{
  "resourceType": "DiagnosticReport",
  "id": "ghp",
  "meta": {
    "lastUpdated": "2015-08-16T10:35:23Z"
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: ghp</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: ghp-example</p><p><b>status</b>: final</p><p><b>code</b>: General Health Profile <span>(Details : {http://acme.com/labs/reports code 'GHP' = 'GHP', given as 'General Health Profile'})</span></p><p><b>subject</b>: <a>Patient/pat2</a></p><p><b>effective</b>: Aug 16, 2015 6:40:17 AM</p><p><b>issued</b>: Aug 17, 2015 6:40:17 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>specimen</b>: </p><ul><li>Red Top Tube. Generated Summary: id: rtt; 20150816-00124; Serum sample <span>(Details : {SNOMED CT code '119364003' = 'Serum specimen', given as 'Serum sample'})</span>; ????</li><li>Lavender Top Tube. Generated Summary: id: ltt; 20150816-00124; Blood specimen with EDTA <span>(Details : {SNOMED CT code '445295009' = 'Blood specimen with EDTA', given as 'Blood specimen with EDTA'})</span>; ????</li><li>Urine Sample. Generated Summary: id: urine; 20150816-00124; Urine specimen <span>(Details : {SNOMED CT code '122575003' = 'Urine specimen', given as 'Urine specimen'})</span>; ????</li></ul><p><b>result</b>: </p><ul><li>Chemistry Panel. Generated Summary: id: p1; status: final; Comprehensive metabolic 2000 panel - Serum or Plasma <span>(Details : {LOINC code '24323-8' = 'Comprehensive metabolic 2000 panel - Serum or Plasma', given as 'Comprehensive metabolic 2000 panel - Serum or Plasma'})</span>; effective: Aug 16, 2015 6:40:17 AM; issued: Aug 17, 2015 6:40:17 AM; Acme Laboratory, Inc</li><li>CBC. Generated Summary: id: p2; status: final; Complete blood count (hemogram) panel - Blood by Automated count <span>(Details : {LOINC code '58410-2' = 'Complete blood count (hemogram) panel - Blood by Automated count', given as 'Complete blood count (hemogram) panel - Blood by Automated count'})</span>; effective: Aug 16, 2015 6:40:17 AM; issued: Aug 17, 2015 6:40:17 AM; Acme Laboratory, Inc</li><li>Urinalysis. Generated Summary: id: p3; status: final; Urinalysis macro (dipstick) panel - Urine <span>(Details : {LOINC code '24357-6' = 'Urinalysis macro (dipstick) panel - Urine', given as 'Urinalysis macro (dipstick) panel - Urine'})</span>; effective: Aug 16, 2015 6:40:17 AM; issued: Aug 17, 2015 6:40:17 AM; Acme Laboratory, Inc</li></ul></div>"
  },
  "contained": [
    {
      "resourceType": "Specimen",
      "id": "rtt",
      "accessionIdentifier": {
        "system": "http://acme.com/labs/accession-ids",
        "value": "20150816-00124"
      },
      "type": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "119364003",
            "display": "Serum sample"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "collection": {
        "collector": {
          "reference": "Practitioner/f202"
        },
        "collectedDateTime": "2015-08-16T06:40:17Z"
      },
      "container": [
        {
          "type": {
            "coding": [
              {
                "system": "http://acme.com/labs",
                "code": "SST",
                "display": "Serum Separator Tube"
              }
            ]
          }
        }
      ]
    },
    {
      "resourceType": "Specimen",
      "id": "ltt",
      "accessionIdentifier": {
        "system": "http://acme.com/labs/accession-ids",
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      },
      "type": {
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          {
            "system": "http://snomed.info/sct",
            "code": "445295009",
            "display": "Blood specimen with EDTA"
          }
        ]
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "collection": {
        "collector": {
          "reference": "Practitioner/f202"
        },
        "collectedDateTime": "2015-08-16T06:40:17Z"
      },
      "container": [
        {
          "type": {
            "coding": [
              {
                "system": "http://acme.com/labs",
                "code": "LTT",
                "display": "Lavender Top Tube"
              }
            ]
          }
        }
      ]
    },
    {
      "resourceType": "Specimen",
      "id": "urine",
      "accessionIdentifier": {
        "system": "http://acme.com/labs/accession-ids",
        "value": "20150816-00124"
      },
      "type": {
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          {
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          }
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      },
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      "collection": {
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          "reference": "Practitioner/f202"
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        "collectedDateTime": "2015-08-16T06:40:17Z"
      },
      "container": [
        {
          "type": {
            "coding": [
              {
                "system": "http://acme.com/labs",
                "code": "UCUP",
                "display": "100mL sterile cup"
              }
            ]
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
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            "system": "http://loinc.org",
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            "display": "Complete blood count (hemogram) panel - Blood by Automated count"
          }
        ]
      },
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      "specimen": {
        "reference": "#ltt",
        "display": "Lavender Top Tube"
      },
      "related": [
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          "type": "has-member",
          "target": {
            "reference": "#r1"
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        },
        {
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          "target": {
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        {
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        },
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            "reference": "#r6"
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        },
        {
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          "target": {
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        },
        {
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            "reference": "#r8"
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        },
        {
          "type": "has-member",
          "target": {
            "reference": "#r9"
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        },
        {
          "type": "has-member",
          "target": {
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        },
        {
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        },
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        },
        {
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        },
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        }
      ]
    },
    {
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      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "718-7",
            "display": "Hemoglobin [Mass/volume] in Blood"
          }
        ],
        "text": "Haemoglobin"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
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        }
      ],
      "valueQuantity": {
        "value": 176,
        "unit": "g/L",
        "system": "http://unitsofmeasure.org",
        "code": "g/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 135,
            "unit": "g/L",
            "system": "http://unitsofmeasure.org",
            "code": "g/L"
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            "unit": "g/L",
            "system": "http://unitsofmeasure.org",
            "code": "g/L"
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        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "r2",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "789-8",
            "display": "Erythrocytes [#/volume] in Blood by Automated count"
          }
        ],
        "text": "Red Cell Count"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
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      "referenceRange": [
        {
          "low": {
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            "unit": "x10*12/L",
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            "unit": "x10*12/L",
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            "system": "http://loinc.org",
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            "display": "Hematocrit [Volume Fraction] of Blood by Automated count"
          }
        ],
        "text": "Haematocrit"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
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        "unit": "%"
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            "system": "http://hl7.org/fhir/v2/0078",
            "code": "H"
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        ]
      },
      "referenceRange": [
        {
          "low": {
            "value": 38,
            "unit": "%"
          },
          "high": {
            "value": 52,
            "unit": "%"
          }
        }
      ]
    },
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      "code": {
        "coding": [
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            "system": "http://loinc.org",
            "code": "787-2",
            "display": "Erythrocyte mean corpuscular volume [Entitic volume] by Automated count"
          }
        ],
        "text": "Mean Cell Volume"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
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      ],
      "valueQuantity": {
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        "unit": "fL",
        "system": "http://unitsofmeasure.org",
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            "system": "http://hl7.org/fhir/v2/0078",
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          }
        ]
      },
      "referenceRange": [
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            "value": 80,
            "unit": "fL",
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            "unit": "fL",
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        }
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    {
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            "system": "http://loinc.org",
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            "display": "Erythrocyte mean corpuscular hemoglobin [Entitic mass] by Automated count"
          }
        ],
        "text": "Mean Cell Haemoglobin"
      },
      "subject": {
        "reference": "Patient/pat2"
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      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
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      "valueQuantity": {
        "value": 36,
        "unit": "pg",
        "system": "http://unitsofmeasure.org",
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      "referenceRange": [
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            "value": 27,
            "unit": "pg",
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    {
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          {
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            "display": "Platelets [#/volume] in Blood by Automated count"
          }
        ],
        "text": "Platelet Count"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
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      ],
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        {
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    },
    {
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          {
            "system": "http://loinc.org",
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            "display": "Leukocytes [#/volume] in Blood by Automated count"
          }
        ],
        "text": "White Cell Count"
      },
      "subject": {
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      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
        "value": 4.6,
        "unit": "x10*9/L",
        "system": "http://unitsofmeasure.org",
        "code": "10*9/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 4.0,
            "unit": "x10*9/L",
            "system": "http://unitsofmeasure.org",
            "code": "10*9/L"
          },
          "high": {
            "value": 11.0,
            "unit": "x10*9/L",
            "system": "http://unitsofmeasure.org",
            "code": "10*9/L"
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        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "r8",
      "status": "final",
      "code": {
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          {
            "system": "http://loinc.org",
            "code": "770-8",
            "display": "Neutrophils/100 leukocytes in Blood by Automated count"
          }
        ],
        "text": "Neutrophils"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
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      ],
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      "id": "r9",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "751-8",
            "display": "Neutrophils [#/volume] in Blood by Automated count"
          }
        ],
        "text": "Neutrophils"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
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        }
      ],
      "valueQuantity": {
        "value": 0.9,
        "unit": "x10*9/L",
        "system": "http://unitsofmeasure.org",
        "code": "10*9/L"
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "LL"
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        ]
      },
      "referenceRange": [
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            "value": 7.5,
            "unit": "x10*9/L",
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        }
      ]
    },
    {
      "resourceType": "Observation",
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      "status": "final",
      "code": {
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          {
            "system": "http://loinc.org",
            "code": "736-9",
            "display": "Lymphocytes/100 leukocytes in Blood by Automated count"
          }
        ],
        "text": "Lymphocytes"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
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        "system": "http://unitsofmeasure.org",
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      }
    },
    {
      "resourceType": "Observation",
      "id": "r11",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "731-0",
            "display": "Lymphocytes [#/volume] in Blood by Automated count"
          }
        ],
        "text": "Lymphocytes"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
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      ],
      "valueQuantity": {
        "value": 0.9,
        "unit": "x10*9/L",
        "system": "http://unitsofmeasure.org",
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      "interpretation": {
        "coding": [
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            "code": "L"
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        ]
      },
      "referenceRange": [
        {
          "low": {
            "value": 1.1,
            "unit": "x10*9/L",
            "system": "http://unitsofmeasure.org",
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          "high": {
            "value": 4.0,
            "unit": "x10*9/L",
            "system": "http://unitsofmeasure.org",
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        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "r12",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "5905-5",
            "display": "Monocytes/100 leukocytes in Blood by Automated count"
          }
        ],
        "text": "Monocytes"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
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      "valueQuantity": {
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        "system": "http://unitsofmeasure.org",
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      }
    },
    {
      "resourceType": "Observation",
      "id": "r13",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "742-7",
            "display": "Monocytes [#/volume] in Blood by Automated count"
          }
        ],
        "text": "Monocytes"
      },
      "subject": {
        "reference": "Patient/pat2"
      },
      "performer": [
        {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        }
      ],
      "valueQuantity": {
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        "unit": "x10*9/L",
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        "code": "10*9/L"
      },
      "referenceRange": [
        {
          "low": {
            "value": 0.2,
            "unit": "x10*9/L",
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          "high": {
            "value": 1.0,
            "unit": "x10*9/L",
            "system": "http://unitsofmeasure.org",
            "code": "10*9/L"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "r14",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "713-8",
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