inc" />
            </performer>
            <valueQuantity>
                <value value="2.52" />
                <unit value="mmol/L" />
            </valueQuantity>
            <referenceRange>
                <low>
                    <value value="2.25" />
                    <unit value="mmol/L" />
                </low>
                <high>
                    <value value="2.65" />
                    <unit value="mmol/L" />
                </high>
            </referenceRange>
        </Observation>
    </contained>
    <contained>
        <Observation>
            <id value="o18" />
            <status value="final" />
            <code>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="14879-1" />
                    <display value="Phosphate [Moles/volume] in Serum or Plasma" />
                </coding>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="104866001" />
                </coding>
            </code>
            <subject>
                <reference value="Patient/7" />
            </subject>
            <performer>
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
                <display value="Acme Laboratory, Inc" />
            </performer>
            <valueQuantity>
                <value value="1.2" />
                <unit value="mmol/L" />
            </valueQuantity>
            <referenceRange>
                <low>
                    <value value="0.8" />
                    <unit value="mmol/L" />
                </low>
                <high>
                    <value value="1.5" />
                    <unit value="mmol/L" />
                </high>
            </referenceRange>
        </Observation>
    </contained>
    <contained>
        <Observation>
            <id value="o19" />
            <status value="final" />
            <code>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="2885-2" />
                    <display value="Protein [Mass/volume] in Serum or Plasma" />
                </coding>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="74040009" />
                </coding>
            </code>
            <subject>
                <reference value="Patient/7" />
            </subject>
            <performer>
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
                <display value="Acme Laboratory, Inc" />
            </performer>
            <valueQuantity>
                <value value="71" />
                <unit value="g/L" />
            </valueQuantity>
            <referenceRange>
                <low>
                    <value value="60" />
                    <unit value="g/L" />
                </low>
                <high>
                    <value value="82" />
                    <unit value="g/L" />
                </high>
            </referenceRange>
        </Observation>
    </contained>
    <contained>
        <Observation>
            <id value="o20" />
            <status value="final" />
            <code>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="1751-7" />
                    <display value="Albumin [Mass/volume] in Serum or Plasma" />
                </coding>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="104485008" />
                </coding>
            </code>
            <subject>
                <reference value="Patient/7" />
            </subject>
            <performer>
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
                <display value="Acme Laboratory, Inc" />
            </performer>
            <valueQuantity>
                <value value="36" />
                <unit value="g/L" />
            </valueQuantity>
            <referenceRange>
                <low>
                    <value value="35" />
                    <unit value="g/L" />
                </low>
                <high>
                    <value value="50" />
                    <unit value="g/L" />
                </high>
            </referenceRange>
        </Observation>
    </contained>
    <contained>
        <Observation>
            <id value="o21" />
            <status value="final" />
            <code>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="10834-0" />
                    <display value="Globulin [Mass/volume] in Serum by calculation" />
                </coding>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="104979009" />
                </coding>
            </code>
            <subject>
                <reference value="Patient/7" />
            </subject>
            <performer>
                <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
                <display value="Acme Laboratory, Inc" />
            </performer>
            <valueQuantity>
                <value value="35" />
                <unit value="g/L" />
            </valueQuantity>
            <referenceRange>
                <low>
                    <value value="20" />
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        <value value="5234342" />
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    <code>
        <text value="SERUM CHEMISTRY" />
    </code>
    <subject>
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    <issued value="2005-02-23T10:04:01+00:00" />
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</DiagnosticReport>