<Observation xmlns="http://hl7.org/fhir">
  <id value="spark4" />
  <meta>
    <versionId value="spark4" />
    <lastUpdated value="2015-10-02T13:05:34.347+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>: obs-uslab-example4</p>
      <p>
        <b>identifier</b>: lab test result ID = 4567 (OFFICIAL)</p>
      <p>
        <b>status</b>: final</p>
      <p>
        <b>code</b>: Dengue IgM Titer <span>(Details : {LOINC code '6812-2' = 'Dengue virus IgM Ab [Titer] in Serum', given as 'Dengue virus IgM Ab [Titer] in Serum'}; {urn:oid:2.16.840.1.113883.3.72.5.24 code 'DGIGM' = '??', given as 'Dengue IgM QN'})</span></p>
      <p>
        <b>subject</b>: <a>Todd Lerr</a></p>
      <p>
        <b>effective</b>: Dec 5, 2014</p>
      <p>
        <b>issued</b>: Dec 6, 2014 3:42:15 PM</p>
      <p>
        <b>performer</b>: <a>Dr Leonard T Bloodraw Jr</a></p>
      <p>
        <b>value</b>: 1/256</p>
      <p>
        <b>interpretation</b>: High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></p>
      <p>
        <b>specimen</b>: <a>Bloo sample</a></p>
      <h3>ReferenceRanges</h3>
      <table>
        <tr>
          <td>-</td>
          <td>
            <b>Text</b>
          </td>
        </tr>
        <tr>
          <td>*</td>
          <td>&lt;1:64</td>
        </tr>
      </table>
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/uslab-observationkind">
    <valueCode value="result" />
  </extension>
  <identifier>
    <use value="official" />
    <type>
      <text value="lab test result ID" />
    </type>
    <system value="http://lis.acmelabs.org/identifiers/labtestresult" />
    <value value="4567" />
  </identifier>
  <status value="final" />
  <code>
    <coding>
      <system value="http://loinc.org/" />
      <code value="6812-2" />
      <display value="Dengue virus IgM Ab [Titer] in Serum" />
    </coding>
    <coding>
      <system value="urn:oid:2.16.840.1.113883.3.72.5.24" />
      <code value="DGIGM" />
      <display value="Dengue IgM QN" />
    </coding>
    <text value="Dengue IgM Titer" />
  </code>
  <subject>
    <reference value="Patient/patient-uslab-example1" />
    <display value="Todd Lerr" />
  </subject>
  <effectiveDateTime value="2014-12-05" />
  <issued value="2014-12-06T15:42:15-08:00" />
  <performer>
    <reference value="Practitioner/pract-uslab-example1" />
    <display value="Dr Leonard T Bloodraw Jr" />
  </performer>
  <valueRatio>
    <numerator>
      <value value="1" />
    </numerator>
    <denominator>
      <value value="256" />
    </denominator>
  </valueRatio>
  <interpretation>
    <coding>
      <system value="http://hl7.org/fhir/v2/0078" />
      <code value="H" />
    </coding>
  </interpretation>
  <specimen>
    <reference value="Specimen/spec-uslab-example1" />
    <display value="Bloo sample" />
  </specimen>
  <referenceRange>
    <text value="&lt;1:64" />
  </referenceRange>
</Observation>