fhir_dstu2_models 1.0.2

data/lib/fhir_dstu2_models/examples/json/diagnosticreport-example-dxa.json

@@ -0,0 +1,105 @@
+{
+  "resourceType": "DiagnosticReport",
+  "id": "102",
+  "text": {
+    "status": "generated",
+    "div": "<div>\n\t\t\t\n      \n      <h2>DXA BONE DENSITOMETRY</h2>\n\t\t\t\n      \n      <table>\n\t\t\t\t\n        \n        <tr>\n\t\t\t\t\t\n          \n          <td>NAME</td>\n\t\t\t\t\t\n          \n          <td>XXXXXXX</td>\n\t\t\t\t\n        \n        </tr>\n\t\t\t\t\n        \n        <tr>\n\t\t\t\t\t\n          \n          <td>DOB</td>\n\t\t\t\t\t\n          \n          <td>10/02/1974</td>\n\t\t\t\t\n        \n        </tr>\n\t\t\t\t\n        \n        <tr>\n\t\t\t\t\t\n          \n          <td>REFERRING DR</td>\n\t\t\t\t\t\n          \n          <td>Smith, Jane</td>\n\t\t\t\t\n        \n        </tr>\n\t\t\t\t\n        \n        <tr>\n\t\t\t\t\t\n          \n          <td>INDICATIONS</td>\n\t\t\t\t\t\n          \n          <td>Early menopause on estrogen levels. No period  for 18 months</td>\n\t\t\t\t\n        \n        </tr>\n\t\t\t\t\n        \n        <tr>\n\t\t\t\t\t\n          \n          <td>PROCEDURE</td>\n\t\t\t\t\t\n          \n          <td>Dual energy x-ray absorptiometry (DEXA)</td>\n\t\t\t\t\n        \n        </tr>\n\t\t\t\n      \n      </table>\n\t\t\t\n      \n      <h3>Bone Mineral Density</h3>\n\t\t\t\n      \n      <table>\n\t\t\t\t\n        \n        <tr>\n\t\t\t\t\t\n          \n          <td>Scan Type</td>\n\t\t\t\t\t\n          \n          <td>Region</td>\n\t\t\t\t\t\n          \n          <td>Measured</td>\n\t\t\t\t\t\n          \n          <td>Age</td>\n\t\t\t\t\t\n          \n          <td>BMD</td>\n\t\t\t\t\t\n          \n          <td>T-Score</td>\n\t\t\t\t\t\n          \n          <td>Z-Score</td>\n\t\t\t\t\t\n          \n          <td>?BMD(g/cm2)</td>\n\t\t\t\t\t\n          \n          <td>?BMD(%)</td>\n\t\t\t\t\n        \n        </tr>\n\t\t\t\t\n        \n        <tr>\n\t\t\t\t\t\n          \n          <td>AP Spine</td>\n\t\t\t\t\t\n          \n          <td>L1-L4</td>\n\t\t\t\t\t\n          \n          <td>17/06/2008</td>\n\t\t\t\t\t\n          \n          <td>34.4</td>\n\t\t\t\t\t\n          \n          <td>1.148 g/cm²</td>\n\t\t\t\t\t\n          \n          <td>-0.4</td>\n\t\t\t\t\t\n          \n          <td>-0.5</td>\n\t\t\t\t\t\n          \n          <td>-</td>\n\t\t\t\t\t\n          \n          <td>-</td>\n\t\t\t\t\n        \n        </tr>\n\t\t\t\t\n        \n        <tr>\n\t\t\t\t\t\n          \n          <td>Left Femur</td>\n\t\t\t\t\t\n          \n          <td>Neck</td>\n\t\t\t\t\t\n          \n          <td>17/06/2008</td>\n\t\t\t\t\t\n          \n          <td>34.4</td>\n\t\t\t\t\t\n          \n          <td>0.891 g/cm²</td>\n\t\t\t\t\t\n          \n          <td>-1.0</td>\n\t\t\t\t\t\n          \n          <td>-0.9</td>\n\t\t\t\t\t\n          \n          <td>-</td>\n\t\t\t\t\t\n          \n          <td>-</td>\n\t\t\t\t\n        \n        </tr>\n\t\t\t\t\n        \n        <tr>\n\t\t\t\t\t\n          \n          <td>Left Femur</td>\n\t\t\t\t\t\n          \n          <td>Total</td>\n\t\t\t\t\t\n          \n          <td>17/06/2008</td>\n\t\t\t\t\t\n          \n          <td>34.4</td>\n\t\t\t\t\t\n          \n          <td>0.887 g/cm²</td>\n\t\t\t\t\t\n          \n          <td>-1.2</td>\n\t\t\t\t\t\n          \n          <td>-1.3</td>\n\t\t\t\t\t\n          \n          <td>-</td>\n\t\t\t\t\t\n          \n          <td>-</td>\n\t\t\t\t\n        \n        </tr>\n\t\t\t\t\n        \n        <tr>\n\t\t\t\t\t\n          \n          <td>Right Femur</td>\n\t\t\t\t\t\n          \n          <td>Neck</td>\n\t\t\t\t\t\n          \n          <td>17/06/2008</td>\n\t\t\t\t\t\n          \n          <td>34.4</td>\n\t\t\t\t\t\n          \n          <td>0.885 g/cm²</td>\n\t\t\t\t\t\n          \n          <td>-1.0</td>\n\t\t\t\t\t\n          \n          <td>-1.0</td>\n\t\t\t\t\t\n          \n          <td>-</td>\n\t\t\t\t\t\n          \n          <td>-</td>\n\t\t\t\t\n        \n        </tr>\n\t\t\t\t\n        \n        <tr>\n\t\t\t\t\t\n          \n          <td>Right Femur</td>\n\t\t\t\t\t\n          \n          <td>Total</td>\n\t\t\t\t\t\n          \n          <td>17/06/2008</td>\n\t\t\t\t\t\n          \n          <td>34.4</td>\n\t\t\t\t\t\n          \n          <td>0.867 g/cm²</td>\n\t\t\t\t\t\n          \n          <td>-1.4</td>\n\t\t\t\t\t\n          \n          <td>-1.4</td>\n\t\t\t\t\t\n          \n          <td>-</td>\n\t\t\t\t\t\n          \n          <td>-</td>\n\t\t\t\t\n        \n        </tr>\n\t\t\t\n      \n      </table>\n\t\t\t\n      \n      <p>Assessment:</p>\n\t\t\t\n      \n      <ul>\n\t\t\t\t\n        \n        <li>The Spine L1-L4 BMD is normal.</li>\n\t\t\t\t\n        \n        <li>The Left Femur Neck BMD is in the osteopenic range. Relative fracture risk is about 2.</li>\n\t\t\t\t\n        \n        <li>The Left Femur Total BMD is in the osteopenic range. Relative fracture risk is about 2.</li>\n\t\t\t\t\n        \n        <li>The Right Femur Neck BMD is in the osteopenic range. Relative fracture risk is about 2.</li>\n\t\t\t\t\n        \n        <li>The Right Femur Total BMD is in the osteopenic range. Relative fracture risk is about 2.</li>\n\t\t\t\n      \n      </ul>\n\t\t\t\n      \n      <p>\n\t\t\t\t\n        \n        <b>COMMENT</b>\n\t\t\t\n      \n      </p>\n\t\t\t\n      \n      <p>Osteopenia on measured BMD. The estimated 10-year probability of fracture based on present age, gender and measured BMD is less than 10%. This absolute fracture risk remains low. A follow-up assessment may be considered in 2 to 3 years to monitor the trend in BMD.</p>\n\t\t\t\n      \n      <p>Thank you for your referral.  Dr Peter Ng  17/06/2008</p>\n\t\t\t\n      \n      <pre>\nNote:\nWHO classification of osteoporosis (WHO Technical Report Series 1994: 843)\n- Normal: T-score equal to -1.0 s.d. or higher\n- Osteopenia: T-score  between -1.0 and -2.5 s.d.\n- Osteoporosis: T-score equal to -2.5 s.d. or lower\n- Severe/Established osteoporosis: Osteoporosis with one or more fragility fracture.\nT-score: The number of s.d. from the mean BMD for a gender-matched young adult population.\nZ-score: The number of s.d. from the mean BMD for an age-, weight- and gender-matched population.\nReference for 10-year probability of fracture risk: Kanis JA, Johnell O, Oden A, Dawson A,  De Laet C, Jonsson B. Ten year probabilities of osteoporotic fractures according to BMD and diagnostic thresholds. Osteoporos.Int. 2001;12(12):989-995.\nGE LUNAR PRODIGY DENSITOMETER\n</pre>\n\t\t\n    \n    </div>"
+  },
+  "contained": [
+    {
+      "resourceType": "Observation",
+      "id": "r1",
+      "_id": {
+        "fhir_comments": [
+          "      Here is one of the measurements above encoded as an observation for example purposes.      "
+        ]
+      },
+      "status": "final",
+      "code": {
+        "coding": [
+          {
+            "system": "http://loinc.org",
+            "code": "24701-5",
+            "display": "Femur DXA Bone density"
+          }
+        ]
+      },
+      "subject": {
+        "reference": "Patient/pat2"
+      },
+      "performer": [
+        {
+          "fhir_comments": [
+            "      well, actually. this isn't the patient, but it'll do for now      "
+          ],
+          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
+          "display": "Acme Imaging Diagnostics"
+        }
+      ],
+      "valueQuantity": {
+        "value": 0.887,
+        "unit": "g/cm²",
+        "system": "http://unitsofmeasure.org",
+        "code": "g/cm-2"
+      },
+      "bodySite": {
+        "coding": [
+          {
+            "system": "http://snomed.info/sct",
+            "code": "71341001:272741003=7771000"
+          }
+        ]
+      }
+    }
+  ],
+  "status": "final",
+  "code": {
+    "fhir_comments": [
+      "      femur, laterality = left      ",
+      "      first, various administrative/context stuff      "
+    ],
+    "coding": [
+      {
+        "system": "http://loinc.org",
+        "code": "38269-7"
+      }
+    ],
+    "text": "DXA BONE DENSITOMETRY"
+  },
+  "subject": {
+    "reference": "Patient/pat2"
+  },
+  "effectiveDateTime": "2008-06-17",
+  "issued": "2008-06-18T09:23:00+10:00",
+  "_issued": {
+    "fhir_comments": [
+      "      all this report is final      "
+    ]
+  },
+  "performer": {
+    "fhir_comments": [
+      "      well, actually. this isn't the patient, but it'll do for now      "
+    ],
+    "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
+    "display": "Acme Imaging Diagnostics"
+  },
+  "result": [
+    {
+      "reference": "#r1"
+    }
+  ],
+  "codedDiagnosis": [
+    {
+      "fhir_comments": [
+        "      the imaging service marks this to help find categories of patient      "
+      ],
+      "coding": [
+        {
+          "system": "http://snomed.info/sct",
+          "code": "391040000",
+          "display": "At risk of osteoporotic fracture"
+        }
+      ]
+    }
+  ]
+}

data/lib/fhir_dstu2_models/examples/json/diagnosticreport-example-f001-bloodexam.json

@@ -0,0 +1,138 @@
+{
+  "resourceType": "DiagnosticReport",
+  "id": "f001",
+  "text": {
+    "status": "generated",
+    "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f001</p><p><b>contained</b>: </p><p><b>identifier</b>: nr1239044 (OFFICIAL)</p><p><b>status</b>: final</p><p><b>category</b>: Haematology test <span>(Details : {SNOMED CT code '252275004' = '252275004', given as 'Haematology test'}; {http://hl7.org/fhir/v2/0074 code 'HM' = 'Hematology)</span></p><p><b>code</b>: 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></p><p><b>subject</b>: <a>P. van den Heuvel</a></p><p><b>effective</b>: 02/04/2013</p><p><b>issued</b>: 15/05/2013 7:32:52 PM</p><p><b>performer</b>: <a>Burgers University Medical Centre</a></p><p><b>request</b>: id: req; P. van den Heuvel; L2381 (OFFICIAL); patient almost fainted during procedure <span>(Details )</span></p><p><b>result</b>: </p><ul><li><a>Observation/f001</a></li><li><a>Observation/f002</a></li><li><a>Observation/f003</a></li><li><a>Observation/f004</a></li><li><a>Observation/f005</a></li></ul><p><b>conclusion</b>: Core lab</p></div>"
+  },
+  "contained": [
+    {
+      "resourceType": "DiagnosticOrder",
+      "id": "req",
+      "subject": {
+        "reference": "Patient/f001",
+        "display": "P. van den Heuvel"
+      },
+      "orderer": {
+        "reference": "Practitioner/f001",
+        "display": "E.van den Broek"
+      },
+      "identifier": [
+        {
+          "use": "official",
+          "system": "http://www.bmc.nl/zorgportal/identifiers/labresults",
+          "value": "L2381"
+        }
+      ],
+      "encounter": {
+        "fhir_comments": [
+          "   TODO Correcte verwijzing   "
+        ],
+        "reference": "Encounter/f001"
+      },
+      "reason": [
+        {
+          "text": "patient almost fainted during procedure"
+        }
+      ],
+      "item": [
+        {
+          "code": {
+            "coding": [
+              {
+                "system": "http://loinc.org",
+                "code": "58410-2",
+                "_code": {
+                  "fhir_comments": [
+                    "     LOINC     "
+                  ]
+                },
+                "display": "Complete blood count (hemogram) panel - Blood by Automated count"
+              }
+            ]
+          },
+          "bodySite": {
+            "coding": [
+              {
+                "system": "http://snomed.info/sct",
+                "code": "14975008",
+                "display": "Forearm structure"
+              }
+            ]
+          }
+        }
+      ]
+    }
+  ],
+  "identifier": [
+    {
+      "use": "official",
+      "system": "http://www.bmc.nl/zorgportal/identifiers/reports",
+      "value": "nr1239044"
+    }
+  ],
+  "status": "final",
+  "category": {
+    "coding": [
+      {
+        "system": "http://snomed.info/sct",
+        "code": "252275004",
+        "display": "Haematology test"
+      },
+      {
+        "system": "http://hl7.org/fhir/v2/0074",
+        "code": "HM"
+      }
+    ]
+  },
+  "code": {
+    "coding": [
+      {
+        "system": "http://loinc.org",
+        "code": "58410-2",
+        "display": "Complete blood count (hemogram) panel - Blood by Automated count"
+      }
+    ]
+  },
+  "subject": {
+    "fhir_comments": [
+      "    ISO 8601    "
+    ],
+    "reference": "Patient/f001",
+    "display": "P. van den Heuvel"
+  },
+  "effectiveDateTime": "2013-04-02",
+  "issued": "2013-05-15T19:32:52+01:00",
+  "_issued": {
+    "fhir_comments": [
+      "    OID: 2.16.840.1.113883.4.642.1.7    "
+    ]
+  },
+  "performer": {
+    "reference": "Organization/f001",
+    "display": "Burgers University Medical Centre"
+  },
+  "request": [
+    {
+      "reference": "#req"
+    }
+  ],
+  "result": [
+    {
+      "reference": "Observation/f001"
+    },
+    {
+      "reference": "Observation/f002"
+    },
+    {
+      "reference": "Observation/f003"
+    },
+    {
+      "reference": "Observation/f004"
+    },
+    {
+      "reference": "Observation/f005"
+    }
+  ],
+  "conclusion": "Core lab"
+}

data/lib/fhir_dstu2_models/examples/json/diagnosticreport-example-f201-brainct.json

@@ -0,0 +1,68 @@
+{
+  "resourceType": "DiagnosticReport",
+  "id": "f201",
+  "text": {
+    "status": "generated",
+    "div": "<div><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 '394914008' = '394914008', given as 'Radiology'}; {http://hl7.org/fhir/v2/0074 code 'RAD' = 'Radiology)</span></p><p><b>code</b>: CT of head-neck <span>(Details : {SNOMED CT code '429858000' = '429858000', given as 'Computed tomography (CT) of head and neck'})</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 '188340000' = '188340000', given as 'Malignant tumor of craniopharyngeal duct'})</span></p></div>"
+  },
+  "status": "final",
+  "category": {
+    "fhir_comments": [
+      "   No identifier or request details were available   "
+    ],
+    "coding": [
+      {
+        "fhir_comments": [
+          "   The request was honored by the Department of Radiology   "
+        ],
+        "system": "http://snomed.info/sct",
+        "code": "394914008",
+        "display": "Radiology"
+      },
+      {
+        "system": "http://hl7.org/fhir/v2/0074",
+        "code": "RAD"
+      }
+    ]
+  },
+  "code": {
+    "coding": [
+      {
+        "system": "http://snomed.info/sct",
+        "code": "429858000",
+        "display": "Computed tomography (CT) of head and neck"
+      }
+    ],
+    "text": "CT of head-neck"
+  },
+  "subject": {
+    "reference": "Patient/f201",
+    "display": "Roel"
+  },
+  "effectiveDateTime": "2012-12-01T12:00:00+01:00",
+  "issued": "2012-12-01T12:00:00+01:00",
+  "performer": {
+    "reference": "Organization/f203",
+    "display": "Blijdorp MC"
+  },
+  "imagingStudy": [
+    {
+      "fhir_comments": [
+        "   The actual CT imagenot available -  following reference used to demonstrate the usage of the element  "
+      ],
+      "display": "HEAD and NECK CT DICOM imaging study"
+    }
+  ],
+  "conclusion": "CT brains: large tumor sphenoid/clivus.",
+  "codedDiagnosis": [
+    {
+      "coding": [
+        {
+          "system": "http://snomed.info/sct",
+          "code": "188340000",
+          "display": "Malignant tumor of craniopharyngeal duct"
+        }
+      ]
+    }
+  ]
+}

data/lib/fhir_dstu2_models/examples/json/diagnosticreport-example-f202-bloodculture.json

@@ -0,0 +1,88 @@
+{
+  "resourceType": "DiagnosticReport",
+  "id": "f202",
+  "text": {
+    "status": "generated",
+    "div": "<div><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 '15220000' = '15220000', given as 'Laboratory test'}; {http://hl7.org/fhir/v2/0074 code 'LAB' = 'Laboratory)</span></p><p><b>code</b>: Blood culture for bacteria, including anaerobic screen <span>(Details : {SNOMED CT code '104177005' = '104177005', given as 'Blood culture for bacteria, including anaerobic screen'})</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'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 '428763004' = '428763004', given as 'Bacteremia due to staphylococcus'})</span></p></div>"
+  },
+  "contained": [
+    {
+      "resourceType": "DiagnosticOrder",
+      "id": "req",
+      "subject": {
+        "reference": "Patient/f201",
+        "display": "Roel"
+      },
+      "orderer": {
+        "reference": "Practitioner/f201",
+        "display": "Dokter Bronsig"
+      },
+      "encounter": {
+        "reference": "Encounter/f203",
+        "display": "Roel's encounter on March eleventh 2013"
+      }
+    }
+  ],
+  "status": "final",
+  "category": {
+    "coding": [
+      {
+        "fhir_comments": [
+          "   Lab test   "
+        ],
+        "system": "http://snomed.info/sct",
+        "code": "15220000",
+        "display": "Laboratory test"
+      },
+      {
+        "system": "http://hl7.org/fhir/v2/0074",
+        "code": "LAB"
+      }
+    ]
+  },
+  "code": {
+    "coding": [
+      {
+        "system": "http://snomed.info/sct",
+        "code": "104177005",
+        "display": "Blood culture for bacteria, including anaerobic screen"
+      }
+    ]
+  },
+  "subject": {
+    "reference": "Patient/f201",
+    "display": "Roel"
+  },
+  "effectiveDateTime": "2013-03-11T03:45:00+01:00",
+  "issued": "2013-03-11T10:28:00+01:00",
+  "performer": {
+    "reference": "Organization/f201",
+    "display": "AUMC"
+  },
+  "request": [
+    {
+      "fhir_comments": [
+        "   No identifier was available   "
+      ],
+      "reference": "#req"
+    }
+  ],
+  "result": [
+    {
+      "reference": "Observation/f206",
+      "display": "Results for staphylococcus analysis on Roel's blood culture"
+    }
+  ],
+  "conclusion": "Blood culture tested positive on staphylococcus aureus",
+  "codedDiagnosis": [
+    {
+      "coding": [
+        {
+          "system": "http://snomed.info/sct",
+          "code": "428763004",
+          "display": "Bacteremia due to staphylococcus"
+        }
+      ]
+    }
+  ]
+}

data/lib/fhir_dstu2_models/examples/json/diagnosticreport-example-ghp.json

@@ -0,0 +1,2582 @@
+{
+  "resourceType": "DiagnosticReport",
+  "id": "ghp",
+  "meta": {
+    "lastUpdated": "2015-08-16T10:35:23Z"
+  },
+  "text": {
+    "fhir_comments": [
+      "   ************** CBC observation panel************************  "
+    ],
+    "status": "generated",
+    "div": "<div><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' = '??', given as 'General Health Profile'})</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 '119364003' = '119364003', given as 'Serum sample'})</span>; Patient/pat2; 20150816-00124</li><li>Lavender Top Tube. Generated Summary: id: ltt; Blood specimen with EDTA <span>(Details : {SNOMED CT code '445295009' = '445295009', given as 'Blood specimen with EDTA'})</span>; Patient/pat2; 20150816-00124</li><li>Urine Sample. Generated Summary: id: urine; Urine specimen <span>(Details : {SNOMED CT code '122575003' = '122575003', given as 'Urine specimen'})</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 '24323-8' = 'Comprehensive metabolic 2000 panel - Serum or Plasma', given as 'Comprehensive metabolic 2000 panel - Serum or Plasma'})</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 '58410-2' = 'Complete blood count (hemogram) panel - Blood by Automated count', given as 'Complete blood count (hemogram) panel - Blood by Automated count'})</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 '24357-6' = 'Urinalysis macro (dipstick) panel - Urine', given as 'Urinalysis macro (dipstick) panel - Urine'})</span>; effective: 16/08/2015 4:40:17 PM; issued: 17/08/2015 4:40:17 PM; Acme Laboratory, Inc</li></ul></div>"
+  },
+  "contained": [
+    {
+      "resourceType": "Specimen",
+      "id": "rtt",
+      "type": {
+        "coding": [
+          {
+            "system": "http://snomed.info/sct",
+            "code": "119364003",
+            "display": "Serum sample"
+          }
+        ]
+      },
+      "subject": {
+        "reference": "Patient/pat2"
+      },
+      "accessionIdentifier": {
+        "system": "http://acme.com/labs/accession-ids",
+        "value": "20150816-00124"
+      },
+      "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",
+      "type": {
+        "coding": [
+          {
+            "system": "http://snomed.info/sct",
+            "code": "445295009",
+            "display": "Blood specimen with EDTA"
+          }
+        ]
+      },
+      "subject": {
+        "reference": "Patient/pat2"
+      },
+      "accessionIdentifier": {
+        "system": "http://acme.com/labs/accession-ids",
+        "value": "20150816-00124"
+      },
+      "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",
+      "type": {
+        "coding": [
+          {
+            "system": "http://snomed.info/sct",
+            "code": "122575003",
+            "display": "Urine specimen"
+          }
+        ]
+      },
+      "subject": {
+        "reference": "Patient/pat2"
+      },
+      "accessionIdentifier": {
+        "system": "http://acme.com/labs/accession-ids",
+        "value": "20150816-00124"
+      },
+      "collection": {
+        "collector": {
+          "reference": "Practitioner/f202"
+        },
+        "collectedDateTime": "2015-08-16T06:40:17Z"
+      },
+      "container": [
+        {
+          "type": {
+            "coding": [
+              {
+                "system": "http://acme.com/labs",
+                "code": "UCUP",
+                "display": "100mL sterile cup"
+              }
+            ]
+          }
+        }
+      ]
+    },
+    {
+      "resourceType": "Observation",
+      "id": "p2",
+      "status": "final",
+      "code": {
+        "coding": [
+          {
+            "system": "http://loinc.org",
+            "code": "58410-2",
+            "display": "Complete blood count (hemogram) panel - Blood by Automated count"
+          }
+        ]
+      },
+      "effectiveDateTime": "2015-08-16T06:40:17Z",
+      "issued": "2015-08-17T06:40:17Z",
+      "performer": [
+        {
+          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
+          "display": "Acme Laboratory, Inc"
+        }
+      ],
+      "specimen": {
+        "reference": "#ltt",
+        "display": "Lavender Top Tube"
+      },
+      "related": [
+        {
+          "type": "has-member",
+          "target": {
+            "reference": "#r1"
+          }
+        },
+        {
+          "type": "has-member",
+          "target": {
+            "reference": "#r2"
+          }
+        },
+        {
+          "type": "has-member",
+          "target": {
+            "reference": "#r3"
+          }
+        },
+        {
+          "type": "has-member",
+          "target": {
+            "reference": "#r4"
+          }
+        },
+        {
+          "type": "has-member",
+          "target": {
+            "reference": "#r5"
+          }
+        },
+        {
+          "type": "has-member",
+          "target": {
+            "reference": "#r6"
+          }
+        },
+        {
+          "type": "has-member",
+          "target": {
+            "reference": "#r7"
+          }
+        },
+        {
+          "type": "has-member",
+          "target": {
+            "reference": "#r8"
+          }
+        },
+        {
+          "type": "has-member",
+          "target": {
+            "reference": "#r9"
+          }
+        },
+        {
+          "type": "has-member",
+          "target": {
+            "reference": "#r10"
+          }
+        },
+        {
+          "type": "has-member",
+          "target": {
+            "reference": "#r11"
+          }
+        },
+        {
+          "type": "has-member",
+          "target": {
+            "reference": "#r12"
+          }
+        },
+        {
+          "type": "has-member",
+          "target": {
+            "reference": "#r13"
+          }
+        },
+        {
+          "type": "has-member",
+          "target": {
+            "reference": "#r14"
+          }
+        },
+        {
+          "type": "has-member",
+          "target": {
+            "reference": "#r15"
+          }
+        },
+        {
+          "type": "has-member",
+          "target": {
+            "reference": "#r16"
+          }
+        },
+        {
+          "type": "has-member",
+          "target": {
+            "reference": "#r17"
+          }
+        }
+      ]
+    },
+    {
+      "resourceType": "Observation",
+      "id": "r1",
+      "_id": {
+        "fhir_comments": [
+          "    \n  all the data items (= Observations) are contained\n  in this diagnostic report. It would be equally\n    valid - and normal - for them to be separate trackable\n    items. However for the purposes of this example, it's\n  more convenient to have them here. For more discussion,\n  see under\"Contained Resources\" on the Resource Definitions\n  topic page      ",
+          "      for users steeped in v2, each observation roughly corresponds with an\n    OBX, and the Diagnostic Report with an ORU_R01 message      "
+        ]
+      },
+      "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",
+          "display": "Acme Laboratory, Inc"
+        }
+      ],
+      "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"
+          },
+          "high": {
+            "value": 180,
+            "unit": "g/L",
+            "system": "http://unitsofmeasure.org",
+            "code": "g/L"
+          }
+        }
+      ]
+    },
+    {
+      "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",
+          "display": "Acme Laboratory, Inc"
+        }
+      ],
+      "valueQuantity": {
+        "value": 5.9,
+        "unit": "x10*12/L",
+        "system": "http://unitsofmeasure.org",
+        "code": "10*12/L"
+      },
+      "referenceRange": [
+        {
+          "low": {
+            "value": 4.2,
+            "unit": "x10*12/L",
+            "system": "http://unitsofmeasure.org",
+            "code": "10*12/L"
+          },
+          "high": {
+            "value": 6.0,
+            "unit": "x10*12/L",
+            "system": "http://unitsofmeasure.org",
+            "code": "10*12/L"
+          }
+        }
+      ]
+    },
+    {
+      "resourceType": "Observation",
+      "id": "r3",
+      "status": "final",
+      "code": {
+        "coding": [
+          {
+            "system": "http://loinc.org",
+            "code": "4544-3",
+            "display": "Hematocrit [Volume Fraction] of Blood by Automated count"
+          }
+        ],
+        "text": "Haematocrit"
+      },
+      "subject": {
+        "reference": "Patient/pat2"
+      },
+      "performer": [
+        {
+          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
+          "display": "Acme Laboratory, Inc"
+        }
+      ],
+      "valueQuantity": {
+        "value": 55,
+        "unit": "%"
+      },
+      "interpretation": {
+        "coding": [
+          {
+            "system": "http://hl7.org/fhir/v2/0078",
+            "code": "H"
+          }
+        ]
+      },
+      "referenceRange": [
+        {
+          "low": {
+            "value": 38,
+            "unit": "%"
+          },
+          "high": {
+            "value": 52,
+            "unit": "%"
+          }
+        }
+      ]
+    },
+    {
+      "resourceType": "Observation",
+      "id": "r4",
+      "status": "final",
+      "code": {
+        "coding": [
+          {
+            "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",
+          "display": "Acme Laboratory, Inc"
+        }
+      ],
+      "valueQuantity": {
+        "value": 99,
+        "unit": "fL",
+        "system": "http://unitsofmeasure.org",
+        "code": "fL"
+      },
+      "interpretation": {
+        "coding": [
+          {
+            "system": "http://hl7.org/fhir/v2/0078",
+            "code": "H"
+          }
+        ]
+      },
+      "referenceRange": [
+        {
+          "low": {
+            "value": 80,
+            "unit": "fL",
+            "system": "http://unitsofmeasure.org",
+            "code": "fL"
+          },
+          "high": {
+            "value": 98,
+            "unit": "fL",
+            "system": "http://unitsofmeasure.org",
+            "code": "fL"
+          }
+        }
+      ]
+    },
+    {
+      "resourceType": "Observation",
+      "id": "r5",
+      "status": "final",
+      "code": {
+        "coding": [
+          {
+            "system": "http://loinc.org",
+            "code": "785-6",
+            "display": "Erythrocyte mean corpuscular hemoglobin [Entitic mass] by Automated count"
+          }
+        ],
+        "text": "Mean Cell Haemoglobin"
+      },
+      "subject": {
+        "reference": "Patient/pat2"
+      },
+      "performer": [
+        {
+          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
+          "display": "Acme Laboratory, Inc"
+        }
+      ],
+      "valueQuantity": {
+        "value": 36,
+        "unit": "pg",
+        "system": "http://unitsofmeasure.org",
+        "code": "pg"
+      },
+      "interpretation": {
+        "coding": [
+          {
+            "system": "http://hl7.org/fhir/v2/0078",
+            "code": "H"
+          }
+        ]
+      },
+      "referenceRange": [
+        {
+          "low": {
+            "value": 27,
+            "unit": "pg",
+            "system": "http://unitsofmeasure.org",
+            "code": "pg"
+          },
+          "high": {
+            "value": 35,
+            "unit": "pg",
+            "system": "http://unitsofmeasure.org",
+            "code": "pg"
+          }
+        }
+      ]
+    },
+    {
+      "resourceType": "Observation",
+      "id": "r6",
+      "status": "final",
+      "code": {
+        "coding": [
+          {
+            "system": "http://loinc.org",
+            "code": "777-3",
+            "display": "Platelets [#/volume] in Blood by Automated count"
+          }
+        ],
+        "text": "Platelet Count"
+      },
+      "subject": {
+        "reference": "Patient/pat2"
+      },
+      "performer": [
+        {
+          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
+          "display": "Acme Laboratory, Inc"
+        }
+      ],
+      "valueQuantity": {
+        "value": 444,
+        "unit": "x10*9/L",
+        "system": "http://unitsofmeasure.org",
+        "code": "10*9/L"
+      },
+      "referenceRange": [
+        {
+          "low": {
+            "value": 150,
+            "unit": "x10*9/L",
+            "system": "http://unitsofmeasure.org",
+            "code": "10*9/L"
+          },
+          "high": {
+            "value": 450,
+            "unit": "x10*9/L",
+            "system": "http://unitsofmeasure.org",
+            "code": "10*9/L"
+          }
+        }
+      ]
+    },
+    {
+      "resourceType": "Observation",
+      "id": "r7",
+      "status": "final",
+      "code": {
+        "coding": [
+          {
+            "system": "http://loinc.org",
+            "code": "6690-2",
+            "display": "Leukocytes [#/volume] in Blood by Automated count"
+          }
+        ],
+        "text": "White Cell Count"
+      },
+      "subject": {
+        "reference": "Patient/pat2"
+      },
+      "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"
+          }
+        }
+      ]
+    },
+    {
+      "resourceType": "Observation",
+      "id": "r8",
+      "status": "final",
+      "code": {
+        "coding": [
+          {
+            "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",
+          "display": "Acme Laboratory, Inc"
+        }
+      ],
+      "valueQuantity": {
+        "value": 20,
+        "unit": "%",
+        "system": "http://unitsofmeasure.org",
+        "code": "%"
+      }
+    },
+    {
+      "resourceType": "Observation",
+      "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",
+          "display": "Acme Laboratory, Inc"
+        }
+      ],
+      "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"
+          }
+        ]
+      },
+      "referenceRange": [
+        {
+          "low": {
+            "value": 2.0,
+            "unit": "x10*9/L",
+            "system": "http://unitsofmeasure.org",
+            "code": "10*9/L"
+          },
+          "high": {
+            "value": 7.5,
+            "unit": "x10*9/L",
+            "system": "http://unitsofmeasure.org",
+            "code": "10*9/L"
+          }
+        }
+      ]
+    },
+    {
+      "resourceType": "Observation",
+      "id": "r10",
+      "status": "final",
+      "code": {
+        "coding": [
+          {
+            "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",
+          "display": "Acme Laboratory, Inc"
+        }
+      ],
+      "valueQuantity": {
+        "value": 20,
+        "unit": "%",
+        "system": "http://unitsofmeasure.org",
+        "code": "%"
+      }
+    },
+    {
+      "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",
+          "display": "Acme Laboratory, Inc"
+        }
+      ],
+      "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": "L"
+          }
+        ]
+      },
+      "referenceRange": [
+        {
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+      },
+      "effectiveDateTime": "2015-08-16T06:40:17Z",
+      "issued": "2015-08-17T06:40:17Z",
+      "performer": [
+        {
+          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
+          "display": "Acme Laboratory, Inc"
+        }
+      ],
+      "valueQuantity": {
+        "value": 1,
+        "comparator": "<",
+        "unit": "/mL"
+      },
+      "specimen": {
+        "reference": "#urine",
+        "display": "Urine Sample"
+      }
+    }
+  ],
+  "identifier": [
+    {
+      "system": "http://acme.com/lab/reports",
+      "value": "ghp-example"
+    }
+  ],
+  "status": "final",
+  "code": {
+    "coding": [
+      {
+        "system": "http://acme.com/labs/reports",
+        "code": "GHP",
+        "display": "General Health Profile"
+      }
+    ]
+  },
+  "subject": {
+    "reference": "Patient/pat2"
+  },
+  "effectiveDateTime": "2015-08-16T06:40:17Z",
+  "issued": "2015-08-17T06:40:17Z",
+  "performer": {
+    "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
+    "display": "Acme Laboratory, Inc"
+  },
+  "specimen": [
+    {
+      "reference": "#rtt",
+      "display": "Red Top Tube"
+    },
+    {
+      "reference": "#ltt",
+      "display": "Lavender Top Tube"
+    },
+    {
+      "reference": "#urine",
+      "display": "Urine Sample"
+    }
+  ],
+  "result": [
+    {
+      "reference": "#p1",
+      "display": "Chemistry Panel"
+    },
+    {
+      "reference": "#p2",
+      "display": "CBC"
+    },
+    {
+      "reference": "#p3",
+      "display": "Urinalysis"
+    }
+  ]
+}