FHIR Release 3 (STU) 4

This page is part of the FHIR Specification (v3.0.2: (v4.0.1: R4 - Mixed Normative and STU 3). ) in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R4 R3 R2

Diagnosticreport-examples-general.json

Orders and Observations Work Group Maturity Level : N/A Ballot Standards Status : Informative Compartments : Device , Encounter , Patient , Practitioner

Raw JSON ( canonical form + also see JSON Format Specification )

Various reports gathered from v2 messages

{
  "resourceType": "Bundle",
  "id": "72ac8493-52ac-41bd-8d5d-7258c289b5ea",
  "meta": {
    "lastUpdated": "2012-04-14T10:35:23Z"
  },
  "type": "collection",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/3",

      "fullUrl": "http://hl7.org/fhir/Bundle/3",

      "resource": {
        "resourceType": "DiagnosticReport",

        "resourceType": "Bundle",

        "id": "3",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <table>\n              <tr>\n                <td>Sodium</td>\n                <td>140</td>\n                <td>mmol/L</td>\n                <td>137-147</td>\n              </tr>\n              <tr>\n                <td>Serum Potassium</td>\n                <td>4.2</td>\n                <td>mmol/L</td>\n                <td>3.5-5.0</td>\n              </tr>\n              <tr>\n                <td>Chloride</td>\n                <td>105</td>\n                <td>mmol/L</td>\n                <td>96-109</td>\n              </tr>\n              <tr>\n                <td>Bicarbonate</td>\n                <td>26</td>\n                <td>mmol/L</td>\n                <td>25-33</td>\n              </tr>\n              <tr>\n                <td>Other Anions</td>\n                <td>13</td>\n                <td>mmol/L</td>\n                <td>4-17</td>\n              </tr>\n              <tr>\n                <td>Glucose</td>\n                <td>7.4</td>\n                <td>mmol/L</td>\n                <td>3.0-7.7</td>\n              </tr>\n              <tr>\n                <td>Urea</td>\n                <td>4.7</td>\n                <td>mmol/L</td>\n                <td>2.0-7.0</td>\n              </tr>\n              <tr>\n                <td>Serum Creatinine</td>\n                <td>0.09</td>\n                <td>mmol/L</td>\n                <td>0.04-0.11</td>\n              </tr>\n              <tr>\n                <td>Serum Uric Acid</td>\n                <td>0.39</td>\n                <td>mmol/L</td>\n                <td>0.14-0.35</td>\n                <td>\n                  <b>+</b>\n                </td>\n              </tr>\n              <tr>\n                <td>Total Bilirubin</td>\n                <td>7</td>\n                <td>umol/L</td>\n                <td>2-20</td>\n              </tr>\n              <tr>\n                <td>Direct Bilirubin</td>\n                <td>3</td>\n                <td>umol/L</td>\n                <td>0-8</td>\n              </tr>\n              <tr>\n                <td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td>\n                <td>108</td>\n                <td>U/L</td>\n                <td>30-115</td>\n              </tr>\n              <tr>\n                <td>Gamma G.T.</td>\n                <td>35</td>\n                <td>U/L</td>\n                <td>0-45</td>\n              </tr>\n              <tr>\n                <td>ALT</td>\n                <td>54</td>\n                <td>U/L</td>\n                <td>0-45</td>\n                <td>\n                  <b>+</b>\n                </td>\n              </tr>\n              <tr>\n                <td>AST</td>\n                <td>30</td>\n                <td>U/L</td>\n                <td>0-41</td>\n              </tr>\n              <tr>\n                <td>LD</td>\n                <td>131</td>\n                <td>U/L</td>\n                <td>80-250</td>\n              </tr>\n              <tr>\n                <td>Serum Calcium</td>\n                <td>2.38</td>\n                <td>mmol/L</td>\n                <td>2.25-2.65</td>\n              </tr>\n              <tr>\n                <td>Corrected Calcium</td>\n                <td>2.39</td>\n                <td>mmol/L</td>\n                <td>2.25-2.65</td>\n              </tr>\n              <tr>\n                <td>Serum Phosphate</td>\n                <td>1.5</td>\n                <td>mmol/L</td>\n                <td>0.8-1.5</td>\n              </tr>\n              <tr>\n                <td>Total Protein</td>\n                <td>67</td>\n                <td>g/L</td>\n                <td>60-82</td>\n              </tr>\n              <tr>\n                <td>Serum Albumin</td>\n                <td>42</td>\n                <td>g/L</td>\n                <td>35-50</td>\n              </tr>\n              <tr>\n                <td>Globulins</td>\n                <td>25</td>\n                <td>g/L</td>\n                <td>20-40</td>\n              </tr>\n              <tr>\n                <td>Iron</td>\n                <td>5</td>\n                <td>umol/L</td>\n                <td>10-33</td>\n                <td>\n                  <b>--</b>\n                </td>\n              </tr>\n              <tr>\n                <td>Cholesterol</td>\n                <td>3.8</td>\n                <td>mmol/L</td>\n                <td>3.6-6.7</td>\n              </tr>\n              <tr>\n                <td> </td>\n                <td colspan=\"4\">Revised NHF cholesterol guidelines (Nov.,2001): Target below 4.0 mmol/L if high risk patient. Consider lipid lowering treatment if cholesterol above 6.0 mmol/L, and no other risk factor of CHD.</td>\n              </tr>\n              <tr>\n                <td>Triglycerides</td>\n                <td>0.9</td>\n                <td>mmol/L</td>\n                <td>0.3-4.0</td>\n              </tr>\n              <tr>\n                <td>HDL Cholesterol</td>\n                <td>1.2</td>\n                <td>mmol/L</td>\n                <td>1.0-2.0</td>\n              </tr>\n            </table>\n          </div>"
        },
        "contained": [

        "type": "collection",
        "entry": [

          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/DiagnosticReport/3",
            "resource": {
              "resourceType": "DiagnosticReport",
              "id": "3",
              "meta": {
                "lastUpdated": "2012-04-14T10:35:23Z"
              },
              "text": {
                "status": "generated",
                "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t\t\t\t<table>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Sodium</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>140</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>137-147</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Serum Potassium</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>4.2</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>3.5-5.0</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Chloride</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>105</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>96-109</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Bicarbonate</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>26</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>25-33</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Other Anions</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>13</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>4-17</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Glucose</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>7.4</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>3.0-7.7</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Urea</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>4.7</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>2.0-7.0</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Serum Creatinine</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0.09</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0.04-0.11</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Serum Uric Acid</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0.39</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0.14-0.35</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t\t\t\t<b>+</b>\n\t\t\t\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Total Bilirubin</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>7</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>umol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>2-20</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Direct Bilirubin</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>3</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>umol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0-8</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>108</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>U/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>30-115</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Gamma G.T.</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>35</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>U/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0-45</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>ALT</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>54</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>U/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0-45</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t\t\t\t<b>+</b>\n\t\t\t\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>AST</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>30</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>U/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0-41</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>LD</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>131</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>U/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>80-250</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Serum Calcium</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>2.38</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>2.25-2.65</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Corrected Calcium</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>2.39</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>2.25-2.65</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Serum Phosphate</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>1.5</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0.8-1.5</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Total Protein</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>67</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>g/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>60-82</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Serum Albumin</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>42</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>g/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>35-50</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Globulins</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>25</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>g/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>20-40</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Iron</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>5</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>umol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>10-33</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t\t\t\t<b>--</b>\n\t\t\t\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Cholesterol</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>3.8</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>3.6-6.7</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td> </td>\n\t\t\t\t\t\t\t\t\t\t\t<td colspan=\"4\">Revised NHF cholesterol guidelines (Nov.,2001): Target below 4.0 mmol/L if high risk patient. Consider lipid lowering treatment if cholesterol above 6.0 mmol/L, and no other risk factor of CHD.</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>Triglycerides</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0.9</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>0.3-4.0</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>HDL Cholesterol</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>1.2</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mmol/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>1.0-2.0</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t</table>\n\t\t\t\t\t\t\t\t</div>"
              },
              "identifier": [

                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },

                  "system": "http://acme.com/lab/reports",
                  "value": "5234342"
                }
              ],
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://acme.com/labs/reports",
                    "code": "25T",
                    "display": "E/LFT (MASTER)"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "effectiveDateTime": "2005-01-27T06:40:17Z",
              "issued": "2005-01-27T06:40:01Z",
              "performer": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 140,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"

              ],
              "result": [
                {
                  "reference": "Observation/o1-3"

                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"

                {
                  "reference": "Observation/o2-3"
                },
                {
                  "reference": "Observation/o3-3"
                },
                {
                  "reference": "Observation/o4-3"
                },
                {
                  "reference": "Observation/o5-3"
                },
                {
                  "reference": "Observation/o6-3"
                },
                {
                  "reference": "Observation/o7-3"
                },
                {
                  "reference": "Observation/o8-3"
                },
                {
                  "reference": "Observation/o9-3"
                },
                {
                  "reference": "Observation/o10-3"
                },
                {
                  "reference": "Observation/o11-3"
                },
                {
                  "reference": "Observation/o12-3"
                },
                {
                  "reference": "Observation/o13-3"
                },
                {
                  "reference": "Observation/o14-3"
                },
                {
                  "reference": "Observation/o15-3"
                },
                {
                  "reference": "Observation/o16-3"
                },
                {
                  "reference": "Observation/o17-3"
                },
                {
                  "reference": "Observation/o18-3"
                },
                {
                  "reference": "Observation/o19-3"
                },
                {
                  "reference": "Observation/o20-3"
                },
                {
                  "reference": "Observation/o21-3"
                },
                {
                  "reference": "Observation/o22-3"
                },
                {
                  "reference": "Observation/o23-3"
                },
                {
                  "reference": "Observation/o24-3"
                },
                {
                  "reference": "Observation/o25-3"
                },
                {
                  "reference": "Observation/o26-3"

                }
              }
            ]

              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o1-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o1-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2951-2",
                    "display": "Sodium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104934005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 140,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"

                  "low": {
                    "value": 137,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 147,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o2-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o2-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2823-3",
                    "display": "Potassium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "59573005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.2,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"

                  "low": {
                    "value": 3.5,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 5.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 105,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o3-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o3-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2075-0",
                    "display": "Chloride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "46511006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 105,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"

                  "low": {
                    "value": 96,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 109,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 26,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o4-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o4-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1963-8",
                    "display": "Bicarbonate [Moles/volume] in Serum"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88645003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 26,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"

                  "low": {
                    "value": 25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 13,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o5-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o5-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1863-0",
                    "display": "Anion gap 4 in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "271057005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 13,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"

                  "low": {
                    "value": 4,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 17,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 7.4,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o6-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o6-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14749-6",
                    "display": "Glucose [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "36048009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 7.4,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"

                  "low": {
                    "value": 3.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.7,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o7-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o7-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14937-7",
                    "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "273967009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.7,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"

                  "low": {
                    "value": 2.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.09,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o8-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o8-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14682-9",
                    "display": "Creatinine [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "70901006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.09,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"

                  "low": {
                    "value": 0.04,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.11,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.39,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [

            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o9-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o9-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14933-6",
                    "display": "Urate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "86228006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"

              ],
              "valueQuantity": {
                "value": 0.39,
                "unit": "mmol/L"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              }
            ]

              ],
              "referenceRange": [
                {
                  "low": {
                    "value": 0.14,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.35,
                    "unit": "mmol/L"
                  }
                }
              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o10-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o10-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14631-6",
                    "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "27171005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 7,
                "unit": "umol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"

                  "low": {
                    "value": 2,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 20,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 7,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o11-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o11-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14629-0",
                    "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "39748002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14629-0",
                  "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 3,
                "unit": "umol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "39748002"

                  "low": {
                    "value": 0,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 8,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 3,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 8,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o12-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o12-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "6768-6",
                    "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88810008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 108,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"

                  "low": {
                    "value": 30,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 115,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 108,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o13-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o13-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2324-2",
                    "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "69480007"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 35,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 35,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o14-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o14-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1742-6",
                    "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "34608000"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 54,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 54,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o15-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o15-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1920-8",
                    "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "45896001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 30,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 41,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 30,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o16-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o16-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2532-0",
                    "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "11274001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 131,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"

                  "low": {
                    "value": 80,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 250,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 131,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o17-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o17-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2000-8",
                    "display": "Calcium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "71878006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.38,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.38,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o18-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o18-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "13959-2",
                    "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "166708003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.39,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.39,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o19-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o19-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14879-1",
                    "display": "Phosphate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104866001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1.5,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"

                  "low": {
                    "value": 0.8,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 1.5,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.5,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o20-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o20-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2885-2",
                    "display": "Protein [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "74040009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 67,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"

                  "low": {
                    "value": 60,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 82,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 67,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o21-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o21-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1751-7",
                    "display": "Albumin [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104485008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 42,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"

                  "low": {
                    "value": 35,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 50,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 42,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o22-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o22-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "10834-0",
                    "display": "Globulin [Mass/volume] in Serum by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104979009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 25,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"

                  "low": {
                    "value": 20,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 40,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 25,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o23-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o23-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14798-3",
                    "display": "Iron [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "42950004"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 5,
                "unit": "umol/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "LL"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 5,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "LL"

                  "low": {
                    "value": 10,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o24-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o24-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14647-2",
                    "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "77068002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 3.8,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"

                  "low": {
                    "value": 3.6,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 6.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 3.8,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o25",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o25-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o25-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14927-8",
                    "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104784006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.9,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"

                  "low": {
                    "value": 0.3,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 4.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.9,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o26",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o26-3",
            "resource": {
              "resourceType": "Observation",
              "id": "o26-3",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2085-9",
                    "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "17888004"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2085-9",
                  "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1.0,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "17888004"

                  "low": {
                    "value": 1.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 1.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://acme.com/labs/reports",
              "code": "25T",
              "display": "E/LFT (MASTER)"

            }
          ]
        },
        "subject": {
          "reference": "Patient/1"
        },
        "effectiveDateTime": "2005-01-27T06:40:17Z",
        "issued": "2005-01-27T06:40:01Z",
        "performer": [
          {
            "actor": {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          }
        ],
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          },
          {
            "reference": "#o25"
          },
          {
            "reference": "#o26"

          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/4",

      "fullUrl": "http://hl7.org/fhir/Bundle/4",

      "resource": {
        "resourceType": "DiagnosticReport",

        "resourceType": "Bundle",

        "id": "4",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 4</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/2</a></p><p><b>effective</b>: 08/12/2004 7:45:17 AM</p><p><b>issued</b>: 23/02/2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 138 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.1 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 103 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 27 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 12 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose measurement)</span>; ????; Acme Laboratory, Inc; 6.8 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = 'Serum urea level)</span>; ????; Acme Laboratory, Inc; 8.2 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.07 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.42 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = 'Urinalysis)</span>; ????; Acme Laboratory, Inc; 16 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma', given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002' = 'Bilirubin, direct measurement)</span>; ????; Acme Laboratory, Inc; 8 umol/L</li><li>id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 369 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 438 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 263 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 87 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 179 U/L</li><li>id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.42 mmol/L</li><li>id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 1.3 mmol/L</li><li>id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span>; ????; Acme Laboratory, Inc; 67 g/L</li><li>id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 39 g/L</li><li>id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 28 g/L</li><li>id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span>; ????; Acme Laboratory, Inc; 8 umol/L; Low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'L' = 'Low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 4.8 mmol/L</li><li>id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 2.2 mmol/L</li></ul></div>"
        },
        "contained": [

        "type": "collection",
        "entry": [

          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/DiagnosticReport/4",
            "resource": {
              "resourceType": "DiagnosticReport",
              "id": "4",
              "meta": {
                "lastUpdated": "2012-04-14T10:35:23Z"
              },
              "identifier": [

                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },

                  "system": "http://acme.com/lab/reports",
                  "value": "5234342"
                }
              ],
              "status": "final",
              "code": {
                "text": "SERUM CHEMISTRY"
              },
              "subject": {
                "reference": "Patient/2"
              },
              "effectiveDateTime": "2004-12-08T07:45:17Z",
              "issued": "2005-02-23T10:04:01Z",
              "performer": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 138,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"

              ],
              "result": [
                {
                  "reference": "Observation/o1-4"

                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"

                {
                  "reference": "Observation/o2-4"
                },
                {
                  "reference": "Observation/o3-4"
                },
                {
                  "reference": "Observation/o4-4"
                },
                {
                  "reference": "Observation/o5-4"
                },
                {
                  "reference": "Observation/o6-4"
                },
                {
                  "reference": "Observation/o7-4"
                },
                {
                  "reference": "Observation/o8-4"
                },
                {
                  "reference": "Observation/o9-4"
                },
                {
                  "reference": "Observation/o10-4"
                },
                {
                  "reference": "Observation/o11-4"
                },
                {
                  "reference": "Observation/o12-4"
                },
                {
                  "reference": "Observation/o13-4"
                },
                {
                  "reference": "Observation/o14-4"
                },
                {
                  "reference": "Observation/o15-4"
                },
                {
                  "reference": "Observation/o16-4"
                },
                {
                  "reference": "Observation/o17-4"
                },
                {
                  "reference": "Observation/o18-4"
                },
                {
                  "reference": "Observation/o19-4"
                },
                {
                  "reference": "Observation/o20-4"
                },
                {
                  "reference": "Observation/o21-4"
                },
                {
                  "reference": "Observation/o22-4"
                },
                {
                  "reference": "Observation/o23-4"
                },
                {
                  "reference": "Observation/o24-4"
                },
                {
                  "reference": "Observation/o25-4"

                }
              }
            ]

              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o1-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o1-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2951-2",
                    "display": "Sodium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104934005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 138,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"

                  "low": {
                    "value": 137,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 147,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.1,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o2-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o2-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2823-3",
                    "display": "Potassium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "59573005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.1,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"

                  "low": {
                    "value": 3.5,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 5.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 103,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o3-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o3-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2075-0",
                    "display": "Chloride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "46511006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 103,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"

                  "low": {
                    "value": 96,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 109,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 27,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o4-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o4-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1963-8",
                    "display": "Bicarbonate [Moles/volume] in Serum"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88645003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 27,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"

                  "low": {
                    "value": 25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 12,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o5-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o5-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1863-0",
                    "display": "Anion gap 4 in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "271057005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 12,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"

                  "low": {
                    "value": 4,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 17,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.8,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o6-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o6-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14749-6",
                    "display": "Glucose [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "36048009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 6.8,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"

                  "low": {
                    "value": 3.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 8.2,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [

            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o7-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o7-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14937-7",
                    "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "273967009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"

              ],
              "valueQuantity": {
                "value": 8.2,
                "unit": "mmol/L"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              }
            ]

              ],
              "referenceRange": [
                {
                  "low": {
                    "value": 2.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.0,
                    "unit": "mmol/L"
                  }
                }
              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o8-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o8-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14682-9",
                    "display": "Creatinine [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "70901006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.07,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"

                  "low": {
                    "value": 0.04,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.11,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.07,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o9-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o9-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14933-6",
                    "display": "Urate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "86228006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.42,
                "unit": "mmol/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.42,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0.14,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.35,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o10-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o10-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14631-6",
                    "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "27171005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 16,
                "unit": "umol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"

                  "low": {
                    "value": 2,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 20,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 16,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o11-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o11-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14629-0",
                    "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "39748002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14629-0",
                  "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 8,
                "unit": "umol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "39748002"

                  "low": {
                    "value": 0,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 8,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 8,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 8,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o12-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o12-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "6768-6",
                    "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88810008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 369,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 369,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 30,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 115,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o13-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o13-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2324-2",
                    "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "69480007"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 438,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 438,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o14-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o14-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1742-6",
                    "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "34608000"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 263,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 263,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o15-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o15-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1920-8",
                    "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "45896001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 87,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 87,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 41,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o16-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o16-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2532-0",
                    "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "11274001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 179,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"

                  "low": {
                    "value": 80,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 250,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 179,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o17-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o17-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2000-8",
                    "display": "Calcium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "71878006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.32,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.32,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o18-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o18-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "13959-2",
                    "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "166708003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.42,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.42,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o19-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o19-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14879-1",
                    "display": "Phosphate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104866001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1.3,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"

                  "low": {
                    "value": 0.8,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 1.5,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.3,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o20-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o20-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2885-2",
                    "display": "Protein [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "74040009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 67,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"

                  "low": {
                    "value": 60,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 82,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 67,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o21-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o21-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1751-7",
                    "display": "Albumin [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104485008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 39,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"

                  "low": {
                    "value": 35,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 50,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 39,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o22-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o22-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "10834-0",
                    "display": "Globulin [Mass/volume] in Serum by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104979009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 28,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"

                  "low": {
                    "value": 20,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 40,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 28,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o23-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o23-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14798-3",
                    "display": "Iron [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "42950004"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 8,
                "unit": "umol/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "L"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 8,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "L"

                  "low": {
                    "value": 10,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o24-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o24-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14647-2",
                    "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "77068002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.8,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"

                  "low": {
                    "value": 3.6,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 6.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.8,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o25",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o25-4",
            "resource": {
              "resourceType": "Observation",
              "id": "o25-4",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14927-8",
                    "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104784006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.2,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"

                  "low": {
                    "value": 0.3,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 4.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/2"
        },
        "effectiveDateTime": "2004-12-08T07:45:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": [
          {
            "actor": {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"

            }
          }
        ],
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          },
          {
            "reference": "#o25"
          }

        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/5",

      "fullUrl": "http://hl7.org/fhir/Bundle/5",

      "resource": {
        "resourceType": "DiagnosticReport",

        "resourceType": "Bundle",

        "id": "5",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 5</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/3</a></p><p><b>effective</b>: 15/12/2004 7:20:17 AM</p><p><b>issued</b>: 23/02/2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 142 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.0 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 105 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 28 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 13 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose measurement)</span>; ????; Acme Laboratory, Inc; 5.2 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = 'Serum urea level)</span>; ????; Acme Laboratory, Inc; 6.4 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.09 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.46 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = 'Urinalysis)</span>; ????; Acme Laboratory, Inc; 13 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma', given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002' = 'Bilirubin, direct measurement)</span>; ????; Acme Laboratory, Inc; 6 umol/L</li><li>id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 204 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 192 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 70 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 26 U/L</li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 150 U/L</li><li>id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.37 mmol/L</li><li>id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.47 mmol/L</li><li>id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 1.4 mmol/L</li><li>id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span>; ????; Acme Laboratory, Inc; 67 g/L</li><li>id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 39 g/L</li><li>id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 28 g/L</li><li>id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span>; ????; Acme Laboratory, Inc; 5 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 4.4 mmol/L</li><li>id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.1 mmol/L</li></ul></div>"
        },
        "contained": [

        "type": "collection",
        "entry": [

          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/DiagnosticReport/5",
            "resource": {
              "resourceType": "DiagnosticReport",
              "id": "5",
              "meta": {
                "lastUpdated": "2012-04-14T10:35:23Z"
              },
              "identifier": [

                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },

                  "system": "http://acme.com/lab/reports",
                  "value": "5234342"
                }
              ],
              "status": "final",
              "code": {
                "text": "SERUM CHEMISTRY"
              },
              "subject": {
                "reference": "Patient/3"
              },
              "effectiveDateTime": "2004-12-15T07:20:17Z",
              "issued": "2005-02-23T10:04:01Z",
              "performer": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 142,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"

              ],
              "result": [
                {
                  "reference": "Observation/o1-5"

                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"

                {
                  "reference": "Observation/o2-5"
                },
                {
                  "reference": "Observation/o3-5"
                },
                {
                  "reference": "Observation/o4-5"
                },
                {
                  "reference": "Observation/o5-5"
                },
                {
                  "reference": "Observation/o6-5"
                },
                {
                  "reference": "Observation/o7-5"
                },
                {
                  "reference": "Observation/o8-5"
                },
                {
                  "reference": "Observation/o9-5"
                },
                {
                  "reference": "Observation/o10-5"
                },
                {
                  "reference": "Observation/o11-5"
                },
                {
                  "reference": "Observation/o12-5"
                },
                {
                  "reference": "Observation/o13-5"
                },
                {
                  "reference": "Observation/o14-5"
                },
                {
                  "reference": "Observation/o15-5"
                },
                {
                  "reference": "Observation/o16-5"
                },
                {
                  "reference": "Observation/o17-5"
                },
                {
                  "reference": "Observation/o18-5"
                },
                {
                  "reference": "Observation/o19-5"
                },
                {
                  "reference": "Observation/o20-5"
                },
                {
                  "reference": "Observation/o21-5"
                },
                {
                  "reference": "Observation/o22-5"
                },
                {
                  "reference": "Observation/o23-5"
                },
                {
                  "reference": "Observation/o24-5"
                },
                {
                  "reference": "Observation/o25-5"

                }
              }
            ]

              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o1-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o1-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2951-2",
                    "display": "Sodium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104934005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 142,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"

                  "low": {
                    "value": 137,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 147,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o2-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o2-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2823-3",
                    "display": "Potassium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "59573005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.0,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"

                  "low": {
                    "value": 3.5,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 5.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 105,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o3-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o3-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2075-0",
                    "display": "Chloride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "46511006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 105,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"

                  "low": {
                    "value": 96,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 109,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 28,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o4-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o4-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1963-8",
                    "display": "Bicarbonate [Moles/volume] in Serum"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88645003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 28,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"

                  "low": {
                    "value": 25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 13,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o5-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o5-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1863-0",
                    "display": "Anion gap 4 in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "271057005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 13,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"

                  "low": {
                    "value": 4,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 17,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 5.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o6-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o6-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14749-6",
                    "display": "Glucose [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "36048009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 5.2,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"

                  "low": {
                    "value": 3.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.4,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o7-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o7-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14937-7",
                    "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "273967009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 6.4,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"

                  "low": {
                    "value": 2.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.09,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o8-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o8-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14682-9",
                    "display": "Creatinine [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "70901006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.09,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"

                  "low": {
                    "value": 0.04,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.11,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.46,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [

            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o9-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o9-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14933-6",
                    "display": "Urate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "86228006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"

              ],
              "valueQuantity": {
                "value": 0.46,
                "unit": "mmol/L"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              }
            ]

              ],
              "referenceRange": [
                {
                  "low": {
                    "value": 0.14,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.35,
                    "unit": "mmol/L"
                  }
                }
              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o10-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o10-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14631-6",
                    "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "27171005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 13,
                "unit": "umol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"

                  "low": {
                    "value": 2,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 20,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 13,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o11-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o11-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14629-0",
                    "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "39748002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14629-0",
                  "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 6,
                "unit": "umol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "39748002"

                  "low": {
                    "value": 0.1,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 8,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.1,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 8,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o12-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o12-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "6768-6",
                    "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88810008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 204,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 204,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 30,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 115,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o13-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o13-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2324-2",
                    "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "69480007"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 192,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 192,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o14-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o14-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1742-6",
                    "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "34608000"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 70,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 70,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o15-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o15-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1920-8",
                    "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "45896001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 26,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 41,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 26,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o16-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o16-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2532-0",
                    "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "11274001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 150,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"

                  "low": {
                    "value": 80,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 250,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 150,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o17-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o17-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2000-8",
                    "display": "Calcium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "71878006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.37,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.37,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o18-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o18-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "13959-2",
                    "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "166708003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.47,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.47,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o19-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o19-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14879-1",
                    "display": "Phosphate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104866001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1.4,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"

                  "low": {
                    "value": 0.8,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 1.5,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.4,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o20-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o20-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2885-2",
                    "display": "Protein [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "74040009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 67,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"

                  "low": {
                    "value": 60,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 82,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 67,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o21-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o21-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1751-7",
                    "display": "Albumin [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104485008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 39,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"

                  "low": {
                    "value": 35,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 50,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 39,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o22-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o22-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "10834-0",
                    "display": "Globulin [Mass/volume] in Serum by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104979009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 28,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"

                  "low": {
                    "value": 20,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 40,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 28,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o23-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o23-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14798-3",
                    "display": "Iron [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "42950004"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 5,
                "unit": "umol/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "LL"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 5,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "LL"

                  "low": {
                    "value": 10,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o24-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o24-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14647-2",
                    "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "77068002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.4,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"

                  "low": {
                    "value": 3.6,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 6.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.4,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o25",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o25-5",
            "resource": {
              "resourceType": "Observation",
              "id": "o25-5",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14927-8",
                    "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104784006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1.1,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"

                  "low": {
                    "value": 0.3,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 4.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.1,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/3"
        },
        "effectiveDateTime": "2004-12-15T07:20:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": [
          {
            "actor": {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"

            }
          }
        ],
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          },
          {
            "reference": "#o25"
          }

        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/6",

      "fullUrl": "http://hl7.org/fhir/Bundle/6",

      "resource": {
        "resourceType": "DiagnosticReport",

        "resourceType": "Bundle",

        "id": "6",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 6</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/4</a></p><p><b>effective</b>: 22/12/2004 7:45:17 AM</p><p><b>issued</b>: 21/12/2004 12:00:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 142 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.0 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 107 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 26 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 13 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose measurement)</span>; ????; Acme Laboratory, Inc; 6.3 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = 'Serum urea level)</span>; ????; Acme Laboratory, Inc; 6.7 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.08 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.40 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = 'Urinalysis)</span>; ????; Acme Laboratory, Inc; 9 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma', given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002' = 'Bilirubin, direct measurement)</span>; ????; Acme Laboratory, Inc; 4 umol/L</li><li>id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 144 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 106 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 30 U/L</li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 18 U/L</li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 143 U/L</li><li>id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.28 mmol/L</li><li>id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 1.3 mmol/L</li><li>id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span>; ????; Acme Laboratory, Inc; 66 g/L</li><li>id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 41 g/L</li><li>id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 25 g/L</li><li>id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span>; ????; Acme Laboratory, Inc; 3 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 4.0 mmol/L</li><li>id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.0 mmol/L</li></ul></div>"
        },
        "contained": [

        "type": "collection",
        "entry": [

          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/DiagnosticReport/6",
            "resource": {
              "resourceType": "DiagnosticReport",
              "id": "6",
              "meta": {
                "lastUpdated": "2012-04-14T10:35:23Z"
              },
              "identifier": [

                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },

                  "system": "http://acme.com/lab/reports",
                  "value": "5234342"
                }
              ],
              "status": "final",
              "code": {
                "text": "SERUM CHEMISTRY"
              },
              "subject": {
                "reference": "Patient/4"
              },
              "effectiveDateTime": "2004-12-22T07:45:17Z",
              "issued": "2004-12-21T00:00:01Z",
              "performer": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 142,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"

              ],
              "result": [
                {
                  "reference": "Observation/o1-6"

                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"

                {
                  "reference": "Observation/o2-6"
                },
                {
                  "reference": "Observation/o3-6"
                },
                {
                  "reference": "Observation/o4-6"
                },
                {
                  "reference": "Observation/o5-6"
                },
                {
                  "reference": "Observation/o6-6"
                },
                {
                  "reference": "Observation/o7-6"
                },
                {
                  "reference": "Observation/o8-6"
                },
                {
                  "reference": "Observation/o9-6"
                },
                {
                  "reference": "Observation/o10-6"
                },
                {
                  "reference": "Observation/o11-6"
                },
                {
                  "reference": "Observation/o12-6"
                },
                {
                  "reference": "Observation/o13-6"
                },
                {
                  "reference": "Observation/o14-6"
                },
                {
                  "reference": "Observation/o15-6"
                },
                {
                  "reference": "Observation/o16-6"
                },
                {
                  "reference": "Observation/o17-6"
                },
                {
                  "reference": "Observation/o18-6"
                },
                {
                  "reference": "Observation/o19-6"
                },
                {
                  "reference": "Observation/o20-6"
                },
                {
                  "reference": "Observation/o21-6"
                },
                {
                  "reference": "Observation/o22-6"
                },
                {
                  "reference": "Observation/o23-6"
                },
                {
                  "reference": "Observation/o24-6"
                },
                {
                  "reference": "Observation/o25-6"

                }
              }
            ]

              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o1-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o1-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2951-2",
                    "display": "Sodium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104934005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 142,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"

                  "low": {
                    "value": 137,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 147,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o2-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o2-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2823-3",
                    "display": "Potassium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "59573005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.0,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"

                  "low": {
                    "value": 3.5,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 5.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 107,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o3-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o3-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2075-0",
                    "display": "Chloride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "46511006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 107,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"

                  "low": {
                    "value": 96,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 109,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 26,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o4-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o4-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1963-8",
                    "display": "Bicarbonate [Moles/volume] in Serum"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88645003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 26,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"

                  "low": {
                    "value": 25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 13,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o5-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o5-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1863-0",
                    "display": "Anion gap 4 in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "271057005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 13,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"

                  "low": {
                    "value": 4,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 17,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.3,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o6-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o6-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14749-6",
                    "display": "Glucose [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "36048009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 6.3,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"

                  "low": {
                    "value": 3.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.7,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o7-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o7-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14937-7",
                    "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "273967009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 6.7,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"

                  "low": {
                    "value": 2.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.08,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o8-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o8-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14682-9",
                    "display": "Creatinine [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "70901006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.08,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"

                  "low": {
                    "value": 0.04,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.11,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.40,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [

            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o9-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o9-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14933-6",
                    "display": "Urate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "86228006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"

              ],
              "valueQuantity": {
                "value": 0.40,
                "unit": "mmol/L"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              }
            ]

              ],
              "referenceRange": [
                {
                  "low": {
                    "value": 0.14,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.35,
                    "unit": "mmol/L"
                  }
                }
              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o10-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o10-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14631-6",
                    "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "27171005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 9,
                "unit": "umol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"

                  "low": {
                    "value": 2,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 20,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 9,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o11-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o11-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14629-0",
                    "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "39748002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14629-0",
                  "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4,
                "unit": "umol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "39748002"

                  "low": {
                    "value": 0,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 8,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 8,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o12-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o12-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "6768-6",
                    "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88810008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 144,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 144,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "low": {
                    "value": 30,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 115,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o13-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o13-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2324-2",
                    "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "69480007"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 106,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 106,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o14-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o14-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1742-6",
                    "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "34608000"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 30,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 30,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o15-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o15-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1920-8",
                    "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "45896001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 18,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 41,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 18,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o16-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o16-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2532-0",
                    "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "11274001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 143,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"

                  "low": {
                    "value": 80,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 250,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 143,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o17-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o17-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2000-8",
                    "display": "Calcium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "71878006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.28,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.28,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o18-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o18-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "13959-2",
                    "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "166708003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.32,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.32,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o19-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o19-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14879-1",
                    "display": "Phosphate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104866001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1.3,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"

                  "low": {
                    "value": 0.8,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 1.5,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.3,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o20-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o20-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2885-2",
                    "display": "Protein [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "74040009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 66,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"

                  "low": {
                    "value": 60,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 82,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 66,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o21-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o21-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1751-7",
                    "display": "Albumin [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104485008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 41,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"

                  "low": {
                    "value": 35,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 50,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 41,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o22-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o22-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "10834-0",
                    "display": "Globulin [Mass/volume] in Serum by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104979009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 25,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"

                  "low": {
                    "value": 20,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 40,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 25,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o23-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o23-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14798-3",
                    "display": "Iron [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "42950004"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 3,
                "unit": "umol/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "LL"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 3,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "LL"

                  "low": {
                    "value": 10,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o24-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o24-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14647-2",
                    "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "77068002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.0,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"

                  "low": {
                    "value": 3.6,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 6.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o25",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o25-6",
            "resource": {
              "resourceType": "Observation",
              "id": "o25-6",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14927-8",
                    "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104784006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1.0,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"

                  "low": {
                    "value": 0.3,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 4.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/4"
        },
        "effectiveDateTime": "2004-12-22T07:45:17Z",
        "issued": "2004-12-21T00:00:01Z",
        "performer": [
          {
            "actor": {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"

            }
          }
        ],
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          },
          {
            "reference": "#o25"
          }

        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/7",

      "fullUrl": "http://hl7.org/fhir/Bundle/7",

      "resource": {
        "resourceType": "DiagnosticReport",

        "resourceType": "Bundle",

        "id": "7",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 7</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/5</a></p><p><b>effective</b>: 03/12/2004 9:45:17 AM</p><p><b>issued</b>: 03/12/2004 12:00:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 141 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.2 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 106 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 29 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 10 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose measurement)</span>; ????; Acme Laboratory, Inc; 7.0 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = 'Serum urea level)</span>; ????; Acme Laboratory, Inc; 4.7 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.05 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.32 mmol/L</li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = 'Urinalysis)</span>; ????; Acme Laboratory, Inc; 43 umol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 708 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 1131 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 475 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 176 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 324 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.45 mmol/L</li><li>id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li><li>id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span>; ????; Acme Laboratory, Inc; 71 g/L</li><li>id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 38 g/L</li><li>id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 33 g/L</li><li>id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span>; ????; Acme Laboratory, Inc; 17 umol/L</li><li>id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 7.0 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li></ul></div>"
        },
        "contained": [

        "type": "collection",
        "entry": [

          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/DiagnosticReport/7",
            "resource": {
              "resourceType": "DiagnosticReport",
              "id": "7",
              "meta": {
                "lastUpdated": "2012-04-14T10:35:23Z"
              },
              "identifier": [

                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },

                  "system": "http://acme.com/lab/reports",
                  "value": "5234342"
                }
              ],
              "status": "final",
              "code": {
                "text": "SERUM CHEMISTRY"
              },
              "subject": {
                "reference": "Patient/5"
              },
              "effectiveDateTime": "2004-12-03T09:45:17Z",
              "issued": "2004-12-03T00:00:01Z",
              "performer": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 141,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"

              ],
              "result": [
                {
                  "reference": "Observation/o1-7"

                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"

                {
                  "reference": "Observation/o2-7"
                },
                {
                  "reference": "Observation/o3-7"
                },
                {
                  "reference": "Observation/o4-7"
                },
                {
                  "reference": "Observation/o5-7"
                },
                {
                  "reference": "Observation/o6-7"
                },
                {
                  "reference": "Observation/o7-7"
                },
                {
                  "reference": "Observation/o8-7"
                },
                {
                  "reference": "Observation/o9-7"
                },
                {
                  "reference": "Observation/o10-7"
                },
                {
                  "reference": "Observation/o11-7"
                },
                {
                  "reference": "Observation/o12-7"
                },
                {
                  "reference": "Observation/o13-7"
                },
                {
                  "reference": "Observation/o14-7"
                },
                {
                  "reference": "Observation/o15-7"
                },
                {
                  "reference": "Observation/o16-7"
                },
                {
                  "reference": "Observation/o17-7"
                },
                {
                  "reference": "Observation/o18-7"
                },
                {
                  "reference": "Observation/o19-7"
                },
                {
                  "reference": "Observation/o20-7"
                },
                {
                  "reference": "Observation/o21-7"
                },
                {
                  "reference": "Observation/o22-7"
                },
                {
                  "reference": "Observation/o23-7"
                },
                {
                  "reference": "Observation/o24-7"

                }
              }
            ]

              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o1-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o1-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2951-2",
                    "display": "Sodium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104934005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 141,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"

                  "low": {
                    "value": 137,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 147,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o2-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o2-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2823-3",
                    "display": "Potassium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "59573005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.2,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"

                  "low": {
                    "value": 3.5,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 5.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 106,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o3-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o3-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2075-0",
                    "display": "Chloride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "46511006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 106,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"

                  "low": {
                    "value": 96,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 109,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 29,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o4-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o4-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1963-8",
                    "display": "Bicarbonate [Moles/volume] in Serum"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88645003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 29,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"

                  "low": {
                    "value": 25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 10,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o5-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o5-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1863-0",
                    "display": "Anion gap 4 in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "271057005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 10,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"

                  "low": {
                    "value": 4,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 17,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 7.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o6-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o6-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14749-6",
                    "display": "Glucose [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "36048009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 7.0,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"

                  "low": {
                    "value": 3.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.7,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o7-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o7-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14937-7",
                    "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "273967009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.7,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"

                  "low": {
                    "value": 2.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.05,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o8-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o8-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14682-9",
                    "display": "Creatinine [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "70901006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.05,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"

                  "low": {
                    "value": 0.04,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.11,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.32,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o9-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o9-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14933-6",
                    "display": "Urate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "86228006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.32,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"

                  "low": {
                    "value": 0.14,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.35,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 43,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [

            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o10-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o10-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14631-6",
                    "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "27171005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"

              ],
              "valueQuantity": {
                "value": 43,
                "unit": "umol/L"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              }
            ]

              ],
              "referenceRange": [
                {
                  "low": {
                    "value": 2,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 20,
                    "unit": "umol/L"
                  }
                }
              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o11-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o11-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "6768-6",
                    "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88810008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 708,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 708,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 30,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 115,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o12-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o12-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2324-2",
                    "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "69480007"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1131,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1131,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o13-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o13-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1742-6",
                    "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "34608000"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 475,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 475,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o14-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o14-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1920-8",
                    "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "45896001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 176,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 176,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 41,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o15-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o15-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2532-0",
                    "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "11274001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 324,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 324,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 80,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 250,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o16-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o16-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2000-8",
                    "display": "Calcium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "71878006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.32,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.32,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o17-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o17-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "13959-2",
                    "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "166708003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.45,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.45,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o18-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o18-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14879-1",
                    "display": "Phosphate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104866001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.9,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"

                  "low": {
                    "value": 0.8,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 1.5,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.9,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o19-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o19-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2885-2",
                    "display": "Protein [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "74040009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 71,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"

                  "low": {
                    "value": 60,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 82,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 71,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o20-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o20-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1751-7",
                    "display": "Albumin [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104485008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 38,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"

                  "low": {
                    "value": 35,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 50,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 38,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o21-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o21-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "10834-0",
                    "display": "Globulin [Mass/volume] in Serum by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104979009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 33,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"

                  "low": {
                    "value": 20,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 40,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 33,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o22-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o22-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14798-3",
                    "display": "Iron [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "42950004"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 17,
                "unit": "umol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"

                  "low": {
                    "value": 10,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 17,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o23-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o23-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14647-2",
                    "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "77068002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 7.0,
                "unit": "mmol/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 7.0,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "low": {
                    "value": 3.6,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 6.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o24-7",
            "resource": {
              "resourceType": "Observation",
              "id": "o24-7",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14927-8",
                    "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104784006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.9,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"

                  "low": {
                    "value": 0.3,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 4.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.9,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/5"
        },
        "effectiveDateTime": "2004-12-03T09:45:17Z",
        "issued": "2004-12-03T00:00:01Z",
        "performer": [
          {
            "actor": {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"

            }
          }
        ],
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          }

        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/8",

      "fullUrl": "http://hl7.org/fhir/Bundle/8",

      "resource": {
        "resourceType": "DiagnosticReport",

        "resourceType": "Bundle",

        "id": "8",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 8</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/6</a></p><p><b>effective</b>: 03/12/2004 8:30:17 PM</p><p><b>issued</b>: 23/02/2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 142 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium measurement)</span>; ????; Acme Laboratory, Inc; 3.6 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 104 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 30 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 12 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose measurement)</span>; ????; Acme Laboratory, Inc; 6.2 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = 'Serum urea level)</span>; ????; Acme Laboratory, Inc; 4.5 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.06 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.37 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = 'Urinalysis)</span>; ????; Acme Laboratory, Inc; 50 umol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 684 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 1105 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 466 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 198 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 323 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.45 mmol/L</li><li>id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li><li>id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span>; ????; Acme Laboratory, Inc; 70 g/L</li><li>id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 38 g/L</li><li>id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 32 g/L</li><li>id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span>; ????; Acme Laboratory, Inc; 11 umol/L</li><li>id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 6.9 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.9 mmol/L</li></ul></div>"
        },
        "contained": [

        "type": "collection",
        "entry": [

          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/DiagnosticReport/8",
            "resource": {
              "resourceType": "DiagnosticReport",
              "id": "8",
              "meta": {
                "lastUpdated": "2012-04-14T10:35:23Z"
              },
              "identifier": [

                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },

                  "system": "http://acme.com/lab/reports",
                  "value": "5234342"
                }
              ],
              "status": "final",
              "code": {
                "text": "SERUM CHEMISTRY"
              },
              "subject": {
                "reference": "Patient/6"
              },
              "effectiveDateTime": "2004-12-03T20:30:17Z",
              "issued": "2005-02-23T10:04:01Z",
              "performer": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 142,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"

              ],
              "result": [
                {
                  "reference": "Observation/o1-8"

                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"

                {
                  "reference": "Observation/o2-8"
                },
                {
                  "reference": "Observation/o3-8"
                },
                {
                  "reference": "Observation/o4-8"
                },
                {
                  "reference": "Observation/o5-8"
                },
                {
                  "reference": "Observation/o6-8"
                },
                {
                  "reference": "Observation/o7-8"
                },
                {
                  "reference": "Observation/o8-8"
                },
                {
                  "reference": "Observation/o9-8"
                },
                {
                  "reference": "Observation/o10-8"
                },
                {
                  "reference": "Observation/o11-8"
                },
                {
                  "reference": "Observation/o12-8"
                },
                {
                  "reference": "Observation/o13-8"
                },
                {
                  "reference": "Observation/o14-8"
                },
                {
                  "reference": "Observation/o15-8"
                },
                {
                  "reference": "Observation/o16-8"
                },
                {
                  "reference": "Observation/o17-8"
                },
                {
                  "reference": "Observation/o18-8"
                },
                {
                  "reference": "Observation/o19-8"
                },
                {
                  "reference": "Observation/o20-8"
                },
                {
                  "reference": "Observation/o21-8"
                },
                {
                  "reference": "Observation/o22-8"
                },
                {
                  "reference": "Observation/o23-8"
                },
                {
                  "reference": "Observation/o24-8"

                }
              }
            ]

              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o1-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o1-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2951-2",
                    "display": "Sodium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104934005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 142,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"

                  "low": {
                    "value": 137,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 147,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 3.6,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o2-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o2-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2823-3",
                    "display": "Potassium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "59573005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 3.6,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"

                  "low": {
                    "value": 3.5,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 5.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 104,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o3-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o3-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2075-0",
                    "display": "Chloride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "46511006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 104,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"

                  "low": {
                    "value": 96,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 109,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 30,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o4-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o4-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1963-8",
                    "display": "Bicarbonate [Moles/volume] in Serum"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88645003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 30,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"

                  "low": {
                    "value": 25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 12,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o5-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o5-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1863-0",
                    "display": "Anion gap 4 in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "271057005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 12,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"

                  "low": {
                    "value": 4,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 17,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o6-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o6-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14749-6",
                    "display": "Glucose [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "36048009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 6.2,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"

                  "low": {
                    "value": 3.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.5,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o7-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o7-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14937-7",
                    "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "273967009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.5,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"

                  "low": {
                    "value": 2.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.06,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o8-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o8-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14682-9",
                    "display": "Creatinine [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "70901006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.06,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"

                  "low": {
                    "value": 0.04,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.11,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.37,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [

            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o9-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o9-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14933-6",
                    "display": "Urate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "86228006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"

              ],
              "valueQuantity": {
                "value": 0.37,
                "unit": "mmol/L"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              }
            ]

              ],
              "referenceRange": [
                {
                  "low": {
                    "value": 0.14,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.35,
                    "unit": "mmol/L"
                  }
                }
              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o10-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o10-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14631-6",
                    "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "27171005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 50,
                "unit": "umol/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 50,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 2,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 20,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o11-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o11-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "6768-6",
                    "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88810008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 684,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 684,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 30,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 115,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o12-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o12-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2324-2",
                    "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "69480007"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1105,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1105,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o13-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o13-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1742-6",
                    "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "34608000"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 466,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 466,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o14-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o14-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1920-8",
                    "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "45896001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 198,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 198,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 41,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o15-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o15-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2532-0",
                    "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "11274001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 323,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 323,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 80,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 250,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o16-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o16-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2000-8",
                    "display": "Calcium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "71878006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.32,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.32,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o17-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o17-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "13959-2",
                    "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "166708003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.45,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.45,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o18-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o18-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14879-1",
                    "display": "Phosphate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104866001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.9,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"

                  "low": {
                    "value": 0.8,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 1.5,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.9,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o19-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o19-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2885-2",
                    "display": "Protein [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "74040009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 70,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"

                  "low": {
                    "value": 60,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 82,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 70,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o20-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o20-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1751-7",
                    "display": "Albumin [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104485008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 38,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"

                  "low": {
                    "value": 35,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 50,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 38,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o21-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o21-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "10834-0",
                    "display": "Globulin [Mass/volume] in Serum by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104979009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 32,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"

                  "low": {
                    "value": 20,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 40,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 32,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o22-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o22-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14798-3",
                    "display": "Iron [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "42950004"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 11,
                "unit": "umol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"

                  "low": {
                    "value": 10,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 11,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o23-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o23-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14647-2",
                    "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "77068002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 6.9,
                "unit": "mmol/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.9,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "low": {
                    "value": 3.6,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 6.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o24-8",
            "resource": {
              "resourceType": "Observation",
              "id": "o24-8",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14927-8",
                    "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104784006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1.9,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"

                  "low": {
                    "value": 0.3,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 4.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.9,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/6"
        },
        "effectiveDateTime": "2004-12-03T20:30:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": [
          {
            "actor": {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"

            }
          }
        ],
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          }

        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/9",

      "fullUrl": "http://hl7.org/fhir/Bundle/9",

      "resource": {
        "resourceType": "DiagnosticReport",

        "resourceType": "Bundle",

        "id": "9",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 9</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/7</a></p><p><b>effective</b>: 05/12/2004 7:15:17 AM</p><p><b>issued</b>: 23/02/2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 143 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.3 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 108 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 25 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 14 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose measurement)</span>; ????; Acme Laboratory, Inc; 4.3 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = 'Serum urea level)</span>; ????; Acme Laboratory, Inc; 4.6 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.06 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.41 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = 'Urinalysis)</span>; ????; Acme Laboratory, Inc; 27 umol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 631 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 956 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 398 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 120 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 243 U/L</li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.33 mmol/L</li><li>id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.52 mmol/L</li><li>id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 1.2 mmol/L</li><li>id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span>; ????; Acme Laboratory, Inc; 71 g/L</li><li>id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 36 g/L</li><li>id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 35 g/L</li><li>id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span>; ????; Acme Laboratory, Inc; 39 umol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 6.8 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.5 mmol/L</li></ul></div>"
        },
        "contained": [

        "type": "collection",
        "entry": [

          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/DiagnosticReport/9",
            "resource": {
              "resourceType": "DiagnosticReport",
              "id": "9",
              "meta": {
                "lastUpdated": "2012-04-14T10:35:23Z"
              },
              "identifier": [

                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },

                  "system": "http://acme.com/lab/reports",
                  "value": "5234342"
                }
              ],
              "status": "final",
              "code": {
                "text": "SERUM CHEMISTRY"
              },
              "subject": {
                "reference": "Patient/7"
              },
              "effectiveDateTime": "2004-12-05T07:15:17Z",
              "issued": "2005-02-23T10:04:01Z",
              "performer": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 143,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"

              ],
              "result": [
                {
                  "reference": "Observation/o1-9"

                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"

                {
                  "reference": "Observation/o2-9"
                },
                {
                  "reference": "Observation/o3-9"
                },
                {
                  "reference": "Observation/o4-9"
                },
                {
                  "reference": "Observation/o5-9"
                },
                {
                  "reference": "Observation/o6-9"
                },
                {
                  "reference": "Observation/o7-9"
                },
                {
                  "reference": "Observation/o8-9"
                },
                {
                  "reference": "Observation/o9-9"
                },
                {
                  "reference": "Observation/o10-9"
                },
                {
                  "reference": "Observation/o11-9"
                },
                {
                  "reference": "Observation/o12-9"
                },
                {
                  "reference": "Observation/o13-9"
                },
                {
                  "reference": "Observation/o14-9"
                },
                {
                  "reference": "Observation/o15-9"
                },
                {
                  "reference": "Observation/o16-9"
                },
                {
                  "reference": "Observation/o17-9"
                },
                {
                  "reference": "Observation/o18-9"
                },
                {
                  "reference": "Observation/o19-9"
                },
                {
                  "reference": "Observation/o20-9"
                },
                {
                  "reference": "Observation/o21-9"
                },
                {
                  "reference": "Observation/o22-9"
                },
                {
                  "reference": "Observation/o23-9"
                },
                {
                  "reference": "Observation/o24-9"

                }
              }
            ]

              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o1-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o1-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2951-2",
                    "display": "Sodium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104934005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 143,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"

                  "low": {
                    "value": 137,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 147,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.3,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o2-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o2-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2823-3",
                    "display": "Potassium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "59573005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.3,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"

                  "low": {
                    "value": 3.5,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 5.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 108,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o3-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o3-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2075-0",
                    "display": "Chloride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "46511006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 108,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"

                  "low": {
                    "value": 96,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 109,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 25,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o4-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o4-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1963-8",
                    "display": "Bicarbonate [Moles/volume] in Serum"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88645003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 25,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"

                  "low": {
                    "value": 25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 14,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o5-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o5-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1863-0",
                    "display": "Anion gap 4 in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "271057005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 14,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"

                  "low": {
                    "value": 4,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 17,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.3,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o6-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o6-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14749-6",
                    "display": "Glucose [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "36048009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.3,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"

                  "low": {
                    "value": 3.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.6,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o7-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o7-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14937-7",
                    "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "273967009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.6,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"

                  "low": {
                    "value": 2.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.06,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o8-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o8-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14682-9",
                    "display": "Creatinine [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "70901006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.06,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"

                  "low": {
                    "value": 0.04,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.11,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.41,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [

            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o9-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o9-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14933-6",
                    "display": "Urate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "86228006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"

              ],
              "valueQuantity": {
                "value": 0.41,
                "unit": "mmol/L"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              }
            ]

              ],
              "referenceRange": [
                {
                  "low": {
                    "value": 0.14,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.35,
                    "unit": "mmol/L"
                  }
                }
              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o10-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o10-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14631-6",
                    "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "27171005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 27,
                "unit": "umol/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 27,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "low": {
                    "value": 2,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 20,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o11-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o11-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "6768-6",
                    "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88810008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 631,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 631,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 30,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 115,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o12-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o12-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2324-2",
                    "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "69480007"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 956,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 956,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o13-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o13-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1742-6",
                    "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "34608000"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 398,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 398,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o14-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o14-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1920-8",
                    "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "45896001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 120,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 120,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 41,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o15-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o15-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2532-0",
                    "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "11274001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 243,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"

                  "low": {
                    "value": 80,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 250,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 243,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o16-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o16-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2000-8",
                    "display": "Calcium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "71878006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.33,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.33,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o17-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o17-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "13959-2",
                    "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "166708003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.52,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.52,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o18-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o18-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14879-1",
                    "display": "Phosphate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104866001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1.2,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"

                  "low": {
                    "value": 0.8,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 1.5,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o19-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o19-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2885-2",
                    "display": "Protein [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "74040009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 71,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"

                  "low": {
                    "value": 60,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 82,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 71,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o20-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o20-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1751-7",
                    "display": "Albumin [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104485008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 36,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"

                  "low": {
                    "value": 35,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 50,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 36,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o21-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o21-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "10834-0",
                    "display": "Globulin [Mass/volume] in Serum by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104979009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 35,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"

                  "low": {
                    "value": 20,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 40,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 35,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o22-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o22-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14798-3",
                    "display": "Iron [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "42950004"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 39,
                "unit": "umol/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 39,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "low": {
                    "value": 10,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o23-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o23-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14647-2",
                    "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "77068002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 6.8,
                "unit": "mmol/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.8,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "low": {
                    "value": 3.6,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 6.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o24-9",
            "resource": {
              "resourceType": "Observation",
              "id": "o24-9",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14927-8",
                    "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104784006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/7"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1.5,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"

                  "low": {
                    "value": 0.3,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 4.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.5,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/7"
        },
        "effectiveDateTime": "2004-12-05T07:15:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": [
          {
            "actor": {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"

            }
          }
        ],
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          }

        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/15",

      "fullUrl": "http://hl7.org/fhir/Bundle/15",

      "resource": {
        "resourceType": "DiagnosticReport",

        "resourceType": "Bundle",

        "id": "15",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 15</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/8</a></p><p><b>effective</b>: 27/01/2005 6:40:17 AM</p><p><b>issued</b>: 23/02/2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 140 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.2 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 105 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 26 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 13 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose measurement)</span>; ????; Acme Laboratory, Inc; 7.4 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = 'Serum urea level)</span>; ????; Acme Laboratory, Inc; 4.7 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.09 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.39 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = 'Urinalysis)</span>; ????; Acme Laboratory, Inc; 7 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma', given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002' = 'Bilirubin, direct measurement)</span>; ????; Acme Laboratory, Inc; 3 umol/L</li><li>id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 108 U/L</li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 35 U/L</li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 54 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 30 U/L</li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 131 U/L</li><li>id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.38 mmol/L</li><li>id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.39 mmol/L</li><li>id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 1.5 mmol/L</li><li>id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span>; ????; Acme Laboratory, Inc; 67 g/L</li><li>id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 42 g/L</li><li>id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 25 g/L</li><li>id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {[not stated] code '42950004' = '42950004)</span>; ????; Acme Laboratory, Inc; 5 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 3.8 mmol/L</li><li>id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li></ul></div>"
        },
        "contained": [

        "type": "collection",
        "entry": [

          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/DiagnosticReport/15",
            "resource": {
              "resourceType": "DiagnosticReport",
              "id": "15",
              "meta": {
                "lastUpdated": "2012-04-14T10:35:23Z"
              },
              "identifier": [

                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },

                  "system": "http://acme.com/lab/reports",
                  "value": "5234342"
                }
              ],
              "status": "final",
              "code": {
                "text": "SERUM CHEMISTRY"
              },
              "subject": {
                "reference": "Patient/8"
              },
              "effectiveDateTime": "2005-01-27T06:40:17Z",
              "issued": "2005-02-23T10:04:01Z",
              "performer": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 140,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"

              ],
              "result": [
                {
                  "reference": "Observation/o1-15"

                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"

                {
                  "reference": "Observation/o2-15"
                },
                {
                  "reference": "Observation/o3-15"
                },
                {
                  "reference": "Observation/o4-15"
                },
                {
                  "reference": "Observation/o5-15"
                },
                {
                  "reference": "Observation/o6-15"
                },
                {
                  "reference": "Observation/o7-15"
                },
                {
                  "reference": "Observation/o8-15"
                },
                {
                  "reference": "Observation/o9-15"
                },
                {
                  "reference": "Observation/o10-15"
                },
                {
                  "reference": "Observation/o11-15"
                },
                {
                  "reference": "Observation/o12-15"
                },
                {
                  "reference": "Observation/o13-15"
                },
                {
                  "reference": "Observation/o14-15"
                },
                {
                  "reference": "Observation/o15-15"
                },
                {
                  "reference": "Observation/o16-15"
                },
                {
                  "reference": "Observation/o17-15"
                },
                {
                  "reference": "Observation/o18-15"
                },
                {
                  "reference": "Observation/o19-15"
                },
                {
                  "reference": "Observation/o20-15"
                },
                {
                  "reference": "Observation/o21-15"
                },
                {
                  "reference": "Observation/o22-15"
                },
                {
                  "reference": "Observation/o23-15"
                },
                {
                  "reference": "Observation/o24-15"
                },
                {
                  "reference": "Observation/o25-15"

                }
              }
            ]

              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o1-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o1-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2951-2",
                    "display": "Sodium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104934005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 140,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"

                  "low": {
                    "value": 137,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 147,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o2-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o2-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2823-3",
                    "display": "Potassium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "59573005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.2,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"

                  "low": {
                    "value": 3.5,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 5.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 105,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o3-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o3-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2075-0",
                    "display": "Chloride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "46511006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 105,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"

                  "low": {
                    "value": 96,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 109,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 26,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o4-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o4-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1963-8",
                    "display": "Bicarbonate [Moles/volume] in Serum"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88645003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 26,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"

                  "low": {
                    "value": 25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 13,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o5-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o5-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1863-0",
                    "display": "Anion gap 4 in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "271057005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 13,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"

                  "low": {
                    "value": 4,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 17,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 7.4,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o6-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o6-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14749-6",
                    "display": "Glucose [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "36048009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 7.4,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"

                  "low": {
                    "value": 3.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.7,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o7-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o7-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14937-7",
                    "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "273967009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.7,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"

                  "low": {
                    "value": 2.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.09,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o8-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o8-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14682-9",
                    "display": "Creatinine [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "70901006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.09,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"

                  "low": {
                    "value": 0.04,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.11,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.39,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [

            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o9-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o9-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14933-6",
                    "display": "Urate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "86228006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"

              ],
              "valueQuantity": {
                "value": 0.39,
                "unit": "mmol/L"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              }
            ]

              ],
              "referenceRange": [
                {
                  "low": {
                    "value": 0.14,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.35,
                    "unit": "mmol/L"
                  }
                }
              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o10-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o10-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14631-6",
                    "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "27171005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 7,
                "unit": "umol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"

                  "low": {
                    "value": 2,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 20,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 7,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o11-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o11-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14629-0",
                    "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "39748002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14629-0",
                  "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 3,
                "unit": "umol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "39748002"

                  "low": {
                    "value": 0,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 8,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 3,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 8,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o12-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o12-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "6768-6",
                    "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88810008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 108,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"

                  "low": {
                    "value": 30,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 115,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 108,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o13-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o13-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2324-2",
                    "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "69480007"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 35,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 35,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o14-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o14-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1742-6",
                    "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "34608000"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 54,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 54,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o15-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o15-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1920-8",
                    "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "45896001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 30,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 41,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 30,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o16-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o16-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2532-0",
                    "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "11274001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 131,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"

                  "low": {
                    "value": 80,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 250,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 131,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o17-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o17-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2000-8",
                    "display": "Calcium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "71878006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.38,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.38,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o18-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o18-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "13959-2",
                    "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "166708003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.39,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.39,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o19-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o19-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14879-1",
                    "display": "Phosphate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104866001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1.5,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"

                  "low": {
                    "value": 0.8,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 1.5,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.5,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o20-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o20-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2885-2",
                    "display": "Protein [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "74040009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 67,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"

                  "low": {
                    "value": 60,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 82,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 67,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o21-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o21-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1751-7",
                    "display": "Albumin [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104485008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 42,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"

                  "low": {
                    "value": 35,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 50,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 42,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o22-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o22-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "10834-0",
                    "display": "Globulin [Mass/volume] in Serum by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104979009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 25,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"

                  "low": {
                    "value": 20,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 40,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 25,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o23-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o23-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14798-3",
                    "display": "Iron [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "code": "42950004"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 5,
                "unit": "umol/L"
              },
              "interpretation": [

                {
                  "code": "42950004"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "LL"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 5,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "LL"

                  "low": {
                    "value": 10,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o24-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o24-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14647-2",
                    "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "77068002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 3.8,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"

                  "low": {
                    "value": 3.6,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 6.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 3.8,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o25",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o25-15",
            "resource": {
              "resourceType": "Observation",
              "id": "o25-15",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14927-8",
                    "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104784006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/8"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.9,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"

                  "low": {
                    "value": 0.3,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 4.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.9,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/8"
        },
        "effectiveDateTime": "2005-01-27T06:40:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": [
          {
            "actor": {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"

            }
          }
        ],
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          },
          {
            "reference": "#o25"
          }

        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/16",

      "fullUrl": "http://hl7.org/fhir/Bundle/16",

      "resource": {
        "resourceType": "DiagnosticReport",

        "resourceType": "Bundle",

        "id": "16",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 16</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/9</a></p><p><b>effective</b>: 08/12/2004 7:45:17 AM</p><p><b>issued</b>: 23/02/2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 138 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.1 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 103 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 27 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 12 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose measurement)</span>; ????; Acme Laboratory, Inc; 6.8 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = 'Serum urea level)</span>; ????; Acme Laboratory, Inc; 8.2 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.07 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.42 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = 'Urinalysis)</span>; ????; Acme Laboratory, Inc; 16 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma', given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002' = 'Bilirubin, direct measurement)</span>; ????; Acme Laboratory, Inc; 8 umol/L</li><li>id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 369 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 438 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 263 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 87 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 179 U/L</li><li>id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.42 mmol/L</li><li>id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 1.3 mmol/L</li><li>id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span>; ????; Acme Laboratory, Inc; 67 g/L</li><li>id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 39 g/L</li><li>id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 28 g/L</li><li>id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span>; ????; Acme Laboratory, Inc; 8 umol/L; Low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'L' = 'Low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 4.8 mmol/L</li><li>id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 2.2 mmol/L</li></ul></div>"
        },
        "contained": [

        "type": "collection",
        "entry": [

          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/DiagnosticReport/16",
            "resource": {
              "resourceType": "DiagnosticReport",
              "id": "16",
              "meta": {
                "lastUpdated": "2012-04-14T10:35:23Z"
              },
              "identifier": [

                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },

                  "system": "http://acme.com/lab/reports",
                  "value": "5234342"
                }
              ],
              "status": "final",
              "code": {
                "text": "SERUM CHEMISTRY"
              },
              "subject": {
                "reference": "Patient/9"
              },
              "effectiveDateTime": "2004-12-08T07:45:17Z",
              "issued": "2005-02-23T10:04:01Z",
              "performer": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 138,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"

              ],
              "result": [
                {
                  "reference": "Observation/o1-16"

                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"

                {
                  "reference": "Observation/o2-16"
                },
                {
                  "reference": "Observation/o3-16"
                },
                {
                  "reference": "Observation/o4-16"
                },
                {
                  "reference": "Observation/o5-16"
                },
                {
                  "reference": "Observation/o6-16"
                },
                {
                  "reference": "Observation/o7-16"
                },
                {
                  "reference": "Observation/o8-16"
                },
                {
                  "reference": "Observation/o9-16"
                },
                {
                  "reference": "Observation/o10-16"
                },
                {
                  "reference": "Observation/o11-16"
                },
                {
                  "reference": "Observation/o12-16"
                },
                {
                  "reference": "Observation/o13-16"
                },
                {
                  "reference": "Observation/o14-16"
                },
                {
                  "reference": "Observation/o15-16"
                },
                {
                  "reference": "Observation/o16-16"
                },
                {
                  "reference": "Observation/o17-16"
                },
                {
                  "reference": "Observation/o18-16"
                },
                {
                  "reference": "Observation/o19-16"
                },
                {
                  "reference": "Observation/o20-16"
                },
                {
                  "reference": "Observation/o21-16"
                },
                {
                  "reference": "Observation/o22-16"
                },
                {
                  "reference": "Observation/o23-16"
                },
                {
                  "reference": "Observation/o24-16"
                },
                {
                  "reference": "Observation/o25-16"

                }
              }
            ]

              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o1-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o1-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2951-2",
                    "display": "Sodium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104934005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 138,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"

                  "low": {
                    "value": 137,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 147,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.1,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o2-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o2-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2823-3",
                    "display": "Potassium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "59573005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.1,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"

                  "low": {
                    "value": 3.5,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 5.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 103,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o3-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o3-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2075-0",
                    "display": "Chloride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "46511006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 103,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"

                  "low": {
                    "value": 96,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 109,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 27,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o4-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o4-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1963-8",
                    "display": "Bicarbonate [Moles/volume] in Serum"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88645003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 27,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"

                  "low": {
                    "value": 25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 12,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o5-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o5-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1863-0",
                    "display": "Anion gap 4 in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "271057005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 12,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"

                  "low": {
                    "value": 4,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 17,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.8,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o6-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o6-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14749-6",
                    "display": "Glucose [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "36048009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 6.8,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"

                  "low": {
                    "value": 3.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 8.2,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [

            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o7-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o7-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14937-7",
                    "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "273967009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"

              ],
              "valueQuantity": {
                "value": 8.2,
                "unit": "mmol/L"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              }
            ]

              ],
              "referenceRange": [
                {
                  "low": {
                    "value": 2.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.0,
                    "unit": "mmol/L"
                  }
                }
              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o8-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o8-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14682-9",
                    "display": "Creatinine [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "70901006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.07,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"

                  "low": {
                    "value": 0.04,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.11,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.07,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o9-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o9-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14933-6",
                    "display": "Urate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "86228006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.42,
                "unit": "mmol/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.42,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0.14,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.35,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o10-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o10-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14631-6",
                    "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "27171005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 16,
                "unit": "umol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"

                  "low": {
                    "value": 2,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 20,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 16,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o11-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o11-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14629-0",
                    "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "39748002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14629-0",
                  "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 8,
                "unit": "umol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "39748002"

                  "low": {
                    "value": 0,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 8,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 8,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 8,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o12-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o12-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "6768-6",
                    "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88810008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 369,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 369,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 30,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 115,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o13-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o13-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2324-2",
                    "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "69480007"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 438,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 438,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o14-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o14-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1742-6",
                    "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "34608000"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 263,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 263,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o15-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o15-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1920-8",
                    "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "45896001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 87,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 87,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 41,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o16-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o16-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2532-0",
                    "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "11274001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 179,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"

                  "low": {
                    "value": 80,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 250,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 179,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o17-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o17-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2000-8",
                    "display": "Calcium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "71878006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.32,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.32,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o18-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o18-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "13959-2",
                    "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "166708003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.42,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.42,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o19-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o19-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14879-1",
                    "display": "Phosphate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104866001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1.3,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"

                  "low": {
                    "value": 0.8,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 1.5,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.3,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o20-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o20-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2885-2",
                    "display": "Protein [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "74040009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 67,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"

                  "low": {
                    "value": 60,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 82,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 67,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o21-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o21-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1751-7",
                    "display": "Albumin [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104485008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 39,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"

                  "low": {
                    "value": 35,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 50,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 39,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o22-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o22-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "10834-0",
                    "display": "Globulin [Mass/volume] in Serum by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104979009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 28,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"

                  "low": {
                    "value": 20,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 40,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 28,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o23-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o23-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14798-3",
                    "display": "Iron [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "42950004"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 8,
                "unit": "umol/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "L"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 8,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "L"

                  "low": {
                    "value": 10,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o24-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o24-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14647-2",
                    "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "77068002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.8,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"

                  "low": {
                    "value": 3.6,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 6.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.8,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o25",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o25-16",
            "resource": {
              "resourceType": "Observation",
              "id": "o25-16",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14927-8",
                    "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104784006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/9"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.2,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"

                  "low": {
                    "value": 0.3,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 4.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/9"
        },
        "effectiveDateTime": "2004-12-08T07:45:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": [
          {
            "actor": {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"

            }
          }
        ],
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          },
          {
            "reference": "#o25"
          }

        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/17",

      "fullUrl": "http://hl7.org/fhir/Bundle/17",

      "resource": {
        "resourceType": "DiagnosticReport",

        "resourceType": "Bundle",

        "id": "17",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 17</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/10</a></p><p><b>effective</b>: 15/12/2004 7:20:17 AM</p><p><b>issued</b>: 23/02/2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 142 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.0 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 105 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 28 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 13 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose measurement)</span>; ????; Acme Laboratory, Inc; 5.2 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = 'Serum urea level)</span>; ????; Acme Laboratory, Inc; 6.4 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.09 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.46 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = 'Urinalysis)</span>; ????; Acme Laboratory, Inc; 13 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma', given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002' = 'Bilirubin, direct measurement)</span>; ????; Acme Laboratory, Inc; 6 umol/L</li><li>id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 204 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 192 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 70 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 26 U/L</li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 150 U/L</li><li>id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.37 mmol/L</li><li>id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.47 mmol/L</li><li>id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 1.4 mmol/L</li><li>id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span>; ????; Acme Laboratory, Inc; 67 g/L</li><li>id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 39 g/L</li><li>id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 28 g/L</li><li>id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span>; ????; Acme Laboratory, Inc; 5 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 4.4 mmol/L</li><li>id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.1 mmol/L</li></ul></div>"
        },
        "contained": [

        "type": "collection",
        "entry": [

          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/DiagnosticReport/17",
            "resource": {
              "resourceType": "DiagnosticReport",
              "id": "17",
              "meta": {
                "lastUpdated": "2012-04-14T10:35:23Z"
              },
              "identifier": [

                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },

                  "system": "http://acme.com/lab/reports",
                  "value": "5234342"
                }
              ],
              "status": "final",
              "code": {
                "text": "SERUM CHEMISTRY"
              },
              "subject": {
                "reference": "Patient/10"
              },
              "effectiveDateTime": "2004-12-15T07:20:17Z",
              "issued": "2005-02-23T10:04:01Z",
              "performer": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 142,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"

              ],
              "result": [
                {
                  "reference": "Observation/o1-17"

                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"

                {
                  "reference": "Observation/o2-17"
                },
                {
                  "reference": "Observation/o3-17"
                },
                {
                  "reference": "Observation/o4-17"
                },
                {
                  "reference": "Observation/o5-17"
                },
                {
                  "reference": "Observation/o6-17"
                },
                {
                  "reference": "Observation/o7-17"
                },
                {
                  "reference": "Observation/o8-17"
                },
                {
                  "reference": "Observation/o9-17"
                },
                {
                  "reference": "Observation/o10-17"
                },
                {
                  "reference": "Observation/o11-17"
                },
                {
                  "reference": "Observation/o12-17"
                },
                {
                  "reference": "Observation/o13-17"
                },
                {
                  "reference": "Observation/o14-17"
                },
                {
                  "reference": "Observation/o15-17"
                },
                {
                  "reference": "Observation/o16-17"
                },
                {
                  "reference": "Observation/o17-17"
                },
                {
                  "reference": "Observation/o18-17"
                },
                {
                  "reference": "Observation/o19-17"
                },
                {
                  "reference": "Observation/o20-17"
                },
                {
                  "reference": "Observation/o21-17"
                },
                {
                  "reference": "Observation/o22-17"
                },
                {
                  "reference": "Observation/o23-17"
                },
                {
                  "reference": "Observation/o24-17"
                },
                {
                  "reference": "Observation/o25-17"

                }
              }
            ]

              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o1-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o1-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2951-2",
                    "display": "Sodium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104934005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 142,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"

                  "low": {
                    "value": 137,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 147,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o2-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o2-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2823-3",
                    "display": "Potassium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "59573005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.0,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"

                  "low": {
                    "value": 3.5,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 5.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 105,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o3-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o3-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2075-0",
                    "display": "Chloride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "46511006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 105,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"

                  "low": {
                    "value": 96,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 109,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 28,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o4-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o4-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1963-8",
                    "display": "Bicarbonate [Moles/volume] in Serum"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88645003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 28,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"

                  "low": {
                    "value": 25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 13,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o5-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o5-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1863-0",
                    "display": "Anion gap 4 in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "271057005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 13,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"

                  "low": {
                    "value": 4,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 17,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 5.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o6-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o6-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14749-6",
                    "display": "Glucose [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "36048009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 5.2,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"

                  "low": {
                    "value": 3.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.4,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o7-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o7-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14937-7",
                    "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "273967009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 6.4,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"

                  "low": {
                    "value": 2.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.09,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o8-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o8-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14682-9",
                    "display": "Creatinine [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "70901006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.09,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"

                  "low": {
                    "value": 0.04,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.11,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.46,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [

            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o9-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o9-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14933-6",
                    "display": "Urate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "86228006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"

              ],
              "valueQuantity": {
                "value": 0.46,
                "unit": "mmol/L"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              }
            ]

              ],
              "referenceRange": [
                {
                  "low": {
                    "value": 0.14,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.35,
                    "unit": "mmol/L"
                  }
                }
              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o10-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o10-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14631-6",
                    "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "27171005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 13,
                "unit": "umol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"

                  "low": {
                    "value": 2,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 20,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 13,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o11-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o11-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14629-0",
                    "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "39748002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14629-0",
                  "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 6,
                "unit": "umol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "39748002"

                  "low": {
                    "value": 0,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 8,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 8,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o12-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o12-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "6768-6",
                    "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88810008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 204,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 204,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 30,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 115,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o13-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o13-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2324-2",
                    "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "69480007"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 192,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 192,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o14-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o14-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1742-6",
                    "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "34608000"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 70,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 70,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o15-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o15-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1920-8",
                    "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "45896001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 26,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 41,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 26,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o16-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o16-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2532-0",
                    "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "11274001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 150,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"

                  "low": {
                    "value": 80,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 250,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 150,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o17-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o17-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2000-8",
                    "display": "Calcium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "71878006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.37,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.37,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o18-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o18-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "13959-2",
                    "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "166708003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.47,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.47,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o19-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o19-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14879-1",
                    "display": "Phosphate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104866001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1.4,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"

                  "low": {
                    "value": 0.8,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 1.5,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.4,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o20-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o20-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2885-2",
                    "display": "Protein [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "74040009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 67,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"

                  "low": {
                    "value": 60,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 82,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 67,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o21-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o21-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1751-7",
                    "display": "Albumin [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104485008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 39,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"

                  "low": {
                    "value": 35,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 50,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 39,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o22-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o22-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "10834-0",
                    "display": "Globulin [Mass/volume] in Serum by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104979009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 28,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"

                  "low": {
                    "value": 20,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 40,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 28,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o23-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o23-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14798-3",
                    "display": "Iron [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "42950004"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 5,
                "unit": "umol/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "LL"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 5,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "LL"

                  "low": {
                    "value": 10,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o24-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o24-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14647-2",
                    "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "77068002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.4,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"

                  "low": {
                    "value": 3.6,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 6.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.4,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o25",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o25-17",
            "resource": {
              "resourceType": "Observation",
              "id": "o25-17",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14927-8",
                    "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104784006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/10"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1.1,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"

                  "low": {
                    "value": 0.3,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 4.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.1,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/10"
        },
        "effectiveDateTime": "2004-12-15T07:20:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": [
          {
            "actor": {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"

            }
          }
        ],
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          },
          {
            "reference": "#o25"
          }

        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/18",

      "fullUrl": "http://hl7.org/fhir/Bundle/18",

      "resource": {
        "resourceType": "DiagnosticReport",

        "resourceType": "Bundle",

        "id": "18",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 18</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/1</a></p><p><b>effective</b>: 22/12/2004 7:45:17 AM</p><p><b>issued</b>: 23/02/2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 142 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.0 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 107 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 26 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 13 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose measurement)</span>; ????; Acme Laboratory, Inc; 6.3 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = 'Serum urea level)</span>; ????; Acme Laboratory, Inc; 6.7 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.08 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.40 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = 'Urinalysis)</span>; ????; Acme Laboratory, Inc; 9 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma', given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002' = 'Bilirubin, direct measurement)</span>; ????; Acme Laboratory, Inc; 4 umol/L</li><li>id: o12; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 144 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o13; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 106 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 30 U/L</li><li>id: o15; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 18 U/L</li><li>id: o16; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 143 U/L</li><li>id: o17; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.28 mmol/L</li><li>id: o18; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o19; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 1.3 mmol/L</li><li>id: o20; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span>; ????; Acme Laboratory, Inc; 66 g/L</li><li>id: o21; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 41 g/L</li><li>id: o22; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 25 g/L</li><li>id: o23; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span>; ????; Acme Laboratory, Inc; 3 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span></li><li>id: o24; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 4.0 mmol/L</li><li>id: o25; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.0 mmol/L</li></ul></div>"
        },
        "contained": [

        "type": "collection",
        "entry": [

          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/DiagnosticReport/18",
            "resource": {
              "resourceType": "DiagnosticReport",
              "id": "18",
              "meta": {
                "lastUpdated": "2012-04-14T10:35:23Z"
              },
              "identifier": [

                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },

                  "system": "http://acme.com/lab/reports",
                  "value": "5234342"
                }
              ],
              "status": "final",
              "code": {
                "text": "SERUM CHEMISTRY"
              },
              "subject": {
                "reference": "Patient/1"
              },
              "effectiveDateTime": "2004-12-22T07:45:17Z",
              "issued": "2005-02-23T10:04:01Z",
              "performer": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 142,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"

              ],
              "result": [
                {
                  "reference": "Observation/o1-18"

                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"

                {
                  "reference": "Observation/o2-18"
                },
                {
                  "reference": "Observation/o3-18"
                },
                {
                  "reference": "Observation/o4-18"
                },
                {
                  "reference": "Observation/o5-18"
                },
                {
                  "reference": "Observation/o6-18"
                },
                {
                  "reference": "Observation/o7-18"
                },
                {
                  "reference": "Observation/o8-18"
                },
                {
                  "reference": "Observation/o9-18"
                },
                {
                  "reference": "Observation/o10-18"
                },
                {
                  "reference": "Observation/o11-18"
                },
                {
                  "reference": "Observation/o12-18"
                },
                {
                  "reference": "Observation/o13-18"
                },
                {
                  "reference": "Observation/o14-18"
                },
                {
                  "reference": "Observation/o15-18"
                },
                {
                  "reference": "Observation/o16-18"
                },
                {
                  "reference": "Observation/o17-18"
                },
                {
                  "reference": "Observation/o18-18"
                },
                {
                  "reference": "Observation/o19-18"
                },
                {
                  "reference": "Observation/o20-18"
                },
                {
                  "reference": "Observation/o21-18"
                },
                {
                  "reference": "Observation/o22-18"
                },
                {
                  "reference": "Observation/o23-18"
                },
                {
                  "reference": "Observation/o24-18"
                },
                {
                  "reference": "Observation/o25-18"

                }
              }
            ]

              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o1-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o1-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2951-2",
                    "display": "Sodium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104934005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 142,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"

                  "low": {
                    "value": 137,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 147,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o2-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o2-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2823-3",
                    "display": "Potassium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "59573005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.0,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"

                  "low": {
                    "value": 3.5,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 5.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 107,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o3-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o3-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2075-0",
                    "display": "Chloride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "46511006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 107,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"

                  "low": {
                    "value": 96,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 109,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 26,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o4-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o4-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1963-8",
                    "display": "Bicarbonate [Moles/volume] in Serum"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88645003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 26,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"

                  "low": {
                    "value": 25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 13,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o5-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o5-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1863-0",
                    "display": "Anion gap 4 in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "271057005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 13,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"

                  "low": {
                    "value": 4,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 17,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.3,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o6-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o6-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14749-6",
                    "display": "Glucose [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "36048009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 6.3,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"

                  "low": {
                    "value": 3.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.7,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o7-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o7-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14937-7",
                    "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "273967009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 6.7,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"

                  "low": {
                    "value": 2.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.08,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o8-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o8-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14682-9",
                    "display": "Creatinine [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "70901006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.08,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"

                  "low": {
                    "value": 0.04,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.11,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.40,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [

            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o9-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o9-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14933-6",
                    "display": "Urate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "86228006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"

              ],
              "valueQuantity": {
                "value": 0.40,
                "unit": "mmol/L"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              }
            ]

              ],
              "referenceRange": [
                {
                  "low": {
                    "value": 0.14,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.35,
                    "unit": "mmol/L"
                  }
                }
              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o10-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o10-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14631-6",
                    "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "27171005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 9,
                "unit": "umol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"

                  "low": {
                    "value": 2,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 20,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 9,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o11-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o11-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14629-0",
                    "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "39748002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14629-0",
                  "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4,
                "unit": "umol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "39748002"

                  "low": {
                    "value": 0,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 8,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 8,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o12-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o12-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "6768-6",
                    "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88810008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 144,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 144,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "low": {
                    "value": 30,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 115,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o13-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o13-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2324-2",
                    "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "69480007"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 106,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 106,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o14-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o14-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1742-6",
                    "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "34608000"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 30,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 30,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o15-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o15-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1920-8",
                    "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "45896001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 18,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 41,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 18,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o16-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o16-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2532-0",
                    "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "11274001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 143,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"

                  "low": {
                    "value": 80,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 250,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 143,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o17-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o17-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2000-8",
                    "display": "Calcium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "71878006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.28,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.28,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o18-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o18-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "13959-2",
                    "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "166708003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.32,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.32,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o19-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o19-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14879-1",
                    "display": "Phosphate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104866001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1.3,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"

                  "low": {
                    "value": 0.8,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 1.5,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.3,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o20-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o20-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2885-2",
                    "display": "Protein [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "74040009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 66,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"

                  "low": {
                    "value": 60,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 82,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 66,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o21-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o21-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1751-7",
                    "display": "Albumin [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104485008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 41,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"

                  "low": {
                    "value": 35,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 50,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 41,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o22-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o22-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "10834-0",
                    "display": "Globulin [Mass/volume] in Serum by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104979009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 25,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"

                  "low": {
                    "value": 20,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 40,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 25,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o23-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o23-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14798-3",
                    "display": "Iron [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "42950004"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 3,
                "unit": "umol/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "LL"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 3,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "LL"

                  "low": {
                    "value": 10,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o24-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o24-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14647-2",
                    "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "77068002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.0,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"

                  "low": {
                    "value": 3.6,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 6.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o25",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o25-18",
            "resource": {
              "resourceType": "Observation",
              "id": "o25-18",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14927-8",
                    "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104784006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1.0,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"

                  "low": {
                    "value": 0.3,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 4.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/1"
        },
        "effectiveDateTime": "2004-12-22T07:45:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": [
          {
            "actor": {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"

            }
          }
        ],
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          },
          {
            "reference": "#o25"
          }

        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/19",

      "fullUrl": "http://hl7.org/fhir/Bundle/19",

      "resource": {
        "resourceType": "DiagnosticReport",

        "resourceType": "Bundle",

        "id": "19",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 19</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/2</a></p><p><b>effective</b>: 03/12/2004 9:45:17 AM</p><p><b>issued</b>: 23/02/2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 141 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.2 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 106 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 29 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 10 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose measurement)</span>; ????; Acme Laboratory, Inc; 7.0 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = 'Serum urea level)</span>; ????; Acme Laboratory, Inc; 4.7 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.05 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.32 mmol/L</li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = 'Urinalysis)</span>; ????; Acme Laboratory, Inc; 43 umol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 708 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 1131 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 475 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 176 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 324 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.45 mmol/L</li><li>id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li><li>id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span>; ????; Acme Laboratory, Inc; 71 g/L</li><li>id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 38 g/L</li><li>id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 33 g/L</li><li>id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span>; ????; Acme Laboratory, Inc; 17 umol/L</li><li>id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 7.0 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li></ul></div>"
        },
        "contained": [

        "type": "collection",
        "entry": [

          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/DiagnosticReport/19",
            "resource": {
              "resourceType": "DiagnosticReport",
              "id": "19",
              "meta": {
                "lastUpdated": "2012-04-14T10:35:23Z"
              },
              "identifier": [

                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },

                  "system": "http://acme.com/lab/reports",
                  "value": "5234342"
                }
              ],
              "status": "final",
              "code": {
                "text": "SERUM CHEMISTRY"
              },
              "subject": {
                "reference": "Patient/2"
              },
              "effectiveDateTime": "2004-12-03T09:45:17Z",
              "issued": "2005-02-23T10:04:01Z",
              "performer": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 141,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"

              ],
              "result": [
                {
                  "reference": "Observation/o1-19"

                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"

                {
                  "reference": "Observation/o2-19"
                },
                {
                  "reference": "Observation/o3-19"
                },
                {
                  "reference": "Observation/o4-19"
                },
                {
                  "reference": "Observation/o5-19"
                },
                {
                  "reference": "Observation/o6-19"
                },
                {
                  "reference": "Observation/o7-19"
                },
                {
                  "reference": "Observation/o8-19"
                },
                {
                  "reference": "Observation/o9-19"
                },
                {
                  "reference": "Observation/o10-19"
                },
                {
                  "reference": "Observation/o11-19"
                },
                {
                  "reference": "Observation/o12-19"
                },
                {
                  "reference": "Observation/o13-19"
                },
                {
                  "reference": "Observation/o14-19"
                },
                {
                  "reference": "Observation/o15-19"
                },
                {
                  "reference": "Observation/o16-19"
                },
                {
                  "reference": "Observation/o17-19"
                },
                {
                  "reference": "Observation/o18-19"
                },
                {
                  "reference": "Observation/o19-19"
                },
                {
                  "reference": "Observation/o20-19"
                },
                {
                  "reference": "Observation/o21-19"
                },
                {
                  "reference": "Observation/o22-19"
                },
                {
                  "reference": "Observation/o23-19"
                },
                {
                  "reference": "Observation/o24-19"

                }
              }
            ]

              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o1-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o1-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2951-2",
                    "display": "Sodium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104934005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 141,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"

                  "low": {
                    "value": 137,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 147,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o2-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o2-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2823-3",
                    "display": "Potassium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "59573005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.2,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"

                  "low": {
                    "value": 3.5,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 5.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 106,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o3-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o3-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2075-0",
                    "display": "Chloride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "46511006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 106,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"

                  "low": {
                    "value": 96,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 109,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 29,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o4-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o4-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1963-8",
                    "display": "Bicarbonate [Moles/volume] in Serum"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88645003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 29,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"

                  "low": {
                    "value": 25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 10,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o5-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o5-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1863-0",
                    "display": "Anion gap 4 in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "271057005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 10,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"

                  "low": {
                    "value": 4,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 17,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 7.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o6-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o6-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14749-6",
                    "display": "Glucose [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "36048009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 7.0,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"

                  "low": {
                    "value": 3.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.7,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o7-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o7-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14937-7",
                    "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "273967009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.7,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"

                  "low": {
                    "value": 2.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.05,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o8-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o8-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14682-9",
                    "display": "Creatinine [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "70901006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.05,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"

                  "low": {
                    "value": 0.04,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.11,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.32,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o9-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o9-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14933-6",
                    "display": "Urate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "86228006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.32,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"

                  "low": {
                    "value": 0.14,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.35,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 43,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [

            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o10-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o10-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14631-6",
                    "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "27171005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"

              ],
              "valueQuantity": {
                "value": 43,
                "unit": "umol/L"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              }
            ]

              ],
              "referenceRange": [
                {
                  "low": {
                    "value": 2,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 20,
                    "unit": "umol/L"
                  }
                }
              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o11-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o11-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "6768-6",
                    "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88810008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 708,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 708,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 30,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 115,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o12-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o12-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2324-2",
                    "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "69480007"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1131,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1131,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o13-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o13-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1742-6",
                    "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "34608000"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 475,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 475,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o14-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o14-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1920-8",
                    "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "45896001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 176,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 176,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 41,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o15-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o15-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2532-0",
                    "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "11274001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 324,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 324,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 80,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 250,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o16-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o16-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2000-8",
                    "display": "Calcium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "71878006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.32,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.32,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o17-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o17-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "13959-2",
                    "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "166708003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.45,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.45,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o18-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o18-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14879-1",
                    "display": "Phosphate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104866001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.9,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"

                  "low": {
                    "value": 0.8,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 1.5,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.9,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o19-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o19-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2885-2",
                    "display": "Protein [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "74040009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 71,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"

                  "low": {
                    "value": 60,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 82,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 71,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o20-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o20-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1751-7",
                    "display": "Albumin [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104485008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 38,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"

                  "low": {
                    "value": 35,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 50,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 38,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o21-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o21-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "10834-0",
                    "display": "Globulin [Mass/volume] in Serum by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104979009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 33,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"

                  "low": {
                    "value": 20,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 40,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 33,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o22-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o22-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14798-3",
                    "display": "Iron [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "42950004"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 17,
                "unit": "umol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"

                  "low": {
                    "value": 10,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 17,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o23-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o23-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14647-2",
                    "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "77068002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 7.0,
                "unit": "mmol/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 7.0,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "low": {
                    "value": 3.6,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 6.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o24-19",
            "resource": {
              "resourceType": "Observation",
              "id": "o24-19",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14927-8",
                    "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104784006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/2"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.9,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"

                  "low": {
                    "value": 0.3,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 4.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.9,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/2"
        },
        "effectiveDateTime": "2004-12-03T09:45:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": [
          {
            "actor": {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"

            }
          }
        ],
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          }

        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/20",

      "fullUrl": "http://hl7.org/fhir/Bundle/20",

      "resource": {
        "resourceType": "DiagnosticReport",

        "resourceType": "Bundle",

        "id": "20",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 20</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/3</a></p><p><b>effective</b>: 03/12/2004 8:30:17 PM</p><p><b>issued</b>: 23/02/2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 142 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium measurement)</span>; ????; Acme Laboratory, Inc; 3.6 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 104 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 30 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 12 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose measurement)</span>; ????; Acme Laboratory, Inc; 6.2 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = 'Serum urea level)</span>; ????; Acme Laboratory, Inc; 4.5 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.06 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.37 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = 'Urinalysis)</span>; ????; Acme Laboratory, Inc; 50 umol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 684 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 1105 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 466 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 198 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 323 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.45 mmol/L</li><li>id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 0.9 mmol/L</li><li>id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span>; ????; Acme Laboratory, Inc; 70 g/L</li><li>id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 38 g/L</li><li>id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 32 g/L</li><li>id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span>; ????; Acme Laboratory, Inc; 11 umol/L</li><li>id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 6.9 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.9 mmol/L</li></ul></div>"
        },
        "contained": [

        "type": "collection",
        "entry": [

          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/DiagnosticReport/20",
            "resource": {
              "resourceType": "DiagnosticReport",
              "id": "20",
              "meta": {
                "lastUpdated": "2012-04-14T10:35:23Z"
              },
              "identifier": [

                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },

                  "system": "http://acme.com/lab/reports",
                  "value": "5234342"
                }
              ],
              "status": "final",
              "code": {
                "text": "SERUM CHEMISTRY"
              },
              "subject": {
                "reference": "Patient/3"
              },
              "effectiveDateTime": "2004-12-03T20:30:17Z",
              "issued": "2005-02-23T10:04:01Z",
              "performer": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 142,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"

              ],
              "result": [
                {
                  "reference": "Observation/o1-20"

                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"

                {
                  "reference": "Observation/o2-20"
                },
                {
                  "reference": "Observation/o3-20"
                },
                {
                  "reference": "Observation/o4-20"
                },
                {
                  "reference": "Observation/o5-20"
                },
                {
                  "reference": "Observation/o6-20"
                },
                {
                  "reference": "Observation/o7-20"
                },
                {
                  "reference": "Observation/o8-20"
                },
                {
                  "reference": "Observation/o9-20"
                },
                {
                  "reference": "Observation/o10-20"
                },
                {
                  "reference": "Observation/o11-20"
                },
                {
                  "reference": "Observation/o12-20"
                },
                {
                  "reference": "Observation/o13-20"
                },
                {
                  "reference": "Observation/o14-20"
                },
                {
                  "reference": "Observation/o15-20"
                },
                {
                  "reference": "Observation/o16-20"
                },
                {
                  "reference": "Observation/o17-20"
                },
                {
                  "reference": "Observation/o18-20"
                },
                {
                  "reference": "Observation/o19-20"
                },
                {
                  "reference": "Observation/o20-20"
                },
                {
                  "reference": "Observation/o21-20"
                },
                {
                  "reference": "Observation/o22-20"
                },
                {
                  "reference": "Observation/o23-20"
                },
                {
                  "reference": "Observation/o24-20"

                }
              }
            ]

              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o1-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o1-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2951-2",
                    "display": "Sodium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104934005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 142,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"

                  "low": {
                    "value": 137,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 147,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 3.6,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o2-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o2-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2823-3",
                    "display": "Potassium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "59573005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 3.6,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"

                  "low": {
                    "value": 3.5,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 5.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 104,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o3-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o3-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2075-0",
                    "display": "Chloride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "46511006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 104,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"

                  "low": {
                    "value": 96,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 109,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 30,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o4-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o4-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1963-8",
                    "display": "Bicarbonate [Moles/volume] in Serum"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88645003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 30,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"

                  "low": {
                    "value": 25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 12,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o5-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o5-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1863-0",
                    "display": "Anion gap 4 in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "271057005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 12,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"

                  "low": {
                    "value": 4,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 17,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o6-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o6-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14749-6",
                    "display": "Glucose [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "36048009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 6.2,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"

                  "low": {
                    "value": 3.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.5,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o7-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o7-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14937-7",
                    "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "273967009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.5,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"

                  "low": {
                    "value": 2.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.06,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o8-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o8-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14682-9",
                    "display": "Creatinine [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "70901006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.06,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"

                  "low": {
                    "value": 0.04,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.11,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.37,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [

            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o9-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o9-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14933-6",
                    "display": "Urate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "86228006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"

              ],
              "valueQuantity": {
                "value": 0.37,
                "unit": "mmol/L"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              }
            ]

              ],
              "referenceRange": [
                {
                  "low": {
                    "value": 0.14,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.35,
                    "unit": "mmol/L"
                  }
                }
              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o10-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o10-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14631-6",
                    "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "27171005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 50,
                "unit": "umol/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 50,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 2,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 20,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o11-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o11-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "6768-6",
                    "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88810008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 684,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 684,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 30,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 115,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o12-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o12-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2324-2",
                    "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "69480007"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1105,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1105,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o13-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o13-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1742-6",
                    "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "34608000"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 466,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 466,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o14-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o14-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1920-8",
                    "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "45896001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 198,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 198,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 41,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o15-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o15-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2532-0",
                    "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "11274001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 323,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 323,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 80,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 250,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o16-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o16-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2000-8",
                    "display": "Calcium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "71878006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.32,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.32,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o17-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o17-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "13959-2",
                    "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "166708003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.45,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.45,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o18-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o18-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14879-1",
                    "display": "Phosphate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104866001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.9,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"

                  "low": {
                    "value": 0.8,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 1.5,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.9,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o19-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o19-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2885-2",
                    "display": "Protein [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "74040009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 70,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"

                  "low": {
                    "value": 60,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 82,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 70,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o20-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o20-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1751-7",
                    "display": "Albumin [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104485008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 38,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"

                  "low": {
                    "value": 35,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 50,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 38,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o21-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o21-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "10834-0",
                    "display": "Globulin [Mass/volume] in Serum by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104979009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 32,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"

                  "low": {
                    "value": 20,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 40,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 32,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o22-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o22-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14798-3",
                    "display": "Iron [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "42950004"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 11,
                "unit": "umol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"

                  "low": {
                    "value": 10,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 11,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o23-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o23-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14647-2",
                    "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "77068002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 6.9,
                "unit": "mmol/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.9,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "low": {
                    "value": 3.6,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 6.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o24-20",
            "resource": {
              "resourceType": "Observation",
              "id": "o24-20",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14927-8",
                    "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104784006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/3"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1.9,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"

                  "low": {
                    "value": 0.3,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 4.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.9,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/3"
        },
        "effectiveDateTime": "2004-12-03T20:30:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": [
          {
            "actor": {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"

            }
          }
        ],
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          }

        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/21",

      "fullUrl": "http://hl7.org/fhir/Bundle/21",

      "resource": {
        "resourceType": "DiagnosticReport",

        "resourceType": "Bundle",

        "id": "21",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 21</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: SERUM CHEMISTRY <span>(Details )</span></p><p><b>subject</b>: <a>Patient/4</a></p><p><b>effective</b>: 05/12/2004 7:15:17 AM</p><p><b>issued</b>: 23/02/2005 10:04:01 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: </p><ul><li>id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement, serum)</span>; ????; Acme Laboratory, Inc; 143 mmol/L</li><li>id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium measurement)</span>; ????; Acme Laboratory, Inc; 4.3 mmol/L</li><li>id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement)</span>; ????; Acme Laboratory, Inc; 108 mmol/L</li><li>id: o4; status: final; Bicarbonate [Moles/volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span>; ????; Acme Laboratory, Inc; 25 mmol/L</li><li>id: o5; status: final; Anion gap 4 in Serum or Plasma <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span>; ????; Acme Laboratory, Inc; 14 mmol/L</li><li>id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose measurement)</span>; ????; Acme Laboratory, Inc; 4.3 mmol/L</li><li>id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = 'Serum urea level)</span>; ????; Acme Laboratory, Inc; 4.6 mmol/L</li><li>id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine measurement)</span>; ????; Acme Laboratory, Inc; 0.06 mmol/L</li><li>id: o9; status: final; Urate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement)</span>; ????; Acme Laboratory, Inc; 0.41 mmol/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = 'Urinalysis)</span>; ????; Acme Laboratory, Inc; 27 umol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span>; ????; Acme Laboratory, Inc; 631 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span>; ????; Acme Laboratory, Inc; 956 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 398 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span>; ????; Acme Laboratory, Inc; 120 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span>; ????; Acme Laboratory, Inc; 243 U/L</li><li>id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.33 mmol/L</li><li>id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span>; ????; Acme Laboratory, Inc; 2.52 mmol/L</li><li>id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate measurement)</span>; ????; Acme Laboratory, Inc; 1.2 mmol/L</li><li>id: o19; status: final; Protein [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement)</span>; ????; Acme Laboratory, Inc; 71 g/L</li><li>id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement, serum)</span>; ????; Acme Laboratory, Inc; 36 g/L</li><li>id: o21; status: final; Globulin [Mass/volume] in Serum by calculation <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total globulins measurement)</span>; ????; Acme Laboratory, Inc; 35 g/L</li><li>id: o22; status: final; Iron [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement)</span>; ????; Acme Laboratory, Inc; 39 umol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol measurement)</span>; ????; Acme Laboratory, Inc; 6.8 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span>; ????; Acme Laboratory, Inc; 1.5 mmol/L</li></ul></div>"
        },
        "contained": [

        "type": "collection",
        "entry": [

          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/DiagnosticReport/21",
            "resource": {
              "resourceType": "DiagnosticReport",
              "id": "21",
              "meta": {
                "lastUpdated": "2012-04-14T10:35:23Z"
              },
              "identifier": [

                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },

                  "system": "http://acme.com/lab/reports",
                  "value": "5234342"
                }
              ],
              "status": "final",
              "code": {
                "text": "SERUM CHEMISTRY"
              },
              "subject": {
                "reference": "Patient/4"
              },
              "effectiveDateTime": "2004-12-05T07:15:17Z",
              "issued": "2005-02-23T10:04:01Z",
              "performer": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 143,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"

              ],
              "result": [
                {
                  "reference": "Observation/o1-21"

                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"

                {
                  "reference": "Observation/o2-21"
                },
                {
                  "reference": "Observation/o3-21"
                },
                {
                  "reference": "Observation/o4-21"
                },
                {
                  "reference": "Observation/o5-21"
                },
                {
                  "reference": "Observation/o6-21"
                },
                {
                  "reference": "Observation/o7-21"
                },
                {
                  "reference": "Observation/o8-21"
                },
                {
                  "reference": "Observation/o9-21"
                },
                {
                  "reference": "Observation/o10-21"
                },
                {
                  "reference": "Observation/o11-21"
                },
                {
                  "reference": "Observation/o12-21"
                },
                {
                  "reference": "Observation/o13-21"
                },
                {
                  "reference": "Observation/o14-21"
                },
                {
                  "reference": "Observation/o15-21"
                },
                {
                  "reference": "Observation/o16-21"
                },
                {
                  "reference": "Observation/o17-21"
                },
                {
                  "reference": "Observation/o18-21"
                },
                {
                  "reference": "Observation/o19-21"
                },
                {
                  "reference": "Observation/o20-21"
                },
                {
                  "reference": "Observation/o21-21"
                },
                {
                  "reference": "Observation/o22-21"
                },
                {
                  "reference": "Observation/o23-21"
                },
                {
                  "reference": "Observation/o24-21"

                }
              }
            ]

              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o1-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o1-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2951-2",
                    "display": "Sodium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104934005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 143,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"

                  "low": {
                    "value": 137,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 147,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.3,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o2-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o2-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2823-3",
                    "display": "Potassium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "59573005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.3,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"

                  "low": {
                    "value": 3.5,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 5.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 108,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o3-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o3-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2075-0",
                    "display": "Chloride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "46511006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 108,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"

                  "low": {
                    "value": 96,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 109,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 25,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o4-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o4-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1963-8",
                    "display": "Bicarbonate [Moles/volume] in Serum"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88645003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 25,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"

                  "low": {
                    "value": 25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 14,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o5-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o5-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1863-0",
                    "display": "Anion gap 4 in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "271057005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 14,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"

                  "low": {
                    "value": 4,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 17,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.3,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o6-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o6-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14749-6",
                    "display": "Glucose [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "36048009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.3,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"

                  "low": {
                    "value": 3.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.6,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o7-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o7-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14937-7",
                    "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "273967009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4.6,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"

                  "low": {
                    "value": 2.0,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 7.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.06,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o8-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o8-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14682-9",
                    "display": "Creatinine [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "70901006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 0.06,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"

                  "low": {
                    "value": 0.04,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.11,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.41,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [

            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o9-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o9-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14933-6",
                    "display": "Urate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "86228006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"

              ],
              "valueQuantity": {
                "value": 0.41,
                "unit": "mmol/L"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              }
            ]

              ],
              "referenceRange": [
                {
                  "low": {
                    "value": 0.14,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 0.35,
                    "unit": "mmol/L"
                  }
                }
              ]
            }

          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o10-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o10-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14631-6",
                    "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "27171005"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 27,
                "unit": "umol/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 27,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "low": {
                    "value": 2,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 20,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o11-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o11-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "6768-6",
                    "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "88810008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 631,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 631,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 30,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 115,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o12-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o12-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2324-2",
                    "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "69480007"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 956,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 956,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o13-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o13-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1742-6",
                    "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "34608000"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 398,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 398,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 45,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o14-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o14-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1920-8",
                    "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "45896001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 120,
                "unit": "U/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "HH"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 120,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"

                  "low": {
                    "value": 0,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 41,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o15-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o15-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2532-0",
                    "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "11274001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 243,
                "unit": "U/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"

                  "low": {
                    "value": 80,
                    "unit": "U/L"
                  },
                  "high": {
                    "value": 250,
                    "unit": "U/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 243,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o16-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o16-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2000-8",
                    "display": "Calcium [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "71878006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.33,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.33,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o17-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o17-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "13959-2",
                    "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "166708003"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.52,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"

                  "low": {
                    "value": 2.25,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 2.65,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.52,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o18-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o18-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14879-1",
                    "display": "Phosphate [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104866001"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1.2,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"

                  "low": {
                    "value": 0.8,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 1.5,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o19-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o19-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "2885-2",
                    "display": "Protein [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "74040009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 71,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"

                  "low": {
                    "value": 60,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 82,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 71,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o20-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o20-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "1751-7",
                    "display": "Albumin [Mass/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104485008"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 36,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"

                  "low": {
                    "value": 35,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 50,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 36,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o21-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o21-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "10834-0",
                    "display": "Globulin [Mass/volume] in Serum by calculation"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104979009"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 35,
                "unit": "g/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"

                  "low": {
                    "value": 20,
                    "unit": "g/L"
                  },
                  "high": {
                    "value": 40,
                    "unit": "g/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 35,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o22-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o22-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14798-3",
                    "display": "Iron [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "42950004"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 39,
                "unit": "umol/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 39,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "low": {
                    "value": 10,
                    "unit": "umol/L"
                  },
                  "high": {
                    "value": 33,
                    "unit": "umol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o23-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o23-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14647-2",
                    "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "77068002"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 6.8,
                "unit": "mmol/L"
              },
              "interpretation": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "H"
                    }
                  ]

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.8,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [

              ],
              "referenceRange": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"

                  "low": {
                    "value": 3.6,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 6.7,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]

            }

          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o24-21",
            "resource": {
              "resourceType": "Observation",
              "id": "o24-21",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "14927-8",
                    "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "104784006"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/4"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 1.5,
                "unit": "mmol/L"
              },
              "referenceRange": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"

                  "low": {
                    "value": 0.3,
                    "unit": "mmol/L"
                  },
                  "high": {
                    "value": 4.0,
                    "unit": "mmol/L"
                  }

                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.5,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/4"
        },
        "effectiveDateTime": "2004-12-05T07:15:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": [
          {
            "actor": {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"

            }
          }
        ],
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          }

        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/25",

      "fullUrl": "http://hl7.org/fhir/Bundle/25",

      "resource": {
        "resourceType": "DiagnosticReport",

        "resourceType": "Bundle",

        "id": "25",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 25</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: Microbial susceptibility tests Set <span>(Details : {LOINC code '18769-0' = 'Microbial susceptibility tests Set', given as 'Microbial susceptibility tests Set'})</span></p><p><b>subject</b>: <a>Patient/5</a></p><p><b>effective</b>: 07/11/2005 9:44:17 PM</p><p><b>issued</b>: 07/11/2005 11:38:01 PM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>specimen</b>: URINE, CLEAN CATCH/MIDSTREAM</p><p><b>result</b>: </p><ul><li>id: o1; status: final; Microorganism identified in Unspecified specimen by Culture <span>(Details : {LOINC code '11475-1' = 'Microorganism identified in Unspecified specimen by Culture', given as 'Microorganism identified in Unspecified specimen by Culture'})</span>; ????; Acme Laboratory, Inc; KLEBSIELLA PNEUMONIAE <span>(Details )</span></li><li>id: o2; status: final; Microorganism [#/volume] in Unspecified specimen by Viability count <span>(Details : {LOINC code '43161-9' = 'Microorganism [#/volume] in Unspecified specimen by Viability count', given as 'Microorganism [#/volume] in Unspecified specimen by Viability count'})</span>; ????; Acme Laboratory, Inc; 20000 CFU/ML</li><li>id: o3; status: final; AMPICILLIN/SULBACTAM <span>(Details : {http://example.org/local code 'AMS' = 'AMS', given as 'AMPICILLIN/SULBACTAM'})</span>; ????; Acme Laboratory, Inc; 4 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o4; status: final; AMPICILLIN <span>(Details : {http://example.org/local code 'AM' = 'AM', given as 'AMPICILLIN'})</span>; ????; Acme Laboratory, Inc; 16 U; Resistant <span>(Details : {http://hl7.org/fhir/v2/0078 code 'R' = 'Resistant)</span></li><li>id: o5; status: final; AZTREONAM <span>(Details : {http://example.org/local code 'ATM' = 'ATM', given as 'AZTREONAM'})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o6; status: final; CEFAZOLIN <span>(Details : {http://example.org/local code 'CFZ' = 'CFZ', given as 'CEFAZOLIN'})</span>; ????; Acme Laboratory, Inc; &lt;=4 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o7; status: final; CEFEPIME <span>(Details : {http://example.org/local code 'FEP' = 'FEP', given as 'CEFEPIME'})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o8; status: final; CEFOTETAN <span>(Details : {http://example.org/local code 'CTN' = 'CTN', given as 'CEFOTETAN'})</span>; ????; Acme Laboratory, Inc; &lt;=4 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o9; status: final; CEFTAZIDIME <span>(Details : {http://example.org/local code 'TAZ' = 'TAZ', given as 'CEFTAZIDIME'})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o10; status: final; CEFTRIAXONE <span>(Details : {http://example.org/local code 'CRO' = 'CRO', given as 'CEFTRIAXONE'})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o11; status: final; CIPROFLOXACIN <span>(Details : {http://example.org/local code 'CIPRO' = 'CIPRO', given as 'CIPROFLOXACIN'})</span>; ????; Acme Laboratory, Inc; &lt;=0.25 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o12; status: final; GENTAMICIN <span>(Details : {http://example.org/local code 'GM' = 'GM', given as 'GENTAMICIN'})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o13; status: final; IMIPENEM <span>(Details : {http://example.org/local code 'IPM' = 'IPM', given as 'IMIPENEM'})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o14; status: final; LEVOFLOXACIN <span>(Details : {http://example.org/local code 'LVX' = 'LVX', given as 'LEVOFLOXACIN'})</span>; ????; Acme Laboratory, Inc; &lt;=0.25 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o15; status: final; NITROFURANTOIN <span>(Details : {http://example.org/local code 'NIT' = 'NIT', given as 'NITROFURANTOIN'})</span>; ????; Acme Laboratory, Inc; 32 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o16; status: final; PIPERACILLIN/TAZOBAC <span>(Details : {http://example.org/local code 'PTZ' = 'PTZ', given as 'PIPERACILLIN/TAZOBAC'})</span>; ????; Acme Laboratory, Inc; &lt;=4 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o17; status: final; TRIMETH/SULFA <span>(Details : {http://example.org/local code 'TRSUV' = 'TRSUV', given as 'TRIMETH/SULFA'})</span>; ????; Acme Laboratory, Inc; &lt;=20 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li><li>id: o18; status: final; TOBRAMYCIN <span>(Details : {http://example.org/local code 'TOB' = 'TOB', given as 'TOBRAMYCIN'})</span>; ????; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li></ul></div>"
        },
        "contained": [

        "type": "collection",
        "entry": [

          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/DiagnosticReport/25",
            "resource": {
              "resourceType": "DiagnosticReport",
              "id": "25",
              "meta": {
                "lastUpdated": "2012-04-14T10:35:23Z"
              },
              "identifier": [

                {
                  "system": "http://loinc.org",
                  "code": "11475-1",
                  "display": "Microorganism identified in Unspecified specimen by Culture"

                  "system": "http://acme.com/lab/reports",
                  "value": "5234342"
                }
              ],
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "18769-0",
                    "display": "Microbial susceptibility tests Set"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "effectiveDateTime": "2005-11-07T21:44:17Z",
              "issued": "2005-11-07T23:38:01Z",
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "specimen": [
                {
                  "display": "URINE, CLEAN CATCH/MIDSTREAM"
                }
              ],
              "result": [
                {
                  "reference": "Observation/o1-25"
                },
                {
                  "reference": "Observation/o2-25"
                },
                {
                  "reference": "Observation/o3-25"
                },
                {
                  "reference": "Observation/o4-25"
                },
                {
                  "reference": "Observation/o5-25"
                },
                {
                  "reference": "Observation/o6-25"
                },
                {
                  "reference": "Observation/o7-25"
                },
                {
                  "reference": "Observation/o8-25"
                },
                {
                  "reference": "Observation/o9-25"
                },
                {
                  "reference": "Observation/o10-25"
                },
                {
                  "reference": "Observation/o11-25"
                },
                {
                  "reference": "Observation/o12-25"
                },
                {
                  "reference": "Observation/o13-25"
                },
                {
                  "reference": "Observation/o14-25"
                },
                {
                  "reference": "Observation/o15-25"
                },
                {
                  "reference": "Observation/o16-25"
                },
                {
                  "reference": "Observation/o17-25"
                },
                {
                  "reference": "Observation/o18-25"

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueCodeableConcept": {
              "text": "KLEBSIELLA PNEUMONIAE"

            }
          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o1-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o1-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "11475-1",
                    "display": "Microorganism identified in Unspecified specimen by Culture"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://loinc.org",
                  "code": "43161-9",
                  "display": "Microorganism [#/volume] in Unspecified specimen by Viability count"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"

              ],
              "valueCodeableConcept": {
                "text": "KLEBSIELLA PNEUMONIAE"

              }
            ],
            "valueQuantity": {
              "value": 20000,
              "unit": "CFU/ML"

            }
          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o2-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o2-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "43161-9",
                    "display": "Microorganism [#/volume] in Unspecified specimen by Viability count"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://example.org/local",
                  "code": "AMS",
                  "display": "AMPICILLIN/SULBACTAM"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"

              ],
              "valueQuantity": {
                "value": 20000,
                "unit": "CFU/ML"

              }
            ],
            "valueQuantity": {
              "value": 4,
              "unit": "U"
            },
            "interpretation": {
              "coding": [

            }
          },
          {
            "fullUrl": "https://example.com/base/Observation/o3-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o3-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "AMS",
                    "display": "AMPICILLIN/SULBACTAM"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 4,
                "unit": "U"
              },
              "interpretation": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]

                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o4-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o4-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "AM",
                    "display": "AMPICILLIN"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://example.org/local",
                  "code": "AM",
                  "display": "AMPICILLIN"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 16,
              "unit": "U"
            },
            "interpretation": {
              "coding": [

              ],
              "valueQuantity": {
                "value": 16,
                "unit": "U"
              },
              "interpretation": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "R"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "R"
                    }
                  ]

                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o5-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o5-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "ATM",
                    "display": "AZTREONAM"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://example.org/local",
                  "code": "ATM",
                  "display": "AZTREONAM"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [

              ],
              "valueQuantity": {
                "value": 1,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]

                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o6-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o6-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "CFZ",
                    "display": "CEFAZOLIN"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://example.org/local",
                  "code": "CFZ",
                  "display": "CEFAZOLIN"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [

              ],
              "valueQuantity": {
                "value": 4,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]

                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o7-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o7-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "FEP",
                    "display": "CEFEPIME"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://example.org/local",
                  "code": "FEP",
                  "display": "CEFEPIME"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [

              ],
              "valueQuantity": {
                "value": 1,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]

                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o8-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o8-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "CTN",
                    "display": "CEFOTETAN"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://example.org/local",
                  "code": "CTN",
                  "display": "CEFOTETAN"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [

              ],
              "valueQuantity": {
                "value": 4,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]

                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o9-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o9-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "TAZ",
                    "display": "CEFTAZIDIME"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://example.org/local",
                  "code": "TAZ",
                  "display": "CEFTAZIDIME"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [

              ],
              "valueQuantity": {
                "value": 1,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]

                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o10-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o10-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "CRO",
                    "display": "CEFTRIAXONE"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://example.org/local",
                  "code": "CRO",
                  "display": "CEFTRIAXONE"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [

              ],
              "valueQuantity": {
                "value": 1,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]

                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o11-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o11-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "CIPRO",
                    "display": "CIPROFLOXACIN"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://example.org/local",
                  "code": "CIPRO",
                  "display": "CIPROFLOXACIN"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.25,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [

              ],
              "valueQuantity": {
                "value": 0.25,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]

                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o12-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o12-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "GM",
                    "display": "GENTAMICIN"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://example.org/local",
                  "code": "GM",
                  "display": "GENTAMICIN"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [

              ],
              "valueQuantity": {
                "value": 1,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]

                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o13-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o13-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "IPM",
                    "display": "IMIPENEM"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://example.org/local",
                  "code": "IPM",
                  "display": "IMIPENEM"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [

              ],
              "valueQuantity": {
                "value": 1,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]

                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o14-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o14-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "LVX",
                    "display": "LEVOFLOXACIN"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://example.org/local",
                  "code": "LVX",
                  "display": "LEVOFLOXACIN"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.25,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [

              ],
              "valueQuantity": {
                "value": 0.25,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]

                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o15-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o15-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "NIT",
                    "display": "NITROFURANTOIN"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://example.org/local",
                  "code": "NIT",
                  "display": "NITROFURANTOIN"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 32,
              "unit": "U"
            },
            "interpretation": {
              "coding": [

              ],
              "valueQuantity": {
                "value": 32,
                "unit": "U"
              },
              "interpretation": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]

                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o16-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o16-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "PTZ",
                    "display": "PIPERACILLIN/TAZOBAC"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://example.org/local",
                  "code": "PTZ",
                  "display": "PIPERACILLIN/TAZOBAC"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [

              ],
              "valueQuantity": {
                "value": 4,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]

                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o17-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o17-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "TRSUV",
                    "display": "TRIMETH/SULFA"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://example.org/local",
                  "code": "TRSUV",
                  "display": "TRIMETH/SULFA"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 20,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [

              ],
              "valueQuantity": {
                "value": 20,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]

                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/Observation/o18-25",
            "resource": {
              "resourceType": "Observation",
              "id": "o18-25",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://example.org/local",
                    "code": "TOB",
                    "display": "TOBRAMYCIN"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/5"
              },
              "performer": [

                {
                  "system": "http://example.org/local",
                  "code": "TOB",
                  "display": "TOBRAMYCIN"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [

              ],
              "valueQuantity": {
                "value": 1,
                "comparator": "<=",
                "unit": "U"
              },
              "interpretation": [

                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"

                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                      "code": "S"
                    }
                  ]

                }
              ]
            }
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "18769-0",
              "display": "Microbial susceptibility tests Set"
            }
          ]
        },
        "subject": {
          "reference": "Patient/5"
        },
        "effectiveDateTime": "2005-11-07T21:44:17Z",
        "issued": "2005-11-07T23:38:01Z",
        "performer": [
          {
            "actor": {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"
            }
          }
        ],
        "specimen": [
          {
            "display": "URINE, CLEAN CATCH/MIDSTREAM"
          }
        ],
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          }

        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/26",

      "fullUrl": "http://hl7.org/fhir/Bundle/26",

      "resource": {
        "resourceType": "DiagnosticReport",

        "resourceType": "Bundle",

        "id": "26",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 26</p><p><b>meta</b>: </p><p><b>contained</b>: </p><p><b>identifier</b>: 5234342</p><p><b>status</b>: final</p><p><b>code</b>: RPR <span>(Details : {http://acme.com/labs/reports code '142080' = '142080', given as 'Rapid Plasma Reagin'})</span></p><p><b>subject</b>: <a>Patient/6</a></p><p><b>effective</b>: 07/03/2005 2:02:17 PM</p><p><b>issued</b>: 07/03/2005 2:02:01 PM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>result</b>: id: o1; status: final; Reagin Ab [Presence] in Serum by RPR <span>(Details : {LOINC code '20507-0' = 'Reagin Ab [Presence] in Serum by RPR', given as 'Reagin Ab [Presence] in Serum by RPR'})</span>; ????; Acme Laboratory, Inc; value: Non-reactive</p></div>"
        },
        "contained": [

        "type": "collection",
        "entry": [

          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/DiagnosticReport/26",
            "resource": {
              "resourceType": "DiagnosticReport",
              "id": "26",
              "meta": {
                "lastUpdated": "2012-04-14T10:35:23Z"
              },
              "identifier": [

                {
                  "system": "http://loinc.org",
                  "code": "20507-0",
                  "display": "Reagin Ab [Presence] in Serum by RPR"

                  "system": "http://acme.com/lab/reports",
                  "value": "5234342"
                }
              ],
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://acme.com/labs/reports",
                    "code": "142080",
                    "display": "Rapid Plasma Reagin"
                  }
                ],
                "text": "RPR"
              },
              "subject": {
                "reference": "Patient/6"
              },
              "effectiveDateTime": "2005-03-07T14:02:17Z",
              "issued": "2005-03-07T14:02:01Z",
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "result": [
                {
                  "reference": "Observation/o1-26"

                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueString": "Non-reactive"
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://acme.com/labs/reports",
              "code": "142080",
              "display": "Rapid Plasma Reagin"

            }
          ],
          "text": "RPR"
        },
        "subject": {
          "reference": "Patient/6"
        },
        "effectiveDateTime": "2005-03-07T14:02:17Z",
        "issued": "2005-03-07T14:02:01Z",
        "performer": [

          },

          {
            "actor": {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"

            "fullUrl": "https://example.com/base/Observation/o1-26",
            "resource": {
              "resourceType": "Observation",
              "id": "o1-26",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "20507-0",
                    "display": "Reagin Ab [Presence] in Serum by RPR"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/6"
              },
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueString": "Non-reactive"

            }
          }
        ],
        "result": [
          {
            "reference": "#o1"
          }

        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/27",

      "fullUrl": "http://hl7.org/fhir/Bundle/27",

      "resource": {
        "resourceType": "DiagnosticReport",

        "resourceType": "Bundle",

        "id": "27",
        "meta": {
          "lastUpdated": "2012-05-23T14:27:01Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <table>\n              <tr>\n                <td>hsCRP</td>\n                <td>2.8</td>\n                <td>mg/L</td>\n                <td>1.0-3.0</td>\n              </tr>\n            </table>\n          </div>"
        },
        "contained": [

        "type": "collection",
        "entry": [

          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [

            "fullUrl": "https://example.com/base/DiagnosticReport/27",
            "resource": {
              "resourceType": "DiagnosticReport",
              "id": "27",
              "meta": {
                "lastUpdated": "2012-05-23T14:27:01Z"
              },
              "text": {
                "status": "generated",
                "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t\t\t\t<table>\n\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t<td>hsCRP</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>2.8</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>mg/L</td>\n\t\t\t\t\t\t\t\t\t\t\t<td>1.0-3.0</td>\n\t\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t</table>\n\t\t\t\t\t\t\t\t</div>"
              },
              "identifier": [

                {
                  "system": "http://loinc.org",
                  "code": "30522-7",
                  "display": "C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method"
                },

                  "system": "http://acme.com/lab/reports",
                  "value": "23412355"
                }
              ],
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://acme.com/labs/reports",
                    "code": "bchem2",
                    "display": "Specialist Biochemistry"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/1"
              },
              "effectiveDateTime": "2012-05-21T10:45:00Z",
              "issued": "2012-05-23T14:27:01Z",
              "performer": [

                {
                  "system": "http://snomed.info/sct",
                  "code": "55235003"

                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"

                }
              ],
              "text": "hsCRP"
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.8,
              "unit": "mg/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 1.0,
                  "unit": "mg/L"
                },
                "high": {
                  "value": 3.0,
                  "unit": "mg/L"

              "result": [
                {
                  "reference": "Observation/o1-27"

                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "23412355"
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://acme.com/labs/reports",
              "code": "bchem2",
              "display": "Specialist Biochemistry"

              ]

            }
          ]
        },
        "subject": {
          "reference": "Patient/1"
        },
        "effectiveDateTime": "2012-05-21T10:45:00Z",
        "issued": "2012-05-23T14:27:01Z",
        "performer": [

          },

          {
            "actor": {
              "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
              "display": "Acme Laboratory, Inc"

            "fullUrl": "https://example.com/base/Observation/o1-27",
            "resource": {
              "resourceType": "Observation",
              "id": "o1-27",
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "30522-7",
                    "display": "C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method"
                  },
                  {
                    "system": "http://snomed.info/sct",
                    "code": "55235003"
                  }
                ],
                "text": "hsCRP"
              },
              "subject": {
                "reference": "Patient/1"
              },
              "performer": [
                {
                  "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                  "display": "Acme Laboratory, Inc"
                }
              ],
              "valueQuantity": {
                "value": 2.8,
                "unit": "mg/L"
              },
              "referenceRange": [
                {
                  "low": {
                    "value": 1.0,
                    "unit": "mg/L"
                  },
                  "high": {
                    "value": 3.0,
                    "unit": "mg/L"
                  }
                }
              ]

            }
          }
        ],
        "result": [
          {
            "reference": "#o1"
          }

        ]
      }
    }
  ]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.