Bundle Example - Full Blood Count Report

path-mockup-FBC-report

  • This is an example of a report that contains the results associated with a single test group.
  • Within the context of this specification a test group is defined as a set of related tests. Test groups are often referred to as batteries, panels or profiles.
  • The test group is defined as an Observation and is referenced from DiagnosticReport using DiagnosticReport.result. The test group Observation references other Observations that contain the associated test results. The references are defined using Observation.hasMember.
  • In this example, the specimen (venous blood) was collected after the request was made. The specimen is linked to the request within the Bundle using Specimen.request.
  • An explanation that describes why the tests have been requested is carried in ServiceRequest.reasonCode. In this example, clinical information is provided as free text (“Tired all the time, shortness of breath, arrhythmia") and so the CodeableConcept.text element is used.

The following is a simplified logical data model that illustrates the key references between the core FHIR profiles in the associated Bundle. To aid clarity, not all of the references are shown. For a detailed description of the relationships between the FHIR profiles, and how they may be used, refer to How to Construct Bundles.


path-data-model-FBC-report

{
"resourceType": "Bundle",
"id": "e96634d8-0fe6-4954-b2d5-755a7787b987",
"meta": {
"lastUpdated": "2022-02-09T11:17:00+00:00"
},
"system": "urn:ietf:rfc:3986",
"value": "urmn:uuid:866e3e7a-2142-4af2-8461-2d2e876e8521"
},
"type": "document",
"timestamp": "2022-02-09T11:17:00+00:00",
"entry": [
{
"fullUrl": "urn:uuid:604765c4-0e8a-4cd6-96a0-a2651fb5ab19",
"resourceType": "Composition",
"id": "604765c4-0e8a-4cd6-96a0-a2651fb5ab19",
{
"url": "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition",
"reference": "urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac"
}
},
{
"url": "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference",
"reference": "urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20"
}
}
],
"system": "https://tools.ietf.org/html/rfc4122",
"value": "c3d5e6f7-8901-2345-6789-0abcdef12345"
},
"status": "final",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "721981007",
"display": "Diagnostic studies report"
}
]
},
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "394915009",
"display": "General pathology (specialty)"
}
]
}
],
"subject": {
"reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9727710859"
}
},
"date": "2022-03-08T12:09:00+00:00",
"author": [
{
"reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338"
}
],
"title": "Laboratory Report",
"section": [
{
"title": "FBC - full blood count",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1022441000000101",
"display": "FBC - full blood count"
}
]
},
"entry": [
{
"reference": "urn:uuid:ad717ae8-cb35-4d66-ba51-e22a76b1d158"
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
"resourceType": "Organization",
"id": "8a6d85b8-9837-4fed-a257-4cf207988338",
{
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "Y8J7D"
}
],
"name": "TD008362 PATH LAB 001",
"address": [
{
"line": [
"PATHOLOGY LAB",
"7-8 WELLINGTON PLACE"
],
"city": "LEEDS",
"district": "WEST YORKSHIRE",
"postalCode": "LS1 4AP"
}
]
}
},
{
"fullUrl": "urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434",
"resourceType": "Organization",
"id": "3c43b5b3-06d6-445f-ae9a-48d5f05df434",
{
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "B82033"
}
],
"name": "PICKERING MEDICAL PRACTICE",
"address": [
{
"line": [
"SOUTHGATE"
],
"city": "PICKERING",
"district": "NORTH YORKSHIRE",
"postalCode": "YO18 8BL"
}
]
}
},
{
"fullUrl": "urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe",
"resourceType": "Practitioner",
"id": "9a835acf-d715-4d84-8dcf-a8435f6417fe",
{
"system": "https://fhir.hl7.org.uk/Id/gmc-number",
"value": "C1008215"
}
],
"name": [
{
"use": "official",
"family": "GASKELL",
"given": [
"Gale"
],
"prefix": [
"Dr"
]
}
]
}
},
{
"fullUrl": "urn:uuid:e1f4d3c2-5b6a-4f7e-9d8c-0b1a2c3d4e5f",
"resourceType": "PractitionerRole",
"id": "e1f4d3c2-5b6a-4f7e-9d8c-0b1a2c3d4e5f",
"reference": "urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe"
},
"reference": "urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434"
},
"code": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "62247001",
"display": "General practitioner"
}
]
}
],
{
"coding": [
{
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"code": "600",
"display": "General Medical Practice"
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
"resourceType": "Patient",
"id": "ab87a3f8-1d37-44a9-804e-5e962598a6e4",
{
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9727710859"
}
]
}
},
{
"fullUrl": "urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac",
"resourceType": "ServiceRequest",
"id": "1c38d507-9ad7-4b49-ba91-7da204842cac",
{
"system": "http://B82033-pickeringmedicalpractice.com/labrequest",
"value": "REQ-20220129-000012"
}
],
"status": "active",
"intent": "order",
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "108252007",
"display": "Laboratory procedure"
}
]
}
],
"subject": {
"reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9727710859"
}
},
"authoredOn": "2022-02-07T09:17:00+00:00",
"reference": "urn:uuid:e1f4d3c2-5b6a-4f7e-9d8c-0b1a2c3d4e5f"
},
{
"reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338"
}
],
{
"text": "Tired all the time, shortness of breath, arrhythmia"
}
]
}
},
{
"fullUrl": "urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20",
"resourceType": "DiagnosticReport",
"id": "35d46ca1-f253-4c97-b7ee-fb5fccdf6c20",
{
"system": "http://Y8J7D-pathlab001.com/report",
"value": "REP-20220209-001369"
}
],
"basedOn": [
{
"reference": "urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac"
}
],
"status": "final",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "LAB",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "721981007",
"display": "Diagnostic studies report"
}
]
},
"subject": {
"reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9727710859"
}
},
"issued": "2022-02-09T11:17:00+00:00",
{
"reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338"
}
],
{
"reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d"
}
],
"result": [
{
"reference": "urn:uuid:ad717ae8-cb35-4d66-ba51-e22a76b1d158"
}
]
}
},
{
"fullUrl": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d",
"resourceType": "Specimen",
"id": "bab0eaec-1ec5-4598-b660-90bb38a1030d",
{
"system": "http://B82033-pickeringmedicalpractice.com/specimen",
"value": "SPC-REQ-20220208-000016"
}
],
"system": "http://Y8J7D-pathlab001.com/specimen",
"value": "SPC-Lab-20220208-001397"
},
"status": "available",
"type": {
"text": "Venous blood specimen"
},
"subject": {
"reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9727710859"
}
},
"receivedTime": "2022-02-08T16:03:00+00:00",
"request": [
{
"reference": "urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac"
}
],
"collectedDateTime": "2022-02-08T10:23:00+00:00"
}
}
},
{
"fullUrl": "urn:uuid:ad717ae8-cb35-4d66-ba51-e22a76b1d158",
"resourceType": "Observation",
"id": "ad717ae8-cb35-4d66-ba51-e22a76b1d158",
{
"url": "http://hl7.org/fhir/6.0/StructureDefinition/extension-Observation.organizer",
"valueBoolean": true
}
],
{
"system": "https://tools.ietf.org/html/rfc4122",
"value": "2af46949-4938-4c57-bad4-c4363e1965d5"
}
],
"status": "final",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1022441000000101",
"display": "FBC - full blood count"
}
]
},
"subject": {
"reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9727710859"
}
},
"issued": "2022-02-09T11:17:00+00:00",
{
"reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338"
}
],
"reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d"
},
{
"reference": "urn:uuid:f8c185fc-0993-4b80-9d33-4c9ae11c3afe"
},
{
"reference": "urn:uuid:78afe41f-4689-41a2-b10d-351a991b261a"
},
{
"reference": "urn:uuid:b7849f25-3c44-4542-805f-ba769b7cfe04"
},
{
"reference": "urn:uuid:b483a0bf-c332-4dde-b606-ec29aab33583"
},
{
"reference": "urn:uuid:9e44a75d-e676-4497-aeb3-da72a08a3641"
},
{
"reference": "urn:uuid:ba423cce-bf8c-440c-8061-086055a1799b"
},
{
"reference": "urn:uuid:af52170f-763a-40a6-9363-dc58cd72602e"
},
{
"reference": "urn:uuid:298306aa-4a5e-4442-8f60-9153c19c6333"
},
{
"reference": "urn:uuid:69d08add-5ab8-46a3-be08-fb15e550da75"
},
{
"reference": "urn:uuid:d5995ac0-55d8-4f2f-9058-6235a13fc1fe"
},
{
"reference": "urn:uuid:42d1c079-777a-4878-b568-af6f297dbecb"
},
{
"reference": "urn:uuid:56f9a606-221b-462b-b134-154c72db9c66"
},
{
"reference": "urn:uuid:d719524b-993c-455c-9c18-36e3dfe6f71e"
}
]
}
},
{
"fullUrl": "urn:uuid:f8c185fc-0993-4b80-9d33-4c9ae11c3afe",
"resourceType": "Observation",
"id": "f8c185fc-0993-4b80-9d33-4c9ae11c3afe",
{
"system": "https://tools.ietf.org/html/rfc4122",
"value": "2af46949-4938-4c57-bad4-c4363e1965d5"
}
],
"status": "final",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-reference",
"valueUri": "https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyBoundedCodeListObservables"
}
],
"system": "http://snomed.info/sct",
"code": "1022541000000102",
"display": "Total white cell count"
},
{
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-reference",
"valueUri": "https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables"
}
],
"system": "http://snomed.info/sct",
"code": "1110441000000100",
"display": "White blood cell count in blood"
}
]
},
"subject": {
"reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9727710859"
}
},
"issued": "2022-02-09T11:17:00+00:00",
{
"reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338"
}
],
"value": 4.76,
"unit": "10*9/L"
},
"reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d"
},
{
"low": {
"value": 4,
"unit": "10*9/L"
},
"high": {
"value": 11,
"unit": "10*9/L"
}
}
]
}
},
{
"fullUrl": "urn:uuid:78afe41f-4689-41a2-b10d-351a991b261a",
"resourceType": "Observation",
"id": "78afe41f-4689-41a2-b10d-351a991b261a",
{
"system": "https://tools.ietf.org/html/rfc4122",
"value": "2af46949-4938-4c57-bad4-c4363e1965d5"
}
],
"status": "final",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1022451000000103",
"display": "Red blood cell count"
}
]
},
"subject": {
"reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9727710859"
}
},
"issued": "2022-02-09T11:17:00+00:00",
{
"reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338"
}
],
"value": 3.63,
"unit": "10*12/L"
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "L",
"display": "Low"
}
]
}
],
"reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d"
},
{
"low": {
"value": 4.1,
"unit": "10*12/L"
},
"high": {
"value": 5.1,
"unit": "10*12/L"
}
}
]
}
},
{
"fullUrl": "urn:uuid:b7849f25-3c44-4542-805f-ba769b7cfe04",
"resourceType": "Observation",
"id": "b7849f25-3c44-4542-805f-ba769b7cfe04",
{
"system": "https://tools.ietf.org/html/rfc4122",
"value": "2af46949-4938-4c57-bad4-c4363e1965d5"
}
],
"status": "final",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-reference",
"valueUri": "https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyBoundedCodeListObservables"
}
],
"system": "http://snomed.info/sct",
"code": "1022431000000105",
"display": "Haemoglobin estimation"
},
{
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-reference",
"valueUri": "https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables"
}
],
"system": "http://snomed.info/sct",
"code": "1107511000000100",
"display": "Haemoglobin mass concentration in blood"
}
]
},
"subject": {
"reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9727710859"
}
},
"issued": "2022-02-09T11:17:00+00:00",
{
"reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338"
}
],
"value": 108,
"unit": "g/L"
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "L",
"display": "Low"
}
]
}
],
"reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d"
},
{
"low": {
"value": 120,
"unit": "g/L"
},
"high": {
"value": 150,
"unit": "g/L"
}
}
]
}
},
{
"fullUrl": "urn:uuid:b483a0bf-c332-4dde-b606-ec29aab33583",
"resourceType": "Observation",
"id": "b483a0bf-c332-4dde-b606-ec29aab33583",
{
"system": "https://tools.ietf.org/html/rfc4122",
"value": "2af46949-4938-4c57-bad4-c4363e1965d5"
}
],
"status": "final",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-reference",
"valueUri": "https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyBoundedCodeListObservables"
}
],
"system": "http://snomed.info/sct",
"code": "1022291000000105",
"display": "Haematocrit"
},
{
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-reference",
"valueUri": "https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables"
}
],
"system": "http://snomed.info/sct",
"code": "1111571000000101",
"display": "Haematocrit volume fraction of blood"
}
]
},
"subject": {
"reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9727710859"
}
},
"issued": "2022-02-09T11:17:00+00:00",
{
"reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338"
}
],
"value": 0.352,
"unit": "l/l"
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "L",
"display": "Low"
}
]
}
],
"reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d"
},
{
"low": {
"value": 0.36,
"unit": "l/l"
},
"high": {
"value": 0.46,
"unit": "l/l"
}
}
]
}
},
{
"fullUrl": "urn:uuid:9e44a75d-e676-4497-aeb3-da72a08a3641",
"resourceType": "Observation",
"id": "9e44a75d-e676-4497-aeb3-da72a08a3641",
{
"system": "https://tools.ietf.org/html/rfc4122",
"value": "2af46949-4938-4c57-bad4-c4363e1965d5"
}
],
"status": "final",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-reference",
"valueUri": "https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyBoundedCodeListObservables"
}
],
"system": "http://snomed.info/sct",
"code": "1022491000000106",
"display": "MCV - Mean corpuscular volume"
},
{
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-reference",
"valueUri": "https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables"
}
],
"system": "http://snomed.info/sct",
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Bundle.entry[21].resource[0].code[0].coding[1].display[0]Eosinophil count in blood
Bundle.entry[21].resource[0].subject[0].reference[0]urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
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Bundle.entry[21].resource[0].issued[0]2022-02-09T11:17:00+00:00
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Bundle.entry[21].resource[0].specimen[0].reference[0]urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d
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Bundle.entry[21].resource[0].referenceRange[0].low[0].unit[0]10*9/L
Bundle.entry[21].resource[0].referenceRange[0].high[0].value[0]0.5
Bundle.entry[21].resource[0].referenceRange[0].high[0].unit[0]10*9/L
Bundle.entry[22].fullUrl[0]urn:uuid:d719524b-993c-455c-9c18-36e3dfe6f71e
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Bundle.entry[22].resource[0].identifier[0].system[0]https://tools.ietf.org/html/rfc4122
Bundle.entry[22].resource[0].identifier[0].value[0]2af46949-4938-4c57-bad4-c4363e1965d5
Bundle.entry[22].resource[0].status[0]final
Bundle.entry[22].resource[0].category[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[22].resource[0].category[0].coding[0].code[0]laboratory
Bundle.entry[22].resource[0].category[0].coding[0].display[0]Laboratory
Bundle.entry[22].resource[0].code[0].coding[0].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/valueset-reference
Bundle.entry[22].resource[0].code[0].coding[0].extension[0].value[0]https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyBoundedCodeListObservables
Bundle.entry[22].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[22].resource[0].code[0].coding[0].code[0]1022571000000108
Bundle.entry[22].resource[0].code[0].coding[0].display[0]Basophil count
Bundle.entry[22].resource[0].code[0].coding[1].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/valueset-reference
Bundle.entry[22].resource[0].code[0].coding[1].extension[0].value[0]https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables
Bundle.entry[22].resource[0].code[0].coding[1].system[0]http://snomed.info/sct
Bundle.entry[22].resource[0].code[0].coding[1].code[0]1106091000000103
Bundle.entry[22].resource[0].code[0].coding[1].display[0]Basophil count in blood
Bundle.entry[22].resource[0].subject[0].reference[0]urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Bundle.entry[22].resource[0].subject[0].identifier[0].system[0]https://fhir.nhs.uk/Id/nhs-number
Bundle.entry[22].resource[0].subject[0].identifier[0].value[0]9727710859
Bundle.entry[22].resource[0].issued[0]2022-02-09T11:17:00+00:00
Bundle.entry[22].resource[0].performer[0].reference[0]urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[22].resource[0].value[0].value[0]0.03
Bundle.entry[22].resource[0].value[0].unit[0]10*9/L
Bundle.entry[22].resource[0].specimen[0].reference[0]urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d
Bundle.entry[22].resource[0].referenceRange[0].low[0].value[0]0.01
Bundle.entry[22].resource[0].referenceRange[0].low[0].unit[0]10*9/L
Bundle.entry[22].resource[0].referenceRange[0].high[0].value[0]0.1
Bundle.entry[22].resource[0].referenceRange[0].high[0].unit[0]10*9/L