R4 Ballot #2 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.5.0: R4 Ballot #2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Diagnosticreport-micro1.xml

Orders and Observations Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Device, Encounter, Patient, Practitioner

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

An example of a complex Micro Isolate and Sensitivities. (id = "micro")

<?xml version="1.0" encoding="UTF-8"?>

<Bundle xmlns="http://hl7.org/fhir">
  <id value="micro"/> 
  <type value="collection"/> 
  <entry> 
    <fullUrl value="https://example.com/base/DiagnosticReport/micro"/> 
    <resource> 
      <DiagnosticReport> <!--      start of the main resource      --><id value="micro"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : micro</p> <p> <b> identifier</b> : 290741144</p> <p> <b> basedOn</b> : <a> ServiceRequest/req</a> </p> <p> <b> status</b> : final</p> <p> <b> category</b> : Microbiology <span> (Details : {http://terminology.hl7.org/CodeSystem/v2-0074 code 'MB' = 'Microbiology)</span> </p> <p> <b> code</b> : Culture, MRSA <span> (Details : {LOINC code '632-0' = 'Bacteria identified in Wound by Aerobe culture)</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> issued</b> : 10/08/2009 8:25:44 AM</p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> result</b> : <a> Observation/org1</a> </p> </div> </text> <identifier> 
          <system value="http://hnam.org/identifiers/orders"/> <!--      seems like a likely choice      --><value value="290741144"/> 
        </identifier> 
        <basedOn> 
          <reference value="ServiceRequest/req"/> 
        </basedOn> 
        <status value="final"/> 
        <category> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="MB"/> 
          </coding> 
        </category> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="632-0"/> 
          </coding> 
          <text value="Culture, MRSA"/> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <issued value="2009-08-10T08:25:44+10:00"/> 
        <performer> 
          <display value="Todd Ashby"/> 
        </performer> 
        <result> 
          <reference value="Observation/org1"/> 
        </result> 
      </DiagnosticReport> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obx1-4"/> 
    <resource> 
      <Observation> 
        <id value="obx1-4"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obx1-4</p> <p> <b> status</b> : final</p> <p> <b> code</b> : ORGANISM <span> (Details : {http://acme.org/lab/codes/tests code 'ORGANISM' = 'ORGANISM)</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : Staphylococcus aureus <span> (Details : {http://acme.org/lab/codes/organisms code 'Staaur' = 'Staaur)</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="ORGANISM"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <valueCodeableConcept> <!--      CE      --><coding> 
            <system value="http://acme.org/lab/codes/organisms"/> 
            <code value="Staaur"/> 
          </coding> 
          <text value="Staphylococcus aureus"/> 
        </valueCodeableConcept> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obx1-5"/> 
    <resource> 
      <Observation> 
        <id value="obx1-5"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obx1-5</p> <p> <b> status</b> : final</p> <p> <b> code</b> : CULTPOSNEG <span> (Details : {http://acme.org/lab/codes/tests code 'CULTPOSNEG' = 'CULTPOSNEG)</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : POS <span> (Details : {http://acme.org/lab/codes/flags code 'POS' = 'POS)</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="CULTPOSNEG"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <valueCodeableConcept> 
          <coding> 
            <system value="http://acme.org/lab/codes/flags"/> 
            <code value="POS"/> 
          </coding> 
        </valueCodeableConcept> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obx2-1"/> 
    <resource> 
      <Observation> 
        <id value="obx2-1"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obx2-1</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Ampicillin <span> (Details : {http://acme.org/lab/codes/tests code '60504' = '60504', given as 'Ampicillin'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> interpretation</b> : Resistant <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'R'
                 = 'Resistant)</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="60504"/> 
            <display value="Ampicillin"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="R"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obx2-2"/> 
    <resource> 
      <Observation> 
        <id value="obx2-2"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obx2-2</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Cefazolin <span> (Details : {http://acme.org/lab/codes/tests code '60512' = '60512', given as 'Cefazolin'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : &lt;=2</p> <p> <b> interpretation</b> : Susceptible <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible)</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="60512"/> 
            <display value="Cefazolin"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <valueQuantity> 
          <value value="2"/> 
          <comparator value="&lt;="/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obx2-4"/> 
    <resource> 
      <Observation> 
        <id value="obx2-4"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obx2-4</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Cefoxitin <span> (Details : {http://acme.org/lab/codes/tests code '60516' = '60516', given as 'Cefoxitin'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : &lt;=4</p> <p> <b> interpretation</b> : Susceptible <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible)</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="60516"/> 
            <display value="Cefoxitin"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <valueQuantity> 
          <value value="4"/> 
          <comparator value="&lt;="/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obx2-6"/> 
    <resource> 
      <Observation> 
        <id value="obx2-6"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obx2-6</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Clindamycin <span> (Details : {http://acme.org/lab/codes/tests code '60527' = '60527', given as 'Clindamycin'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : &gt;=0.5</p> <p> <b> interpretation</b> : Susceptible <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible)</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="60527"/> 
            <display value="Clindamycin"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <valueQuantity> 
          <value value="0.5"/> 
          <comparator value="&gt;="/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obx2-8"/> 
    <resource> 
      <Observation> 
        <id value="obx2-8"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obx2-8</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Daptomycin <span> (Details : {http://acme.org/lab/codes/tests code '61203' = '61203', given as 'Daptomycin'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : &gt;=1</p> <p> <b> interpretation</b> : Susceptible <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible)</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="61203"/> 
            <display value="Daptomycin"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <valueQuantity> 
          <value value="1"/> 
          <comparator value="&gt;="/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obx2-10"/> 
    <resource> 
      <Observation> 
        <id value="obx2-10"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obx2-10</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Doxycycline <span> (Details : {http://acme.org/lab/codes/tests code '60532' = '60532', given as 'Doxycycline'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : &lt;=0.5</p> <p> <b> interpretation</b> : Susceptible <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible)</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="60532"/> 
            <display value="Doxycycline"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <valueQuantity> 
          <value value="0.5"/> 
          <comparator value="&lt;="/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obx2-12"/> 
    <resource> 
      <Observation> 
        <id value="obx2-12"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obx2-12</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Erythromycin <span> (Details : {http://acme.org/lab/codes/tests code '60533' = '60533', given as 'Erythromycin'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : &gt;=8</p> <p> <b> interpretation</b> : Resistant <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'R'
                 = 'Resistant)</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="60533"/> 
            <display value="Erythromycin"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <valueQuantity> 
          <value value="8"/> 
          <comparator value="&gt;="/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="R"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obx2-14"/> 
    <resource> 
      <Observation> 
        <id value="obx2-14"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obx2-14</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Gentamicin <span> (Details : {http://acme.org/lab/codes/tests code '60536' = '60536', given as 'Gentamicin'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : &lt;=2</p> <p> <b> interpretation</b> : Susceptible <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible)</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="60536"/> 
            <display value="Gentamicin"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <valueQuantity> 
          <value value="2"/> 
          <comparator value="&lt;="/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obx2-16"/> 
    <resource> 
      <Observation> 
        <id value="obx2-16"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obx2-16</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Levofloxacin <span> (Details : {http://acme.org/lab/codes/tests code '61007' = '61007', given as 'Levofloxacin'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : &lt;=0.5</p> <p> <b> interpretation</b> : Susceptible <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible)</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="61007"/> 
            <display value="Levofloxacin"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <valueQuantity> 
          <value value="0.5"/> 
          <comparator value="&lt;="/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obx2-18"/> 
    <resource> 
      <Observation> 
        <id value="obx2-18"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obx2-18</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Linezolid <span> (Details : {http://acme.org/lab/codes/tests code '60699' = '60699', given as 'Linezolid'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : 4</p> <p> <b> interpretation</b> : Susceptible <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible)</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="60699"/> 
            <display value="Linezolid"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <valueQuantity> 
          <value value="4"/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obx2-20"/> 
    <resource> 
      <Observation> 
        <id value="obx2-20"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obx2-20</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Moxifloxacin <span> (Details : {http://acme.org/lab/codes/tests code '61204' = '61204', given as 'Moxifloxacin'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : &lt;=0.5</p> <p> <b> interpretation</b> : Susceptible <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible)</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="61204"/> 
            <display value="Moxifloxacin"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <valueQuantity> 
          <value value="0.5"/> 
          <comparator value="&lt;="/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obx2-22"/> 
    <resource> 
      <Observation> 
        <id value="obx2-22"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obx2-22</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Oxacillin <span> (Details : {http://acme.org/lab/codes/tests code '60551' = '60551', given as 'Oxacillin'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : 0.5</p> <p> <b> interpretation</b> : Susceptible <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible)</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="60551"/> 
            <display value="Oxacillin"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <valueQuantity> 
          <value value="0.5"/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obx2-24"/> 
    <resource> 
      <Observation> 
        <id value="obx2-24"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obx2-24</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Penicillin <span> (Details : {http://acme.org/lab/codes/tests code '60552' = '60552', given as 'Penicillin'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : &gt;=2</p> <p> <b> interpretation</b> : Resistant <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'R'
                 = 'Resistant)</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="60552"/> 
            <display value="Penicillin"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <valueQuantity> 
          <value value="2"/> 
          <comparator value="&gt;="/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="R"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obx2-26"/> 
    <resource> 
      <Observation> 
        <id value="obx2-26"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obx2-26</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Quinupristin/Dalfopristin <span> (Details : {http://acme.org/lab/codes/tests code '60697' = '60697', given as 'Quinupristin/Dalfopris
                tin'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : 0.5</p> <p> <b> interpretation</b> : Susceptible <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible)</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="60697"/> 
            <display value="Quinupristin/Dalfopristin"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <valueQuantity> 
          <value value="0.5"/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obx2-28"/> 
    <resource> 
      <Observation> 
        <id value="obx2-28"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obx2-28</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Rifampin <span> (Details : {http://acme.org/lab/codes/tests code '60555' = '60555', given as 'Rifampin'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : &lt;=0.5</p> <p> <b> interpretation</b> : Susceptible <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible)</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="60555"/> 
            <display value="Rifampin"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <valueQuantity> 
          <value value="0.5"/> 
          <comparator value="&lt;="/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obx2-30"/> 
    <resource> 
      <Observation> 
        <id value="obx2-30"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obx2-30</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Tetracycline <span> (Details : {http://acme.org/lab/codes/tests code '60558' = '60558', given as 'Tetracycline'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : &lt;=0.5</p> <p> <b> interpretation</b> : Susceptible <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible)</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="60558"/> 
            <display value="Tetracycline"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <valueQuantity> 
          <value value="0.5"/> 
          <comparator value="&lt;="/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obx2-32"/> 
    <resource> 
      <Observation> 
        <id value="obx2-32"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obx2-32</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Trimethoprim/Sulfamethoxazole <span> (Details : {http://acme.org/lab/codes/tests code '60561' = '60561', given as 'Trimethoprim/Sulfameth
                oxazole'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : &lt;=0.0526</p> <p> <b> interpretation</b> : Susceptible <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible)</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="60561"/> 
            <display value="Trimethoprim/Sulfamethoxazole"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <valueQuantity> 
          <value value="0.0526"/> <!--      not sure what to do with <=1/19      --><comparator value="&lt;="/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obx2-34"/> 
    <resource> 
      <Observation> 
        <id value="obx2-34"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obx2-34</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Vancomycin <span> (Details : {http://acme.org/lab/codes/tests code '60563' = '60563', given as 'Vancomycin'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : 1</p> <p> <b> interpretation</b> : Susceptible <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible)</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="60563"/> 
            <display value="Vancomycin"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <valueQuantity> 
          <value value="1"/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/nte-1"/> 
    <resource> 
      <Observation> 
        <id value="nte-1"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : nte-1</p> <p> <b> status</b> : final</p> <p> <b> code</b> : D-Test <span> (Details : {http://acme.org/lab/codes/tests code '2099930' = '2099930', given as 'D-Test'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : D-Test:  Negative - This isolate does not demonstrate inducible clindamycin resistance
               in vitro.</p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="2099930"/> 
            <display value="D-Test"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <valueString value="D-Test:  Negative - This isolate does not demonstrate inducible clindamycin resistance
         in vitro."/> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obx3-1"/> 
    <resource> 
      <Observation> 
        <id value="obx3-1"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obx3-1</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Oxacillin <span> (Details : {http://acme.org/lab/codes/tests code '60036' = '60036', given as 'Oxacillin'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> interpretation</b> : Susceptible <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible)</span> </p> </div> </text> <status value="final"/> 
        <code> 
          <coding> 
            <system value="http://acme.org/lab/codes/tests"/> 
            <code value="60036"/> 
            <display value="Oxacillin"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obr-2"/> 
    <resource> 
      <Observation> 
        <id value="obr-2"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obr-2</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Susceptibility - Automated broth dilution (Billed) <span> (Details : {http://acme.org/lab/codes/panels code '60790' = '60790', given as 'Susceptibility
                 - Automated broth dilution (Billed)'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> hasMember</b> : </p> <ul> <li> <a> Observation/obx2-1</a> </li> <li> <a> Observation/obx2-2</a> </li> <li> <a> Observation/obx2-4</a> </li> <li> <a> Observation/obx2-6</a> </li> <li> <a> Observation/obx2-8</a> </li> <li> <a> Observation/obx2-10</a> </li> <li> <a> Observation/obx2-12</a> </li> <li> <a> Observation/obx2-14</a> </li> <li> <a> Observation/obx2-16</a> </li> <li> <a> Observation/obx2-18</a> </li> <li> <a> Observation/obx2-20</a> </li> <li> <a> Observation/obx2-22</a> </li> <li> <a> Observation/obx2-24</a> </li> <li> <a> Observation/obx2-26</a> </li> <li> <a> Observation/obx2-28</a> </li> <li> <a> Observation/obx2-30</a> </li> <li> <a> Observation/obx2-32</a> </li> <li> <a> Observation/obx2-34</a> </li> <li> <a> Observation/nte-1</a> </li> </ul> </div> </text> <status value="final"/> <!--      OBR 2      --><code> 
          <coding> 
            <system value="http://acme.org/lab/codes/panels"/> 
            <code value="60790"/> 
            <display value="Susceptibility - Automated broth dilution (Billed)"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <performer> 
          <display value="Todd Ashby"/> <!--      of course, in practive, this would be a real reference      --></performer> <!--      now, references to the OBXs. for reader convenience, we take keep the OBX identification,
         though this is not required in practice. Note that many of the oBX segments are pairs
         that get collapsed      --><hasMember> 
          <reference value="Observation/obx2-1"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/obx2-2"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/obx2-4"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/obx2-6"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/obx2-8"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/obx2-10"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/obx2-12"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/obx2-14"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/obx2-16"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/obx2-18"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/obx2-20"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/obx2-22"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/obx2-24"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/obx2-26"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/obx2-28"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/obx2-30"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/obx2-32"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/obx2-34"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/nte-1"/> 
        </hasMember> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/obr-3"/> 
    <resource> 
      <Observation> 
        <id value="obr-3"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : obr-3</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Susceptibility - Disk diffusion (Billed) <span> (Details : {http://acme.org/lab/codes/panels code '60418' = '60418', given as 'Susceptibility
                 - Disk diffusion (Billed)'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> hasMember</b> : <a> Observation/obx3-1</a> </p> </div> </text> <status value="final"/> <!--      OBR 3      --><code> 
          <coding> 
            <system value="http://acme.org/lab/codes/panels"/> 
            <code value="60418"/> 
            <display value="Susceptibility - Disk diffusion (Billed)"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <hasMember> 
          <reference value="Observation/obx3-1"/> 
        </hasMember> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/org1"/> 
    <resource> 
      <Observation> 
        <id value="org1"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : org1</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Staphylococcus aureus Panel <span> (Details : {http://acme.org/lab/codes/organisms code 'Staaur' = 'Staaur)</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> hasMember</b> : </p> <ul> <li> <a> Observation/obx1-4</a> </li> <li> <a> Observation/obx1-5</a> </li> <li> <a> Observation/obr-2</a> </li> <li> <a> Observation/obr-3</a> </li> </ul> </div> </text> <status value="final"/> <!--      OBR 1      --><code> 
          <coding> 
            <system value="http://acme.org/lab/codes/organisms"/> 
            <code value="Staaur"/> 
          </coding> 
          <text value="Staphylococcus aureus Panel"/> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> <!--      patient chosen at random      --></subject> <hasMember> 
          <reference value="Observation/obx1-4"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/obx1-5"/> 
        </hasMember> <!--      group - automated broth dilution. This is unusual - usually, there's just one level
         of group, and this group would be skipped      --><hasMember> 
          <reference value="Observation/obr-2"/> 
        </hasMember> <!--      group - Disk diffusion      --><hasMember> 
          <reference value="Observation/obr-3"/> 
        </hasMember> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/ServiceRequest/req"/> 
    <resource> 
      <ServiceRequest> 
        <id value="req"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : req</p> <p> <b> identifier</b> : 255337816</p> <p> <b> status</b> : active</p> <p> <b> intent</b> : original-order</p> <p> <b> code</b> : Culture, MRSA <span> (Details : {LOINC code '632-0' = 'Bacteria identified in Wound by Aerobe culture)</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> </div> </text> <identifier> 
          <value value="255337816"/> 
        </identifier> 
        <status value="active"/> 
        <intent value="original-order"/> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="632-0"/> 
          </coding> 
          <text value="Culture, MRSA"/> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> 
        </subject> 
      </ServiceRequest> 
    </resource> 
  </entry> 
</Bundle>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.