<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="core-examples-DiagnosticReport-example353" />
  <meta>
    <versionId value="3" />
    <lastUpdated value="2016-09-08T12:24:20.011+00:00" />
  </meta>
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">
      <pre>
CUMULATIVE REPORT
Req No:   Z968709
  Date:  05/04/12
  Time:     18:02                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            150                                      g/L       130-170
WCC           8.0                                      x10^9/L   4.0-11.0
PLT           189                                      x10^9/L   140-400
RCC          4.24L                                     x10^12/L  4.50-5.70
PCV          0.43                                      L/L       0.40-0.50
MCV         100.3H                                     fL        80.0-96.0
MCH          35.2H                                     pg        27.0-33.0
MCHC          351                                      g/L       320-360
RDW          13.3                                      %         11.0-15.0
White Cell Differential
Neut         5.1                                       x10^9/L   2.0-8.0
Lymph        2.0                                       x10^9/L   1.2-4.0
Mono         0.8                                       x10^9/L   0.1-1.0
Eos          0.1                                       x10^9/L   0.0-0.5
Baso         0.1                                       x10^9/L   0.0-0.1

12Z968709 05/04/12 18:02
Film Comment : Red cells are mildly macrocytic with some target cells.
               Unremarkable leucocytes and platelets
Conclusion: Common causes of macrocytosis include liver disease,
            B12/folate deficiency, hypothyroidism, alcohol, smoking,
            and certain drugs including chemotherapy. Suggest liver
            function tests, serum B12/folate levels, and review drug
            history if cause not already known.
</pre>
    </div>
  </text>
  <contained>
    <DiagnosticOrder>
      <id value="req" />
      <subject>
        <reference value="Patient/182" />
      </subject>
      <reason>
        <text value="Thrombophilic Screen" />
      </reason>
    </DiagnosticOrder>
  </contained>
  <identifier>
    <system value="http://acme.com/lab/reports" />
    <value value="12Z986709-16258352" />
  </identifier>
  <status value="final" />
  <code>
    <text value="FBE &amp; Routine Haem" />
  </code>
  <subject>
    <reference value="Patient/182" />
  </subject>
  <effectiveDateTime value="2012-04-05T18:02:00Z" />
  <issued value="2012-04-05T20:59:00+00:00" />
  <performer>
    <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f" />
    <display value="Acme Laboratory, Inc" />
  </performer>
  <request>
    <reference value="#req" />
  </request>
</DiagnosticReport>