<?xml version=“1.0” encoding=“UTF-8”?> <Bundle xmlns=“hl7.org/fhir”>

      <id value="report"/>
      <meta>
  <security>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
    <code value="HTEST"/>
    <display value="test health data"/>
  </security>
</meta>
<type value="collection"/>
      <entry>
              <fullUrl value="https://example.com/base/DiagnosticReport/report"/>
              <resource>
                      <DiagnosticReport>
                              <id value="report"/>
                              <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: report</p><p><b>status</b>: final</p><p><b>code</b>: comprehensive bone marrow report <span>(Details )</span></p><p><b>subject</b>: <a>Everywoman, Eve A, MRN: 123456789</a></p><p><b>effective</b>: 02/01/2015 1:20:10 PM</p><p><b>issued</b>: 06/01/2015 1:20:10 PM</p><p><b>performer</b>: <a>Molecular Diagnostic Laboratory</a></p><p><b>specimen</b>: <a>Bone marrow ID: MLD45-Z4-1234</a></p><p><b>result</b>: </p><ul><li><a>Observation/o1</a></li><li><a>Observation/o2</a></li><li><a>Observation/o3</a></li><li><a>Observation/o4</a></li><li><a>Observation/o5</a></li><li><a>Observation/o6</a></li><li><a>Observation/o7</a></li><li><a>Observation/o8</a></li><li><a>Observation/o9</a></li><li><a>Observation/o10</a></li><li><a>Observation/o11</a></li><li><a>Observation/o12</a></li><li><a>Observation/o13</a></li></ul></div></text><extension url="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition">
                                      <valueReference>
                                              <reference value="Condition/c1"/>
                                      </valueReference>
                              </extension>
                              <status value="final"/>
                              <code>
                                      <text value="comprehensive bone marrow report"/>
                              </code>
                              <subject>
                                      <reference value="Patient/genetics-example1"/>
                                      <display value="Everywoman, Eve A, MRN: 123456789"/>
                              </subject>
                              <effectiveDateTime value="2015-01-02T13:20:10+01:00"/>
                              <issued value="2015-01-06T13:20:10+01:00"/>
                              <performer>
                                      <reference value="Practitioner/genetics-example1"/>
                                      <display value="Molecular Diagnostic Laboratory"/>
                              </performer>
                              <specimen>
                                      <reference value="Specimen/genetics-example1"/>
                                      <display value="Bone marrow ID: MLD45-Z4-1234"/>
                              </specimen>
                              <result>
                                      <reference value="Observation/o1"/>
                              </result>
                              <result>
                                      <reference value="Observation/o2"/>
                              </result>
                              <result>
                                      <reference value="Observation/o3"/>
                              </result>
                              <result>
                                      <reference value="Observation/o4"/>
                              </result>
                              <result>
                                      <reference value="Observation/o5"/>
                              </result>
                              <result>
                                      <reference value="Observation/o6"/>
                              </result>
                              <result>
                                      <reference value="Observation/o7"/>
                              </result>
                              <result>
                                      <reference value="Observation/o8"/>
                              </result>
                              <result>
                                      <reference value="Observation/o9"/>
                              </result>
                              <result>
                                      <reference value="Observation/o10"/>
                              </result>
                              <result>
                                      <reference value="Observation/o11"/>
                              </result>
                              <result>
                                      <reference value="Observation/o12"/>
                              </result>
                              <result>
                                      <reference value="Observation/o13"/>
                              </result>
                      </DiagnosticReport>
              </resource>
      </entry>
      <entry>
              <fullUrl value="https://example.com/base/Observation/o1"/>
              <resource>
                      <Observation>
                              <id value="o1"/>
                              <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o1</p><p><b>status</b>: final</p><p><b>code</b>: Leukocytes [#/volume] in Blood <span>(Details : {LOINC code '26464-8' = 'Leukocytes [#/volume] in Blood', given as 'Leukocytes [#/volume] in Blood'})</span></p><p><b>value</b>: 31.9 K/ul</p></div></text><status value="final"/>
                              <code>
                                      <coding>
                                              <system value="http://loinc.org"/>
                                              <code value="26464-8"/>
                                              <display value="Leukocytes [#/volume] in Blood"/>
                                      </coding>
                              </code>
                              <valueQuantity>
                                      <value value="31.9"/>
                                      <unit value="K/ul"/>
                              </valueQuantity>
                      </Observation>
              </resource>
      </entry>
      <entry>
              <fullUrl value="https://example.com/base/Observation/o2"/>
              <resource>
                      <Observation>
                              <id value="o2"/>
                              <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o2</p><p><b>status</b>: final</p><p><b>code</b>: Hematocrit [Volume Fraction] of Blood <span>(Details : {LOINC code '20570-8' = 'Hematocrit [Volume Fraction] of Blood', given as 'Hematocrit [Volume Fraction] of Blood'})</span></p><p><b>value</b>: 27 %</p></div></text><status value="final"/>
                              <code>
                                      <coding>
                                              <system value="http://loinc.org"/>
                                              <code value="20570-8"/>
                                              <display value="Hematocrit [Volume Fraction] of Blood"/>
                                      </coding>
                              </code>
                              <valueQuantity>
                                      <value value="27"/>
                                      <unit value="%"/>
                              </valueQuantity>
                      </Observation>
              </resource>
      </entry>
      <entry>
              <fullUrl value="https://example.com/base/Observation/o3"/>
              <resource>
                      <Observation>
                              <id value="o3"/>
                              <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o3</p><p><b>status</b>: final</p><p><b>code</b>: Platelets [#/volume] in Blood <span>(Details : {LOINC code '26515-7' = 'Platelets [#/volume] in Blood', given as 'Platelets [#/volume] in Blood'})</span></p><p><b>value</b>: 84 K/ul</p></div></text><status value="final"/>
                              <code>
                                      <coding>
                                              <system value="http://loinc.org"/>
                                              <code value="26515-7"/>
                                              <display value="Platelets [#/volume] in Blood"/>
                                      </coding>
                              </code>
                              <valueQuantity>
                                      <value value="84"/>
                                      <unit value="K/ul"/>
                              </valueQuantity>
                      </Observation>
              </resource>
      </entry>
      <entry>
              <fullUrl value="https://example.com/base/Observation/o4"/>
              <resource>
                      <Observation>
                              <id value="o4"/>
                              <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o4</p><p><b>status</b>: final</p><p><b>code</b>: NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal <span>(Details : {LOINC code '75034-9' = 'NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal', given as 'NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal'})</span></p><p><b>value</b>: Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span></p></div></text><status value="final"/>
                              <code>
                                      <coding>
                                              <system value="http://loinc.org"/>
                                              <code value="75034-9"/>
                                              <display value="NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal"/>
                                      </coding>
                              </code>
                              <valueCodeableConcept>
                                      <coding>
                                              <system value="http://snomed.info/sct"/>
                                              <code value="10828004"/>
                                              <display value="Positive"/>
                                      </coding>
                              </valueCodeableConcept>
                      </Observation>
              </resource>
      </entry>
      <entry>
              <fullUrl value="https://example.com/base/Observation/o5"/>
              <resource>
                      <Observation>
                              <id value="o5"/>
                              <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o5</p><p><b>status</b>: final</p><p><b>code</b>: FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative <span>(Details : {LOINC code '54447-8' = 'FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative', given as 'FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative'})</span></p><p><b>value</b>: Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span></p></div></text><status value="final"/>
                              <code>
                                      <coding>
                                              <system value="http://loinc.org"/>
                                              <code value="54447-8"/>
                                              <display value="FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative"/>
                                      </coding>
                              </code>
                              <valueCodeableConcept>
                                      <coding>
                                              <system value="http://snomed.info/sct"/>
                                              <code value="260385009"/>
                                              <display value="Negative"/>
                                      </coding>
                              </valueCodeableConcept>
                      </Observation>
              </resource>
      </entry>
      <entry>
              <fullUrl value="https://example.com/base/Observation/o6"/>
              <resource>
                      <Observation>
                              <id value="o6"/>
                              <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o6</p><p><b>status</b>: final</p><p><b>code</b>: KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative <span>(Details : {LOINC code '55201-8' = 'KIT gene mutation analysis in Blood or Tissue by Molecular genetics method Narrative', given as 'KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative'})</span></p><p><b>value</b>: Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span></p></div></text><status value="final"/>
                              <code>
                                      <coding>
                                              <system value="http://loinc.org"/>
                                              <code value="55201-8"/>
                                              <display value="KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative"/>
                                      </coding>
                              </code>
                              <valueCodeableConcept>
                                      <coding>
                                              <system value="http://snomed.info/sct"/>
                                              <code value="260385009"/>
                                              <display value="Negative"/>
                                      </coding>
                              </valueCodeableConcept>
                      </Observation>
              </resource>
      </entry>
      <entry>
              <fullUrl value="https://example.com/base/Observation/o7"/>
              <resource>
                      <Observation>
                              <id value="o7"/>
                              <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o7</p><p><b>status</b>: final</p><p><b>code</b>: Myeloblasts [#/volume] in Blood <span>(Details : {LOINC code '30444-4' = 'Myeloblasts [#/volume] in Blood', given as 'Myeloblasts [#/volume] in Blood'})</span></p><p><b>value</b>: Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span></p></div></text><status value="final"/>
                              <code>
                                      <coding>
                                              <system value="http://loinc.org"/>
                                              <code value="30444-4"/>
                                              <display value="Myeloblasts [#/volume] in Blood"/>
                                      </coding>
                              </code>
                              <valueCodeableConcept>
                                      <coding>
                                              <system value="http://snomed.info/sct"/>
                                              <code value="10828004"/>
                                              <display value="Positive"/>
                                      </coding>
                              </valueCodeableConcept>
                      </Observation>
              </resource>
      </entry>
      <entry>
              <fullUrl value="https://example.com/base/Observation/o8"/>
              <resource>
                      <Observation>
                              <id value="o8"/>
                              <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o8</p><p><b>status</b>: final</p><p><b>code</b>: CD4 Ag [Presence] in Tissue by Immune stain <span>(Details : {LOINC code '47016-1' = 'CD4 Ag [Presence] in Tissue by Immune stain', given as 'CD4 Ag [Presence] in Tissue by Immune stain'})</span></p><p><b>value</b>: Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span></p></div></text><status value="final"/>
                              <code>
                                      <coding>
                                              <system value="http://loinc.org"/>
                                              <code value="47016-1"/>
                                              <display value="CD4 Ag [Presence] in Tissue by Immune stain"/>
                                      </coding>
                              </code>
                              <valueCodeableConcept>
                                      <coding>
                                              <system value="http://snomed.info/sct"/>
                                              <code value="10828004"/>
                                              <display value="Positive"/>
                                      </coding>
                              </valueCodeableConcept>
                      </Observation>
              </resource>
      </entry>
      <entry>
              <fullUrl value="https://example.com/base/Observation/o9"/>
              <resource>
                      <Observation>
                              <id value="o9"/>
                              <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o9</p><p><b>status</b>: final</p><p><b>code</b>: CD13 Ag [Presence] in Tissue by Immune stain <span>(Details : {LOINC code '49464-1' = 'CD13 Ag [Presence] in Tissue by Immune stain', given as 'CD13 Ag [Presence] in Tissue by Immune stain'})</span></p><p><b>value</b>: Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span></p></div></text><status value="final"/>
                              <code>
                                      <coding>
                                              <system value="http://loinc.org"/>
                                              <code value="49464-1"/>
                                              <display value="CD13 Ag [Presence] in Tissue by Immune stain"/>
                                      </coding>
                              </code>
                              <valueCodeableConcept>
                                      <coding>
                                              <system value="http://snomed.info/sct"/>
                                              <code value="10828004"/>
                                              <display value="Positive"/>
                                      </coding>
                              </valueCodeableConcept>
                      </Observation>
              </resource>
      </entry>
      <entry>
              <fullUrl value="https://example.com/base/Observation/o10"/>
              <resource>
                      <Observation>
                              <id value="o10"/>
                              <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o10</p><p><b>status</b>: final</p><p><b>code</b>: CD2 Ag [Presence] in Tissue by Immune stain <span>(Details : {LOINC code '49466-6' = 'CD2 Ag [Presence] in Tissue by Immune stain', given as 'CD2 Ag [Presence] in Tissue by Immune stain'})</span></p><p><b>value</b>: Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span></p></div></text><status value="final"/>
                              <code>
                                      <coding>
                                              <system value="http://loinc.org"/>
                                              <code value="49466-6"/>
                                              <display value="CD2 Ag [Presence] in Tissue by Immune stain"/>
                                      </coding>
                              </code>
                              <valueCodeableConcept>
                                      <coding>
                                              <system value="http://snomed.info/sct"/>
                                              <code value="260385009"/>
                                              <display value="Negative"/>
                                      </coding>
                              </valueCodeableConcept>
                      </Observation>
              </resource>
      </entry>
      <entry>
              <fullUrl value="https://example.com/base/Observation/o11"/>
              <resource>
                      <Observation>
                              <id value="o11"/>
                              <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o11</p><p><b>status</b>: final</p><p><b>code</b>: Karyotype [Identifier] in Bone marrow Nominal <span>(Details : {LOINC code '33893-9' = 'Karyotype [Identifier] in Bone marrow Nominal', given as 'Karyotype [Identifier] in Bone marrow Nominal'})</span></p><p><b>value</b>: 46,XX[20] <span>(Details )</span></p></div></text><status value="final"/>
                              <code>
                                      <coding>
                                              <system value="http://loinc.org"/>
                                              <code value="33893-9"/>
                                              <display value="Karyotype [Identifier] in Bone marrow Nominal"/>
                                      </coding>
                              </code>
                              <valueCodeableConcept>
                                      <text value="46,XX[20]"/>
                              </valueCodeableConcept>
                      </Observation>
              </resource>
      </entry>
      <entry>
              <fullUrl value="https://example.com/base/Observation/o12"/>
              <resource>
                      <Observation>
                              <id value="o12"/>
                              <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o12</p><p><b>status</b>: final</p><p><b>code</b>: MDS-associated genetic abnormalities <span>(Details )</span></p><p><b>value</b>: Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span></p></div></text><status value="final"/>
                              <code>
                                      <text value="MDS-associated genetic abnormalities"/>
                              </code>
                              <valueCodeableConcept>
                                      <coding>
                                              <system value="http://snomed.info/sct"/>
                                              <code value="260385009"/>
                                              <display value="Negative"/>
                                      </coding>
                              </valueCodeableConcept>
                      </Observation>
              </resource>
      </entry>
      <entry>
              <fullUrl value="https://example.com/base/Observation/o13"/>
              <resource>
                      <Observation>
                              <id value="o13"/>
                              <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o13</p><p><b>status</b>: final</p><p><b>code</b>: AML-associated genetic abnormalities <span>(Details )</span></p><p><b>value</b>: Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span></p></div></text><status value="final"/>
                              <code>
                                      <text value="AML-associated genetic abnormalities"/>
                              </code>
                              <valueCodeableConcept>
                                      <coding>
                                              <system value="http://snomed.info/sct"/>
                                              <code value="260385009"/>
                                              <display value="Negative"/>
                                      </coding>
                              </valueCodeableConcept>
                      </Observation>
              </resource>
      </entry>

</Bundle>