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fhir_dstu2_models 1.0.2

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data/lib/fhir_dstu2_models/examples/xml/diagnosticreport-example-f201-brainct(f201).xml ADDED Viewed

@@ -0,0 +1,45 @@
+<?xml version="1.0" encoding="UTF-8"?><DiagnosticReport xmlns="http://hl7.org/fhir">
+	<id value="f201"/>
+	<text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f201</p><p><b>status</b>: final</p><p><b>category</b>: Radiology <span>(Details : {SNOMED CT code &#39;394914008&#39; = &#39;394914008&#39;, given as &#39;Radiology&#39;}; {http://hl7.org/fhir/v2/0074 code &#39;RAD&#39; = &#39;Radiology)</span></p><p><b>code</b>: CT of head-neck <span>(Details : {SNOMED CT code &#39;429858000&#39; = &#39;429858000&#39;, given as &#39;Computed tomography (CT) of head and neck&#39;})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>effective</b>: 01/12/2012 12:00:00 PM</p><p><b>issued</b>: 01/12/2012 12:00:00 PM</p><p><b>performer</b>: <a>Blijdorp MC</a></p><p><b>imagingStudy</b>: HEAD and NECK CT DICOM imaging study</p><p><b>conclusion</b>: CT brains: large tumor sphenoid/clivus.</p><p><b>codedDiagnosis</b>: Malignant tumor of craniopharyngeal duct <span>(Details : {SNOMED CT code &#39;188340000&#39; = &#39;188340000&#39;, given as &#39;Malignant tumor of craniopharyngeal duct&#39;})</span></p></div></text><status value="final"/>
+	<!--   No identifier or request details were available   -->
+	<category>
+		<!--   The request was honored by the Department of Radiology   -->
+		<coding>
+			<system value="http://snomed.info/sct"/>
+			<code value="394914008"/>
+			<display value="Radiology"/>
+		</coding>
+		<coding>
+			<system value="http://hl7.org/fhir/v2/0074"/>
+			<code value="RAD"/>
+		</coding>
+	</category>
+	<code>
+		<coding>
+			<system value="http://snomed.info/sct"/>
+			<code value="429858000"/>
+			<display value="Computed tomography (CT) of head and neck"/>
+		</coding>
+		<text value="CT of head-neck"/>
+	</code>
+	<subject>
+		<reference value="Patient/f201"/>
+		<display value="Roel"/>
+	</subject>
+	<effectiveDateTime value="2012-12-01T12:00:00+01:00"/>
+	<issued value="2012-12-01T12:00:00+01:00"/>
+	<performer>
+		<reference value="Organization/f203"/>
+		<display value="Blijdorp MC"/>
+	</performer>
+	<!--   The actual CT imagenot available -  following reference used to demonstrate the usage of the element  -->
+	<imagingStudy><display value="HEAD and NECK CT DICOM imaging study"/></imagingStudy>
+	<conclusion value="CT brains: large tumor sphenoid/clivus."/>
+	<codedDiagnosis>
+		<coding>
+			<system value="http://snomed.info/sct"/>
+			<code value="188340000"/>
+			<display value="Malignant tumor of craniopharyngeal duct"/>
+		</coding>
+	</codedDiagnosis>
+</DiagnosticReport>

data/lib/fhir_dstu2_models/examples/xml/diagnosticreport-example-f202-bloodculture(f202).xml ADDED Viewed

@@ -0,0 +1,66 @@
+<?xml version="1.0" encoding="UTF-8"?><DiagnosticReport xmlns="http://hl7.org/fhir">
+  <id value="f202"/>
+  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f202</p><p><b>contained</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Laboratory test <span>(Details : {SNOMED CT code &#39;15220000&#39; = &#39;15220000&#39;, given as &#39;Laboratory test&#39;}; {http://hl7.org/fhir/v2/0074 code &#39;LAB&#39; = &#39;Laboratory)</span></p><p><b>code</b>: Blood culture for bacteria, including anaerobic screen <span>(Details : {SNOMED CT code &#39;104177005&#39; = &#39;104177005&#39;, given as &#39;Blood culture for bacteria, including anaerobic screen&#39;})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>effective</b>: 11/03/2013 3:45:00 AM</p><p><b>issued</b>: 11/03/2013 10:28:00 AM</p><p><b>performer</b>: <a>AUMC</a></p><p><b>request</b>: id: req; Roel</p><p><b>result</b>: <a>Results for staphylococcus analysis on Roel&#39;s blood culture</a></p><p><b>conclusion</b>: Blood culture tested positive on staphylococcus aureus</p><p><b>codedDiagnosis</b>: Bacteremia due to staphylococcus <span>(Details : {SNOMED CT code &#39;428763004&#39; = &#39;428763004&#39;, given as &#39;Bacteremia due to staphylococcus&#39;})</span></p></div></text><contained>
+    <DiagnosticOrder>
+      <id value="req"/>
+      <subject>
+        <reference value="Patient/f201"/>
+        <display value="Roel"/>
+      </subject>
+      <orderer>
+        <reference value="Practitioner/f201"/>
+        <display value="Dokter Bronsig"/>
+      </orderer>
+      <encounter>
+        <reference value="Encounter/f203"/>
+        <display value="Roel&#39;s encounter on March eleventh 2013"/>
+      </encounter>
+    </DiagnosticOrder>
+  </contained>
+  <status value="final"/>
+  <category>
+  <!--   Lab test   -->
+    <coding>
+      <system value="http://snomed.info/sct"/>
+      <code value="15220000"/>
+      <display value="Laboratory test"/>
+    </coding>
+    <coding>
+      <system value="http://hl7.org/fhir/v2/0074"/>
+      <code value="LAB"/>
+    </coding>
+  </category>
+  <code>
+    <coding>
+      <system value="http://snomed.info/sct"/>
+      <code value="104177005"/>
+      <display value="Blood culture for bacteria, including anaerobic screen"/>
+    </coding>
+  </code>
+  <subject>
+    <reference value="Patient/f201"/>
+    <display value="Roel"/>
+  </subject>
+  <effectiveDateTime value="2013-03-11T03:45:00+01:00"/>
+  <issued value="2013-03-11T10:28:00+01:00"/>
+  <performer>
+    <reference value="Organization/f201"/>
+    <display value="AUMC"/>
+  </performer>
+<!--   No identifier was available   -->
+  <request>
+    <reference value="#req"/>
+  </request>
+  <result>
+    <reference value="Observation/f206"/>
+    <display value="Results for staphylococcus analysis on Roel&#39;s blood culture"/>
+  </result>
+  <conclusion value="Blood culture tested positive on staphylococcus aureus"/>
+  <codedDiagnosis>
+    <coding>
+      <system value="http://snomed.info/sct"/>
+      <code value="428763004"/>
+      <display value="Bacteremia due to staphylococcus"/>
+    </coding>
+  </codedDiagnosis>
+</DiagnosticReport>

data/lib/fhir_dstu2_models/examples/xml/diagnosticreport-example-ghp(ghp).xml ADDED Viewed

@@ -0,0 +1,2312 @@
+<?xml version="1.0" encoding="UTF-8"?><DiagnosticReport xmlns="http://hl7.org/fhir">
+	<id value="ghp"/>
+	<meta>
+		<lastUpdated value="2015-08-16T10:35:23Z"/>
+	</meta>
+	<!--   ************** CBC observation panel************************  -->
+	<text><status value="generated"/><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 &#39;GHP&#39; = &#39;??&#39;, given as &#39;General Health Profile&#39;})</span></p><p><b>subject</b>: <a>Patient/pat2</a></p><p><b>effective</b>: 16/08/2015 4:40:17 PM</p><p><b>issued</b>: 17/08/2015 4:40:17 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><p><b>specimen</b>: </p><ul><li>Red Top Tube. Generated Summary: id: rtt; Serum sample <span>(Details : {SNOMED CT code &#39;119364003&#39; = &#39;119364003&#39;, given as &#39;Serum sample&#39;})</span>; Patient/pat2; 20150816-00124</li><li>Lavender Top Tube. Generated Summary: id: ltt; Blood specimen with EDTA <span>(Details : {SNOMED CT code &#39;445295009&#39; = &#39;445295009&#39;, given as &#39;Blood specimen with EDTA&#39;})</span>; Patient/pat2; 20150816-00124</li><li>Urine Sample. Generated Summary: id: urine; Urine specimen <span>(Details : {SNOMED CT code &#39;122575003&#39; = &#39;122575003&#39;, given as &#39;Urine specimen&#39;})</span>; Patient/pat2; 20150816-00124</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 &#39;24323-8&#39; = &#39;Comprehensive metabolic 2000 panel - Serum or Plasma&#39;, given as &#39;Comprehensive metabolic 2000 panel - Serum or Plasma&#39;})</span>; effective: 16/08/2015 4:40:17 PM; issued: 17/08/2015 4:40:17 PM; 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 &#39;58410-2&#39; = &#39;Complete blood count (hemogram) panel - Blood by Automated count&#39;, given as &#39;Complete blood count (hemogram) panel - Blood by Automated count&#39;})</span>; effective: 16/08/2015 4:40:17 PM; issued: 17/08/2015 4:40:17 PM; Acme Laboratory, Inc</li><li>Urinalysis. Generated Summary: id: p3; status: final; Urinalysis macro (dipstick) panel - Urine <span>(Details : {LOINC code &#39;24357-6&#39; = &#39;Urinalysis macro (dipstick) panel - Urine&#39;, given as &#39;Urinalysis macro (dipstick) panel - Urine&#39;})</span>; effective: 16/08/2015 4:40:17 PM; issued: 17/08/2015 4:40:17 PM; Acme Laboratory, Inc</li></ul></div></text><contained>
+		<Specimen>
+			<id value="rtt"/>
+			<type>
+				<coding>
+					<system value="http://snomed.info/sct"/>
+					<code value="119364003"/>
+					<display value="Serum sample"/>
+				</coding>
+			</type>
+			<subject>
+				<reference value="Patient/pat2"/>
+			</subject>
+			<accessionIdentifier>
+				<system value="http://acme.com/labs/accession-ids"/>
+				<value value="20150816-00124"/>
+			</accessionIdentifier>
+			<collection>
+				<collector>
+					<reference value="Practitioner/f202"/>
+				</collector>
+				<collectedDateTime value="2015-08-16T06:40:17Z"/>
+			</collection>
+			<container>
+				<type>
+				<coding>
+					<system value="http://acme.com/labs"/>
+					<code value="SST"/>
+					<display value="Serum Separator Tube"/>
+				</coding>
+				</type>
+			</container>
+		</Specimen>
+	</contained>
+	<contained>
+		<Specimen>
+			<id value="ltt"/>
+			<type>
+				<coding>
+					<system value="http://snomed.info/sct"/>
+					<code value="445295009"/>
+					<display value="Blood specimen with EDTA"/>
+				</coding>
+			</type>
+			<subject>
+				<reference value="Patient/pat2"/>
+			</subject>
+			<accessionIdentifier>
+				<system value="http://acme.com/labs/accession-ids"/>
+				<value value="20150816-00124"/>
+			</accessionIdentifier>
+			<collection>
+				<collector>
+					<reference value="Practitioner/f202"/>
+				</collector>
+				<collectedDateTime value="2015-08-16T06:40:17Z"/>
+			</collection>
+			<container>
+				<type>
+				<coding>
+					<system value="http://acme.com/labs"/>
+					<code value="LTT"/>
+					<display value="Lavender Top Tube"/>
+				</coding>
+				</type>
+			</container>
+		</Specimen>
+	</contained>
+	<contained>
+		<Specimen>
+			<id value="urine"/>
+			<type>
+				<coding>
+					<system value="http://snomed.info/sct"/>
+					<code value="122575003"/>
+					<display value="Urine specimen"/>
+				</coding>
+			</type>
+			<subject>
+				<reference value="Patient/pat2"/>
+			</subject>
+			<accessionIdentifier>
+				<system value="http://acme.com/labs/accession-ids"/>
+				<value value="20150816-00124"/>
+			</accessionIdentifier>
+			<collection>
+				<collector>
+					<reference value="Practitioner/f202"/>
+				</collector>
+				<collectedDateTime value="2015-08-16T06:40:17Z"/>
+			</collection>
+			<container>
+				<type>
+				<coding>
+					<system value="http://acme.com/labs"/>
+					<code value="UCUP"/>
+					<display value="100mL sterile cup"/>
+				</coding>
+				</type>
+			</container>
+		</Specimen>
+	</contained>
+	<contained>
+		<Observation>
+			<id value="p2"/>
+						<status value="final"/>
+			<code>
+				<coding>
+					<system value="http://loinc.org"/>
+					<code value="58410-2"/>
+					<display value="Complete blood count (hemogram) panel - Blood by Automated count"/>
+				</coding>
+			</code>
+			<effectiveDateTime value="2015-08-16T06:40:17Z"/>
+			<issued value="2015-08-17T06:40:17Z"/>
+			<performer>
+				<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+				<display value="Acme Laboratory, Inc"/>
+			</performer>
+			<specimen>
+				<reference value="#ltt"/>
+				<display value="Lavender Top Tube"/>
+			</specimen>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#r1"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#r2"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#r3"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#r4"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#r5"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#r6"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#r7"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#r8"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#r9"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#r10"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#r11"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#r12"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#r13"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#r14"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#r15"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#r16"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#r17"/>
+				</target>
+			</related>
+		</Observation>
+	</contained>
+			<contained>
+				<Observation>
+					<!--
+  all the data items (= Observations) are contained
+  in this diagnostic report. It would be equally
+    valid - and normal - for them to be separate trackable
+    items. However for the purposes of this example, it's
+  more convenient to have them here. For more discussion,
+  see under"Contained Resources" on the Resource Definitions
+  topic page      -->
+					<!--      for users steeped in v2, each observation roughly corresponds with an
+    OBX, and the Diagnostic Report with an ORU_R01 message      -->
+					<id value="r1"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="718-7"/>
+							<display value="Hemoglobin [Mass/volume] in Blood"/>
+						</coding>
+						<text value="Haemoglobin"/>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="176"/>
+						<unit value="g/L"/>
+						<system value="http://unitsofmeasure.org"/>
+						<code value="g/L"/>
+					</valueQuantity>
+					<referenceRange>
+						<low>
+							<value value="135"/>
+							<unit value="g/L"/>
+							<system value="http://unitsofmeasure.org"/>
+							<code value="g/L"/>
+						</low>
+						<high>
+							<value value="180"/>
+							<unit value="g/L"/>
+							<system value="http://unitsofmeasure.org"/>
+							<code value="g/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="r2"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="789-8"/>
+							<display value="Erythrocytes [#/volume] in Blood by Automated count"/>
+						</coding>
+						<text value="Red Cell Count"/>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="5.9"/>
+						<unit value="x10*12/L"/>
+						<system value="http://unitsofmeasure.org"/>
+						<code value="10*12/L"/>
+					</valueQuantity>
+					<referenceRange>
+						<low>
+							<value value="4.2"/>
+							<unit value="x10*12/L"/>
+							<system value="http://unitsofmeasure.org"/>
+							<code value="10*12/L"/>
+						</low>
+						<high>
+							<value value="6.0"/>
+							<unit value="x10*12/L"/>
+							<system value="http://unitsofmeasure.org"/>
+							<code value="10*12/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="r3"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="4544-3"/>
+							<display value="Hematocrit [Volume Fraction] of Blood by Automated count"/>
+						</coding>
+						<text value="Haematocrit"/>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="55"/>
+						<unit value="%"/>
+					</valueQuantity>
+					<interpretation>
+						<coding>
+							<system value="http://hl7.org/fhir/v2/0078"/>
+							<code value="H"/>
+						</coding>
+					</interpretation>
+					<referenceRange>
+						<low>
+							<value value="38"/>
+							<unit value="%"/>
+						</low>
+						<high>
+							<value value="52"/>
+							<unit value="%"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="r4"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="787-2"/>
+							<display value="Erythrocyte mean corpuscular volume [Entitic volume] by Automated count"/>
+						</coding>
+						<text value="Mean Cell Volume"/>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="99"/>
+						<unit value="fL"/>
+						<system value="http://unitsofmeasure.org"/>
+						<code value="fL"/>
+					</valueQuantity>
+					<interpretation>
+						<coding>
+							<system value="http://hl7.org/fhir/v2/0078"/>
+							<code value="H"/>
+						</coding>
+					</interpretation>
+					<referenceRange>
+						<low>
+							<value value="80"/>
+							<unit value="fL"/>
+							<system value="http://unitsofmeasure.org"/>
+							<code value="fL"/>
+						</low>
+						<high>
+							<value value="98"/>
+							<unit value="fL"/>
+							<system value="http://unitsofmeasure.org"/>
+							<code value="fL"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="r5"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="785-6"/>
+							<display value="Erythrocyte mean corpuscular hemoglobin [Entitic mass] by Automated count"/>
+						</coding>
+						<text value="Mean Cell Haemoglobin"/>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="36"/>
+						<unit value="pg"/>
+						<system value="http://unitsofmeasure.org"/>
+						<code value="pg"/>
+					</valueQuantity>
+					<interpretation>
+						<coding>
+							<system value="http://hl7.org/fhir/v2/0078"/>
+							<code value="H"/>
+						</coding>
+					</interpretation>
+					<referenceRange>
+						<low>
+							<value value="27"/>
+							<unit value="pg"/>
+							<system value="http://unitsofmeasure.org"/>
+							<code value="pg"/>
+						</low>
+						<high>
+							<value value="35"/>
+							<unit value="pg"/>
+							<system value="http://unitsofmeasure.org"/>
+							<code value="pg"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="r6"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="777-3"/>
+							<display value="Platelets [#/volume] in Blood by Automated count"/>
+						</coding>
+						<text value="Platelet Count"/>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="444"/>
+						<unit value="x10*9/L"/>
+						<system value="http://unitsofmeasure.org"/>
+						<code value="10*9/L"/>
+					</valueQuantity>
+					<referenceRange>
+						<low>
+							<value value="150"/>
+							<unit value="x10*9/L"/>
+							<system value="http://unitsofmeasure.org"/>
+							<code value="10*9/L"/>
+						</low>
+						<high>
+							<value value="450"/>
+							<unit value="x10*9/L"/>
+							<system value="http://unitsofmeasure.org"/>
+							<code value="10*9/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="r7"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="6690-2"/>
+							<display value="Leukocytes [#/volume] in Blood by Automated count"/>
+						</coding>
+						<text value="White Cell Count"/>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="4.6"/>
+						<unit value="x10*9/L"/>
+						<system value="http://unitsofmeasure.org"/>
+						<code value="10*9/L"/>
+					</valueQuantity>
+					<referenceRange>
+						<low>
+							<value value="4.0"/>
+							<unit value="x10*9/L"/>
+							<system value="http://unitsofmeasure.org"/>
+							<code value="10*9/L"/>
+						</low>
+						<high>
+							<value value="11.0"/>
+							<unit value="x10*9/L"/>
+							<system value="http://unitsofmeasure.org"/>
+							<code value="10*9/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="r8"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="770-8"/>
+							<display value="Neutrophils/100 leukocytes in Blood by Automated count"/>
+						</coding>
+						<text value="Neutrophils"/>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="20"/>
+						<unit value="%"/>
+						<system value="http://unitsofmeasure.org"/>
+						<code value="%"/>
+					</valueQuantity>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="r9"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="751-8"/>
+							<display value="Neutrophils [#/volume] in Blood by Automated count"/>
+						</coding>
+						<text value="Neutrophils"/>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="0.9"/>
+						<unit value="x10*9/L"/>
+						<system value="http://unitsofmeasure.org"/>
+						<code value="10*9/L"/>
+					</valueQuantity>
+					<interpretation>
+						<coding>
+							<system value="http://hl7.org/fhir/v2/0078"/>
+							<code value="LL"/>
+						</coding>
+					</interpretation>
+					<referenceRange>
+						<low>
+							<value value="2.0"/>
+							<unit value="x10*9/L"/>
+							<system value="http://unitsofmeasure.org"/>
+							<code value="10*9/L"/>
+						</low>
+						<high>
+							<value value="7.5"/>
+							<unit value="x10*9/L"/>
+							<system value="http://unitsofmeasure.org"/>
+							<code value="10*9/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="r10"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="736-9"/>
+							<display value="Lymphocytes/100 leukocytes in Blood by Automated count"/>
+						</coding>
+						<text value="Lymphocytes"/>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="20"/>
+						<unit value="%"/>
+						<system value="http://unitsofmeasure.org"/>
+						<code value="%"/>
+					</valueQuantity>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="r11"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="731-0"/>
+							<display value="Lymphocytes [#/volume] in Blood by Automated count"/>
+						</coding>
+						<text value="Lymphocytes"/>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="0.9"/>
+						<unit value="x10*9/L"/>
+						<system value="http://unitsofmeasure.org"/>
+						<code value="10*9/L"/>
+					</valueQuantity>
+					<interpretation>
+						<coding>
+							<system value="http://hl7.org/fhir/v2/0078"/>
+							<code value="L"/>
+						</coding>
+					</interpretation>
+					<referenceRange>
+						<low>
+							<value value="1.1"/>
+							<unit value="x10*9/L"/>
+							<system value="http://unitsofmeasure.org"/>
+							<code value="10*9/L"/>
+						</low>
+						<high>
+							<value value="4.0"/>
+							<unit value="x10*9/L"/>
+							<system value="http://unitsofmeasure.org"/>
+							<code value="10*9/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="r12"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="5905-5"/>
+							<display value="Monocytes/100 leukocytes in Blood by Automated count"/>
+						</coding>
+						<text value="Monocytes"/>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="20"/>
+						<unit value="%"/>
+						<system value="http://unitsofmeasure.org"/>
+						<code value="%"/>
+					</valueQuantity>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="r13"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="742-7"/>
+							<display value="Monocytes [#/volume] in Blood by Automated count"/>
+						</coding>
+						<text value="Monocytes"/>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="0.9"/>
+						<unit value="x10*9/L"/>
+						<system value="http://unitsofmeasure.org"/>
+						<code value="10*9/L"/>
+					</valueQuantity>
+					<referenceRange>
+						<low>
+							<value value="0.2"/>
+							<unit value="x10*9/L"/>
+							<system value="http://unitsofmeasure.org"/>
+							<code value="10*9/L"/>
+						</low>
+						<high>
+							<value value="1.0"/>
+							<unit value="x10*9/L"/>
+							<system value="http://unitsofmeasure.org"/>
+							<code value="10*9/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="r14"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="713-8"/>
+							<display value="Eosinophils/100 leukocytes in Blood by Automated count"/>
+						</coding>
+						<text value="Eosinophils"/>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="20"/>
+						<unit value="%"/>
+						<system value="http://unitsofmeasure.org"/>
+						<code value="%"/>
+					</valueQuantity>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="r15"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="711-2"/>
+							<display value="Eosinophils [#/volume] in Blood by Automated count"/>
+						</coding>
+						<text value="Eosinophils"/>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="0.92"/>
+						<unit value="x10*9/L"/>
+						<system value="http://unitsofmeasure.org"/>
+						<code value="10*9/L"/>
+					</valueQuantity>
+					<interpretation>
+						<coding>
+							<system value="http://hl7.org/fhir/v2/0078"/>
+							<code value="HH"/>
+						</coding>
+					</interpretation>
+					<referenceRange>
+						<low>
+							<value value="0.04"/>
+							<unit value="x10*9/L"/>
+							<system value="http://unitsofmeasure.org"/>
+							<code value="10*9/L"/>
+						</low>
+						<high>
+							<value value="0.40"/>
+							<unit value="x10*9/L"/>
+							<system value="http://unitsofmeasure.org"/>
+							<code value="10*9/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="r16"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="706-2"/>
+							<display value="Basophils/100 leukocytes in Blood by Automated count"/>
+						</coding>
+						<text value="Basophils"/>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="20"/>
+						<unit value="%"/>
+						<system value="http://unitsofmeasure.org"/>
+						<code value="%"/>
+					</valueQuantity>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="r17"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="704-7"/>
+							<display value="Basophils [#/volume] in Blood by Automated count"/>
+						</coding>
+						<text value="Basophils"/>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="0.92"/>
+						<unit value="x10*9/L"/>
+						<system value="http://unitsofmeasure.org"/>
+						<code value="10*9/L"/>
+					</valueQuantity>
+					<referenceRange>
+						<high>
+							<value value="0.21"/>
+							<unit value="x10*9/L"/>
+							<system value="http://unitsofmeasure.org"/>
+							<code value="10*9/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+	<!--   ******************CHEM PANEL observations **************************  -->
+	<contained>
+		<Observation>
+			<id value="p1"/>
+						<status value="final"/>
+			<code>
+				<coding>
+					<system value="http://loinc.org"/>
+					<code value="24323-8"/>
+					<display value="Comprehensive metabolic 2000 panel - Serum or Plasma"/>
+				</coding>
+			</code>
+			<effectiveDateTime value="2015-08-16T06:40:17Z"/>
+			<issued value="2015-08-17T06:40:17Z"/>
+			<performer>
+				<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+				<display value="Acme Laboratory, Inc"/>
+			</performer>
+			<specimen>
+				<reference value="#rtt"/>
+				<display value="Red Top Tube"/>
+			</specimen>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o1"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o2"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o3"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o4"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o5"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o6"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o7"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o8"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o9"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o10"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o11"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o12"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o13"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o14"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o15"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o16"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o17"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o18"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o19"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o20"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o21"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#o22"/>
+				</target>
+			</related>
+		</Observation>
+	</contained>
+			<contained>
+				<Observation>
+					<id value="o1"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="2951-2"/>
+							<display value="Sodium [Moles/volume] in Serum or Plasma"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="104934005"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="140"/>
+						<unit value="mmol/L"/>
+					</valueQuantity>
+					<referenceRange>
+						<low>
+							<value value="137"/>
+							<unit value="mmol/L"/>
+						</low>
+						<high>
+							<value value="147"/>
+							<unit value="mmol/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="o2"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="2823-3"/>
+							<display value="Potassium [Moles/volume] in Serum or Plasma"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="59573005"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="4.2"/>
+						<unit value="mmol/L"/>
+					</valueQuantity>
+					<referenceRange>
+						<low>
+							<value value="3.5"/>
+							<unit value="mmol/L"/>
+						</low>
+						<high>
+							<value value="5.0"/>
+							<unit value="mmol/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="o3"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="2075-0"/>
+							<display value="Chloride [Moles/volume] in Serum or Plasma"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="46511006"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="105"/>
+						<unit value="mmol/L"/>
+					</valueQuantity>
+					<referenceRange>
+						<low>
+							<value value="96"/>
+							<unit value="mmol/L"/>
+						</low>
+						<high>
+							<value value="109"/>
+							<unit value="mmol/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="o4"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="1963-8"/>
+							<display value="Bicarbonate [Moles/volume] in Serum"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="88645003"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="26"/>
+						<unit value="mmol/L"/>
+					</valueQuantity>
+					<referenceRange>
+						<low>
+							<value value="25"/>
+							<unit value="mmol/L"/>
+						</low>
+						<high>
+							<value value="33"/>
+							<unit value="mmol/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="o5"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="1863-0"/>
+							<display value="Anion gap 4 in Serum or Plasma"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="271057005"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="13"/>
+						<unit value="mmol/L"/>
+					</valueQuantity>
+					<referenceRange>
+						<low>
+							<value value="4"/>
+							<unit value="mmol/L"/>
+						</low>
+						<high>
+							<value value="17"/>
+							<unit value="mmol/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="o6"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="14749-6"/>
+							<display value="Glucose [Moles/volume] in Serum or Plasma"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="36048009"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="7.4"/>
+						<unit value="mmol/L"/>
+					</valueQuantity>
+					<referenceRange>
+						<low>
+							<value value="3.0"/>
+							<unit value="mmol/L"/>
+						</low>
+						<high>
+							<value value="7.7"/>
+							<unit value="mmol/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="o7"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="14937-7"/>
+							<display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="273967009"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="4.7"/>
+						<unit value="mmol/L"/>
+					</valueQuantity>
+					<referenceRange>
+						<low>
+							<value value="2.0"/>
+							<unit value="mmol/L"/>
+						</low>
+						<high>
+							<value value="7.0"/>
+							<unit value="mmol/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="o8"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="14682-9"/>
+							<display value="Creatinine [Moles/volume] in Serum or Plasma"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="70901006"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="0.09"/>
+						<unit value="mmol/L"/>
+					</valueQuantity>
+					<referenceRange>
+						<low>
+							<value value="0.04"/>
+							<unit value="mmol/L"/>
+						</low>
+						<high>
+							<value value="0.11"/>
+							<unit value="mmol/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="o9"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="14933-6"/>
+							<display value="Urate [Moles/volume] in Serum or Plasma"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="86228006"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="0.39"/>
+						<unit value="mmol/L"/>
+					</valueQuantity>
+					<interpretation>
+						<coding>
+							<system value="http://hl7.org/fhir/v2/0078"/>
+							<code value="H"/>
+						</coding>
+					</interpretation>
+					<referenceRange>
+						<low>
+							<value value="0.14"/>
+							<unit value="mmol/L"/>
+						</low>
+						<high>
+							<value value="0.35"/>
+							<unit value="mmol/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="o10"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="14631-6"/>
+							<display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="27171005"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
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+					<valueQuantity>
+						<value value="7"/>
+						<unit value="umol/L"/>
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+					<referenceRange>
+						<low>
+							<value value="2"/>
+							<unit value="umol/L"/>
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+						<high>
+							<value value="20"/>
+							<unit value="umol/L"/>
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+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="o11"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="14629-0"/>
+							<display value="Bilirubin.direct [Moles/volume] in Serum or Plasma"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="39748002"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
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+					<valueQuantity>
+						<value value="3"/>
+						<unit value="umol/L"/>
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+					<referenceRange>
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+							<value value="0"/>
+							<unit value="umol/L"/>
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+						<high>
+							<value value="8"/>
+							<unit value="umol/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="o12"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="6768-6"/>
+							<display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="88810008"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="108"/>
+						<unit value="U/L"/>
+					</valueQuantity>
+					<referenceRange>
+						<low>
+							<value value="30"/>
+							<unit value="U/L"/>
+						</low>
+						<high>
+							<value value="115"/>
+							<unit value="U/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="o13"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="2324-2"/>
+							<display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="69480007"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="35"/>
+						<unit value="U/L"/>
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+					<referenceRange>
+						<low>
+							<value value="0"/>
+							<unit value="U/L"/>
+						</low>
+						<high>
+							<value value="45"/>
+							<unit value="U/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="o14"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="1742-6"/>
+							<display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="34608000"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
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+					<valueQuantity>
+						<value value="54"/>
+						<unit value="U/L"/>
+					</valueQuantity>
+					<interpretation>
+						<coding>
+							<system value="http://hl7.org/fhir/v2/0078"/>
+							<code value="H"/>
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+					</interpretation>
+					<referenceRange>
+						<low>
+							<value value="0"/>
+							<unit value="U/L"/>
+						</low>
+						<high>
+							<value value="45"/>
+							<unit value="U/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="o15"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="1920-8"/>
+							<display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="45896001"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="30"/>
+						<unit value="U/L"/>
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+					<referenceRange>
+						<low>
+							<value value="0"/>
+							<unit value="U/L"/>
+						</low>
+						<high>
+							<value value="41"/>
+							<unit value="U/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="o16"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="2532-0"/>
+							<display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="11274001"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="131"/>
+						<unit value="U/L"/>
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+					<referenceRange>
+						<low>
+							<value value="80"/>
+							<unit value="U/L"/>
+						</low>
+						<high>
+							<value value="250"/>
+							<unit value="U/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="o17"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="2000-8"/>
+							<display value="Calcium [Moles/volume] in Serum or Plasma"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="71878006"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="2.38"/>
+						<unit value="mmol/L"/>
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+					<referenceRange>
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+							<value value="2.25"/>
+							<unit value="mmol/L"/>
+						</low>
+						<high>
+							<value value="2.65"/>
+							<unit value="mmol/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="o18"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="13959-2"/>
+							<display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="166708003"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="2.39"/>
+						<unit value="mmol/L"/>
+					</valueQuantity>
+					<referenceRange>
+						<low>
+							<value value="2.25"/>
+							<unit value="mmol/L"/>
+						</low>
+						<high>
+							<value value="2.65"/>
+							<unit value="mmol/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="o19"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="14879-1"/>
+							<display value="Phosphate [Moles/volume] in Serum or Plasma"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="104866001"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="1.5"/>
+						<unit value="mmol/L"/>
+					</valueQuantity>
+					<referenceRange>
+						<low>
+							<value value="0.8"/>
+							<unit value="mmol/L"/>
+						</low>
+						<high>
+							<value value="1.5"/>
+							<unit value="mmol/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="o20"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="2885-2"/>
+							<display value="Protein [Mass/volume] in Serum or Plasma"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="74040009"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="67"/>
+						<unit value="g/L"/>
+					</valueQuantity>
+					<referenceRange>
+						<low>
+							<value value="60"/>
+							<unit value="g/L"/>
+						</low>
+						<high>
+							<value value="82"/>
+							<unit value="g/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="o21"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="1751-7"/>
+							<display value="Albumin [Mass/volume] in Serum or Plasma"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="104485008"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="42"/>
+						<unit value="g/L"/>
+					</valueQuantity>
+					<referenceRange>
+						<low>
+							<value value="35"/>
+							<unit value="g/L"/>
+						</low>
+						<high>
+							<value value="50"/>
+							<unit value="g/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="o22"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="10834-0"/>
+							<display value="Globulin [Mass/volume] in Serum by calculation"/>
+						</coding>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="104979009"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="25"/>
+						<unit value="g/L"/>
+					</valueQuantity>
+					<referenceRange>
+						<low>
+							<value value="20"/>
+							<unit value="g/L"/>
+						</low>
+						<high>
+							<value value="40"/>
+							<unit value="g/L"/>
+						</high>
+					</referenceRange>
+				</Observation>
+			</contained>
+	<!--   ******************UA observations **************************   -->
+	<contained>
+		<Observation>
+			<id value="p3"/>
+						<status value="final"/>
+			<code>
+				<coding>
+					<system value="http://loinc.org"/>
+					<code value="24357-6"/>
+					<display value="Urinalysis macro (dipstick) panel - Urine"/>
+				</coding>
+			</code>
+			<effectiveDateTime value="2015-08-16T06:40:17Z"/>
+			<issued value="2015-08-17T06:40:17Z"/>
+			<performer>
+				<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+				<display value="Acme Laboratory, Inc"/>
+			</performer>
+			<specimen>
+				<reference value="#urine"/>
+				<display value="Urine Sample"/>
+			</specimen>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#u1"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#u2"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#u3"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#u4"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#u5"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#u6"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#u7"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#u8"/>
+				</target>
+			</related>
+			<related>
+				<type value="has-member"/>
+				<target>
+					<reference value="#u9"/>
+				</target>
+			</related>
+		</Observation>
+	</contained>
+			<contained>
+				<Observation>
+					<id value="u1"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="2756-5"/>
+							<display value="pH of Urine"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<effectiveDateTime value="2015-08-16T06:40:17Z"/>
+					<issued value="2015-08-17T06:40:17Z"/>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="5.0"/>
+						<unit value="pH"/>
+					</valueQuantity>
+					<specimen>
+						<reference value="#urine"/>
+						<display value="Urine Sample"/>
+					</specimen>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="u2"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="2887-8"/>
+							<display value="Protein [Presence] in Urine"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<effectiveDateTime value="2015-08-16T06:40:17Z"/>
+					<issued value="2015-08-17T06:40:17Z"/>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueCodeableConcept>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="260385009"/>
+							<display value="Negative"/>
+						</coding>
+					</valueCodeableConcept>
+					<specimen>
+						<reference value="#urine"/>
+						<display value="Urine Sample"/>
+					</specimen>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="u3"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="2965-2"/>
+							<display value="Specific gravity of Urine"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<effectiveDateTime value="2015-08-16T06:40:17Z"/>
+					<issued value="2015-08-17T06:40:17Z"/>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="1.009"/>
+					</valueQuantity>
+					<specimen>
+						<reference value="#urine"/>
+						<display value="Urine Sample"/>
+					</specimen>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="u4"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="33051-4"/>
+							<display value="Erythrocytes [Presence] in Urine"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<effectiveDateTime value="2015-08-16T06:40:17Z"/>
+					<issued value="2015-08-17T06:40:17Z"/>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueCodeableConcept>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="260385009"/>
+							<display value="Negative"/>
+						</coding>
+					</valueCodeableConcept>
+					<specimen>
+						<reference value="#urine"/>
+						<display value="Urine Sample"/>
+					</specimen>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="u5"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="2349-9"/>
+							<display value="Glucose [Presence] in Urine"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<effectiveDateTime value="2015-08-16T06:40:17Z"/>
+					<issued value="2015-08-17T06:40:17Z"/>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueCodeableConcept>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="260385009"/>
+							<display value="Negative"/>
+						</coding>
+					</valueCodeableConcept>
+					<specimen>
+						<reference value="#urine"/>
+						<display value="Urine Sample"/>
+					</specimen>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="u6"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="33052-2"/>
+							<display value="Leukocytes [Presence] in Urine"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<effectiveDateTime value="2015-08-16T06:40:17Z"/>
+					<issued value="2015-08-17T06:40:17Z"/>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueCodeableConcept>
+						<coding>
+							<system value="http://snomed.info/sct"/>
+							<code value="260385009"/>
+							<display value="Negative"/>
+						</coding>
+					</valueCodeableConcept>
+					<specimen>
+						<reference value="#urine"/>
+						<display value="Urine Sample"/>
+					</specimen>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="u7"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="30405-5"/>
+							<display value="Leukocytes [#/volume] in Urine"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<effectiveDateTime value="2015-08-16T06:40:17Z"/>
+					<issued value="2015-08-17T06:40:17Z"/>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="1"/>
+						<unit value="/uL"/>
+					</valueQuantity>
+					<specimen>
+						<reference value="#urine"/>
+						<display value="Urine Sample"/>
+					</specimen>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="u8"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="30391-7"/>
+							<display value="Erythocytes [#/volume] in Urine"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<effectiveDateTime value="2015-08-16T06:40:17Z"/>
+					<issued value="2015-08-17T06:40:17Z"/>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="1"/>
+						<comparator value="&lt;"/>
+						<unit value="/uL"/>
+					</valueQuantity>
+					<specimen>
+						<reference value="#urine"/>
+						<display value="Urine Sample"/>
+					</specimen>
+				</Observation>
+			</contained>
+			<contained>
+				<Observation>
+					<id value="u9"/>
+					<status value="final"/>
+					<code>
+						<coding>
+							<system value="http://loinc.org"/>
+							<code value="13654-9"/>
+							<display value="Epithelial cells.squamous [#/volume] in Urine sediment"/>
+						</coding>
+					</code>
+					<subject>
+						<reference value="Patient/pat2"/>
+					</subject>
+					<effectiveDateTime value="2015-08-16T06:40:17Z"/>
+					<issued value="2015-08-17T06:40:17Z"/>
+					<performer>
+						<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+						<display value="Acme Laboratory, Inc"/>
+					</performer>
+					<valueQuantity>
+						<value value="1"/>
+						<comparator value="&lt;"/>
+						<unit value="/mL"/>
+					</valueQuantity>
+					<specimen>
+						<reference value="#urine"/>
+						<display value="Urine Sample"/>
+					</specimen>
+				</Observation>
+			</contained>
+	<identifier>
+		<system value="http://acme.com/lab/reports"/>
+		<value value="ghp-example"/>
+	</identifier>
+	<status value="final"/>
+	<code>
+		<coding>
+			<system value="http://acme.com/labs/reports"/>
+			<code value="GHP"/>
+			<display value="General Health Profile"/>
+		</coding>
+	</code>
+	<subject>
+		<reference value="Patient/pat2"/>
+	</subject>
+	<effectiveDateTime value="2015-08-16T06:40:17Z"/>
+	<issued value="2015-08-17T06:40:17Z"/>
+	<performer>
+		<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
+		<display value="Acme Laboratory, Inc"/>
+	</performer>
+	<specimen>
+		<reference value="#rtt"/>
+		<display value="Red Top Tube"/>
+	</specimen>
+	<specimen>
+		<reference value="#ltt"/>
+		<display value="Lavender Top Tube"/>
+	</specimen>
+	<specimen>
+		<reference value="#urine"/>
+		<display value="Urine Sample"/>
+	</specimen>
+	<result>
+		<reference value="#p1"/>
+		<display value="Chemistry Panel"/>
+	</result>
+	<result>
+		<reference value="#p2"/>
+		<display value="CBC"/>
+	</result>
+	<result>
+		<reference value="#p3"/>
+		<display value="Urinalysis"/>
+	</result>
+</DiagnosticReport>