<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="core-examples-DiagnosticReport-example279" />
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    <versionId value="3" />
    <lastUpdated value="2016-09-08T12:23:38.397+00:00" />
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  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">
      <pre>
CUMULATIVE REPORT
Req No:   Z886371  Z868965  Z968069  Z986477  Z968802
  Date:  03/04/12 04/04/12 04/04/12 05/04/12 05/04/12
  Time:     02:50    05:25    12:30    02:55    17:45  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb             89L      96L     100L      83L      94L g/L       130-170
WCC           2.4L     2.9L     2.6L     2.0L     3.1L x10^9/L   4.0-11.0
PLT            21L       7L      32L      17L      41L x10^9/L   140-400
RCC          2.71L    3.00L    3.07L    2.60L    2.90L x10^12/L  4.50-5.70
PCV          0.25L    0.27L    0.28L    0.24L    0.27L L/L       0.40-0.50
MCV          92.2     90.6     90.9     91.8     91.5  fL        80.0-96.0
MCH          32.7     32.1     32.5     31.9     32.2  pg        27.0-33.0
MCHC          355      354      358      347      352  g/L       320-360
RDW          15.7H    15.2H    15.4H    15.3H    15.0  %         11.0-15.0
White Cell Differential
Neut         2.1      2.0      2.4      1.5L           x10^9/L   2.0-8.0
Lymph        0.1L     0.1L     0.1L     0.0L           x10^9/L   1.2-4.0
Mono         0.1      0.3      0.1      0.1            x10^9/L   0.1-1.0
Eos          0.0      0.0      0.0      0.0            x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0      0.0            x10^9/L   0.0-0.1
Bands                 0.5               0.3            x10^9/L   0.0-0.5
Meta                  0.1H                             x10^9/L   0.0
Myelo                                   0.0            x10^9/L   0.0
NRBC                                       2H          /100WBCs  0
NRBC Abs                                0.0            x10^9/L   0

12Z868965 04/04/12 05:25
Film Comment : Marked thrombocytopenia. Neutrophils show a moderate left
               shift and mild toxic changes. Manual differential.
               Red cells show no significant changes - see previous
               report.
Conclusion: Known CMML -&gt; AML. Please note fall in platelet count
            since the last examination. ? Therapy related.

12Z986477 05/04/12 02:55
Film Comment : Moderate anaemia with red cells showing occasional target
               cells and polychromatic macrocytes. Platelets are markedly
               reduced in number. White cells show a mild neutropenia
               with a mild left shift showing mild toxic changes.
Conclusion: History of Bone Marrow Transplant for CMML -&gt; AML. Please
            note mild fall in haemoglobin since the last examination.
            Manual differential.

12Z968802 05/04/12 17:45
Comment: Post platelet increment
         Instrument parameters reported.
</pre>
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      <id value="req" />
      <subject>
        <reference value="Patient/102" />
      </subject>
      <reason>
        <text value="Post Platelet Increment" />
      </reason>
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  <identifier>
    <system value="http://acme.com/lab/reports" />
    <value value="12Z968802-16258432" />
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  <status value="final" />
  <code>
    <text value="FBE &amp; Routine Haem" />
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  <subject>
    <reference value="Patient/102" />
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  <effectiveDateTime value="2012-04-05T17:45:00Z" />
  <issued value="2012-04-05T17:45:00+00:00" />
  <performer>
    <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
    <display value="Acme Laboratory, Inc" />
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