<DiagnosticReport xmlns="http://hl7.org/fhir">
  <meta>
    <profile value="http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-DiagnosticReport|2.0.0" />
  </meta>
  <contained>
    <Patient>
      <id value="Patient1" />
      <identifier>
        <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-patient-hcn" />
        <value value="1234567">
          <extension url="http://ehealthontario.ca/fhir/StructureDefinition/ext-id-health-card-version-code">
            <valueString value="HN" />
          </extension>
        </value>
      </identifier>
      <name>
        <use value="official" />
        <family value="Onsmith1" />
        <given value="Onjohn1" />
        <given value="William">
          <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
            <valueCode value="MID" />
          </extension>
        </given>
        <prefix value="DR" />
        <suffix value="III" />
      </name>
      <telecom>
        <system value="phone" />
        <value value="555-555-5555" />
        <use value="work" />
      </telecom>
      <gender value="male" />
      <birthDate value="1926-02-24" />
      <deceasedDateTime value="2017-08-21T10:31:32-04:00" />
      <address>
        <use value="home" />
        <type value="physical" />
        <line value="13 Boring St" />
        <city value="Toronto" />
        <state value="ON" />
        <postalCode value="M1M M2M" />
        <country value="CAN" />
      </address>
      <contact>
        <relationship>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0131" />
            <code value="C" />
            <display value="emergency" />
          </coding>
        </relationship>
        <telecom>
          <system value="phone" />
          <value value="555-555-5555" />
        </telecom>
      </contact>
    </Patient>
  </contained>
  <contained>
    <Organization>
      <id value="lab1" />
      <identifier>
        <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-lab-license" />
        <value value="12345" />
      </identifier>
      <name value="Best Lab" />
      <address>
        <type value="both" />
        <line value="15 Happy St" />
        <city value="Toronto" />
        <state value="ON" />
        <postalCode value="M1M M2M" />
        <country value="CAN" />
      </address>
    </Organization>
  </contained>
  <contained>
    <PractitionerRole>
      <id value="practitioner-organization-1" />
      <organization>
        <reference value="#lab1" />
      </organization>
    </PractitionerRole>
  </contained>
  <contained>
    <Specimen>
      <id value="spec1" />
      <type>
        <coding>
          <system value="http://ehealthontario.ca/fhir/CodeSystem/ca-on-lab-specimen-source" />
          <code value="SER" />
          <display value="SERUM" />
        </coding>
      </type>
      <subject>
        <reference value="#Patient1" />
      </subject>
      <receivedTime value="2017-08-24T09:32:00-04:00" />
      <request>
        <reference value="#ServiceRequest1" />
      </request>
      <collection>
        <collector>
          <reference value="#practitioner-organization-1" />
        </collector>
        <collectedPeriod>
          <start value="2017-08-24T09:32:00-04:00" />
          <end value="2017-08-24T15:32:00-04:00" />
        </collectedPeriod>
        <quantity>
          <value value="5.4" />
          <unit value="mg/mL" />
        </quantity>
      </collection>
      <container>
        <extension url="http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-container-sample-num">
          <valueQuantity>
            <value value="2" />
          </valueQuantity>
        </extension>
        <identifier>
          <value value="ACL235617" />
        </identifier>
      </container>
      <note>
        <text value="Patient did not fast." />
      </note>
    </Specimen>
  </contained>
  <contained>
    <ServiceRequest>
      <id value="ServiceRequest1" />
      <extension url="http://ehealthontario.ca/fhir/StructureDefinition//ca-on-lab-ext-record-block">
        <valueBoolean value="true" />
      </extension>
      <extension url="http://ehealthontario.ca/fhir/StructureDefinition//ca-on-lab-ext-poc-test-id">
        <valueString value="PORT" />
      </extension>
      <extension url="http://ehealthontario.ca/fhir/StructureDefinition//ca-on-lab-ext-trq-sort-key">
        <valueString value="AC2345" />
      </extension>
      <identifier>
        <system value="http://ehealthontario.ca/fhir/NamingSystem/lab/test-request-id-lab-license-4004" />
        <value value="1231-R1" />
        <assigner>
          <reference value="#lab1" />
        </assigner>
      </identifier>
      <requisition>
        <system value="http://ehealthontario.ca/fhir/NamingSystem/lab/report-id-lab-license-4008" />
        <value value="11111121" />
        <assigner>
          <reference value="#lab1" />
        </assigner>
      </requisition>
      <status value="completed" />
      <intent value="order" />
      <priority value="routine" />
      <code>
        <coding>
          <system value="http://ehealthontario.ca/fhir/CodeSystem/ca-on-lab-test-request-codes" />
          <code value="TR11663-2" />
          <display value="Electrolytes" />
        </coding>
      </code>
      <subject>
        <reference value="#Patient1" />
      </subject>
      <occurrenceDateTime value="2017-08-22T12:10:41-04:00" />
      <authoredOn value="2017-08-22T12:10:41-04:00" />
      <requester>
        <reference value="#lab1" />
      </requester>
      <performer>
        <reference value="#lab1" />
      </performer>
      <specimen>
        <reference value="#spec1" />
      </specimen>
      <note>
        <text value="some note" />
      </note>
    </ServiceRequest>
  </contained>
  <contained>
    <Observation>
      <id value="observation1" />
      <identifier>
        <system value="http://ehealthontario.ca/fhir/NamingSystem/lab/filler-id-lab-license-4004" />
        <value value="23423432-F2" />
        <assigner>
          <reference value="#lab1" />
        </assigner>
      </identifier>
      <basedOn>
        <reference value="#ServiceRequest1" />
      </basedOn>
      <status value="registered" />
      <code>
        <coding>
          <system value="http://loinc.org" />
          <code value="18955-5" />
          <display value="NITROFURANTOIN:SUSC:PT:ISOLATE:ORDQN" />
        </coding>
      </code>
      <subject>
        <reference value="#Patient1" />
      </subject>
      <effectiveDateTime value="2017-08-24T11:51:24-04:00" />
      <issued value="2017-08-24T11:51:24-04:00" />
      <performer>
        <reference value="#lab1" />
      </performer>
      <interpretation>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
          <code value="R" />
          <display value="Resistant" />
        </coding>
      </interpretation>
      <method>
        <text value="MIC" />
      </method>
      <specimen>
        <reference value="#spec1" />
      </specimen>
    </Observation>
  </contained>
  <extension url="http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-replace-all">
    <valueBoolean value="true" />
  </extension>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
        <code value="ACSN" />
        <display value="Accession ID" />
      </coding>
    </type>
    <system value="http://ehealthontario.ca/fhir/NamingSystem/lab/report-id-lab-license-4008" />
    <value value="Contained 11111121" />
    <assigner>
      <reference value="#lab1" />
    </assigner>
  </identifier>
  <basedOn>
    <reference value="#ServiceRequest1" />
  </basedOn>
  <status value="final" />
  <code>
    <coding>
      <system value="http://loinc.org" />
      <code value="11502-2" />
      <display value=":Laboratory Report" />
    </coding>
  </code>
  <subject>
    <reference value="#Patient1" />
  </subject>
  <issued value="2017-08-22T10:55:53-04:00" />
  <performer>
    <reference value="#lab1" />
  </performer>
  <specimen>
    <reference value="#spec1" />
  </specimen>
  <result>
    <reference value="#observation1" />
  </result>
</DiagnosticReport>