<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" />
    <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>: 05/12/2004 6:15:17 PM</p>
      <p>
        <b>issued</b>: 23/02/2005 9:04:01 PM</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/7; 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' = '59573005)</span>; Patient/7; 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' = '46511006)</span>; Patient/7; 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' = '88645003)</span>; Patient/7; 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' = '271057005)</span>; Patient/7; 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' = '36048009)</span>; Patient/7; 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' = '273967009)</span>; Patient/7; 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' = '70901006)</span>; Patient/7; 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' = '86228006)</span>; Patient/7; 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' = '27171005)</span>; Patient/7; 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' = '88810008)</span>; Patient/7; 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' = '69480007)</span>; Patient/7; 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' = '34608000)</span>; Patient/7; 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' = '45896001)</span>; Patient/7; 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' = '11274001)</span>; Patient/7; 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' = '71878006)</span>; Patient/7; 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' = '166708003)</span>; Patient/7; 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' = '104866001)</span>; Patient/7; 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' = '74040009)</span>; Patient/7; 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/7; 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' = '104979009)</span>; Patient/7; 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' = '42950004)</span>; Patient/7; 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' = '77068002)</span>; Patient/7; 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' = '104784006)</span>; Patient/7; Acme Laboratory, Inc; 1.5 mmol/L</li>
      </ul>
    </div>
  </text>
  <contained>
    <Observation>
      <id value="o1" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://loinc.org" />
          <code value="2951-2" />
          <display value="Sodium [Moles/volume] in Serum or Plasma" />
        </coding>
        <coding>
          <system value="http://snomed.info/sct" />
          <code value="104934005" />
        </coding>
      </code>
      <subject>
        <reference value="Patient/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>
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        <coding>
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    <Observation>
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        <coding>
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          <code value="104485008" />
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        <display value="Acme Laboratory, Inc" />
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        <coding>
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          <code value="10834-0" />
          <display value="Globulin [Mass/volume] in Serum by calculation" />
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      <id value="o22" />
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        <coding>
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          <code value="14798-3" />
          <display value="Iron [Moles/volume] in Serum or Plasma" />
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    <Observation>
      <id value="o23" />
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        <coding>
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          <code value="14647-2" />
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          <code value="104784006" />
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</DiagnosticReport>