This page is part of the FHIR Specification (v4.5.0: R5 Preview #3). 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: R4B R4
Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner |
Raw JSON (canonical form + also see JSON Format Specification)
An collection Bundle showing an example of a complex Micro Isolate and Sensitivities
{ "resourceType": "Bundle", "id": "lri-example", "meta": { "versionId": "1", "lastUpdated": "2017-06-27T00:52:51Z" }, "type": "collection", "entry": [ { "fullUrl": "http://test.fhir.org/r4/DiagnosticReport/lri-example", "resource": { "resourceType": "DiagnosticReport", "id": "lri-example", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2><span>Aerobic Respiratory Culture, Sputum</span> (<span>Laboratory</span>) </h2><table><tr><td>Subject</td><td><b>Jim </b> 1974-12-25 ( Medical record number: 12345 (USUAL))</td></tr><tr><td>When For</td><td>2016-08-15</td></tr><tr><td>Reported</td><td>19/08/2016 4:14:35 AM</td></tr><tr><td>Identifiers:</td><td> Placer Identifier: RP723234 Filler Identifier: 250401 Group: RFP 123456</td></tr></table><p><b>Report Details</b></p><table><tr><td><b>Code</b></td><td><b>Value</b></td></tr><tr><td><i><a>Observation</a></i></td></tr><tr><td><i><a>Observation</a></i></td></tr><tr><td><i><a>Observation</a></i></td></tr><tr><td><i><a>Observation</a></i></td></tr><tr><td><i><a>Observation</a></i></td></tr><tr><td><i><a>Observation</a></i></td></tr><tr><td><i><a>Observation</a></i></td></tr></table></div>" }, "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "PLAC", "display": "Placer Identifier" } ] }, "system": "https://acme.org/identifiers", "value": "RP723234" }, { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "FILL", "display": "Filler Identifier" } ] }, "system": "https://acme.org/identifiers", "value": "250401" }, { "type": { "coding": [ { "system": "https://acme.org/identifiers", "code": "GRP", "display": "Group" } ] }, "system": "https://acme.org/identifiers", "value": "RFP 123456" } ], "basedOn": [ { "reference": "ServiceRequest/example" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "LAB", "display": "Laboratory" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "MB", "display": "microbiology" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "624-7", "display": "Bacteria Spt Resp Cul" } ], "text": "Aerobic Respiratory Culture, Sputum" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2016-08-15", "issued": "2016-08-18T18:14:35Z", "performer": [ { "reference": "Organization/example" } ], "specimen": [ { "reference": "Specimen/example" } ], "result": [ { "reference": "Observation/organism1", "display": "Normal Flora" }, { "reference": "Observation/organism2", "display": "Klebsiella pneumoniae" }, { "reference": "Observation/organism3", "display": "Staphlyococcuc aureus" }, { "reference": "Observation/gramstain1", "display": "Many WBCs" }, { "reference": "Observation/gramstain2", "display": "Moderate Gram Positive Rods" }, { "reference": "Observation/gramstain3", "display": "Moderate Gram Positive Cocci in Chains" }, { "reference": "Observation/gramstain4", "display": "Many Gram Negative Rods" } ] } }, { "fullUrl": "http://test.fhir.org/r4/Observation/lri-gramstain1", "resource": { "resourceType": "Observation", "id": "gramstain1", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: gramstain1</p><p><b>identifier</b>: id: gramstain1</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>subject</b>: <a>Generated Summary: id: example; Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19/08/2016 9:06:32 AM</p><p><b>performer</b>: <a>Organization/example</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>value</b>: <span>Many</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>value</b>: <span>WBCS</span></p></blockquote></div>" }, "identifier": [ { "system": "https://acme.org/identifiers", "value": "gramstain1" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "MB", "display": "microbiology" } ], "text": "Micro" }, { "coding": [ { "system": "urn:oid:2.16.840.1.113883.9.195.4.61", "code": "RSLT", "display": "Result" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "664-3", "display": "Gram Stn XXX" }, { "system": "https://acme.org/codes", "code": "GMST", "display": "Gram Stain" } ], "text": "Gram Stain" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2016-08-18", "issued": "2016-08-18T23:06:32Z", "performer": [ { "reference": "Organization/example" } ], "component": [ { "code": { "coding": [ { "system": "http://loinc.org", "code": "664-3", "display": "Gram Stn XXX" } ], "text": "Gram Stain" }, "valueCodeableConcept": { "coding": [ { "system": "https://acme.org/codes", "code": "MNY", "display": "Many" } ], "text": "Many" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "664-3", "display": "Gram Stn XXX" } ], "text": "Gram Stain" }, "valueCodeableConcept": { "coding": [ { "system": "https://acme.org/codes", "code": "WBCS", "display": "WBCS" } ], "text": "WBCS" } } ] } }, { "fullUrl": "http://test.fhir.org/r4/Observation/lri-gramstain2", "resource": { "resourceType": "Observation", "id": "gramstain2", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: gramstain2</p><p><b>identifier</b>: id: gramstain2</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>subject</b>: <a>Generated Summary: id: example; Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19/08/2016 9:06:32 AM</p><p><b>performer</b>: <a>Organization/example</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>value</b>: <span>Moderate</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>value</b>: <span>Gram Positive Rods</span></p></blockquote></div>" }, "identifier": [ { "system": "https://acme.org/identifiers", "value": "gramstain2" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "MB", "display": "microbiology" } ], "text": "Micro" }, { "coding": [ { "system": "urn:oid:2.16.840.1.113883.9.195.4.61", "code": "RSLT", "display": "Result" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "664-3", "display": "Gram Stn XXX" }, { "system": "https://acme.org/codes", "code": "GMST", "display": "Gram Stain" } ], "text": "Gram Stain" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2016-08-18", "issued": "2016-08-18T23:06:32Z", "performer": [ { "reference": "Organization/example" } ], "component": [ { "code": { "coding": [ { "system": "http://loinc.org", "code": "664-3", "display": "Gram Stn XXX" } ], "text": "Gram Stain" }, "valueCodeableConcept": { "coding": [ { "system": "https://acme.org/codes", "code": "MOD", "display": "Moderate" } ], "text": "Moderate" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "664-3", "display": "Gram Stn XXX" } ], "text": "Gram Stain" }, "valueCodeableConcept": { "coding": [ { "system": "https://acme.org/codes", "code": "GPR", "display": "Moderate" } ], "text": "Gram Positive Rods" } } ] } }, { "fullUrl": "http://test.fhir.org/r4/Observation/lri-gramstain3", "resource": { "resourceType": "Observation", "id": "gramstain3", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: gramstain3</p><p><b>identifier</b>: id: gramstain3</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>subject</b>: <a>Generated Summary: id: example; Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19/08/2016 9:06:32 AM</p><p><b>performer</b>: <a>Organization/example</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>value</b>: <span>Moderate</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>value</b>: <span>Gram Positive Cocci in Chains</span></p></blockquote></div>" }, "identifier": [ { "system": "https://acme.org/identifiers", "value": "gramstain3" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "MB", "display": "microbiology" } ], "text": "Micro" }, { "coding": [ { "system": "urn:oid:2.16.840.1.113883.9.195.4.61", "code": "RSLT", "display": "Result" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "664-3", "display": "Gram Stn XXX" }, { "system": "https://acme.org/codes", "code": "GMST", "display": "Gram Stain" } ], "text": "Gram Stain" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2016-08-18", "issued": "2016-08-18T23:06:32Z", "performer": [ { "reference": "Organization/example" } ], "component": [ { "code": { "coding": [ { "system": "http://loinc.org", "code": "664-3", "display": "Gram Stn XXX" } ], "text": "Gram Stain" }, "valueCodeableConcept": { "coding": [ { "system": "https://acme.org/codes", "code": "MOD", "display": "Moderate" } ], "text": "Moderate" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "664-3", "display": "Gram Stn XXX" } ], "text": "Gram Stain" }, "valueCodeableConcept": { "coding": [ { "system": "https://acme.org/codes", "code": "GPCCH", "display": "Gram Positive Cocci in Chains" } ], "text": "Gram Positive Cocci in Chains" } } ] } }, { "fullUrl": "http://test.fhir.org/r4/Observation/lri-gramstain4", "resource": { "resourceType": "Observation", "id": "gramstain4", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: gramstain4</p><p><b>identifier</b>: id: gramstain4</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>subject</b>: <a>Generated Summary: id: example; Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19/08/2016 9:06:32 AM</p><p><b>performer</b>: <a>Organization/example</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>value</b>: <span>Many</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>value</b>: <span>Gram Negative Rods</span></p></blockquote></div>" }, "identifier": [ { "system": "https://acme.org/identifiers", "value": "gramstain4" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "MB", "display": "microbiology" } ], "text": "Micro" }, { "coding": [ { "system": "urn:oid:2.16.840.1.113883.9.195.4.61", "code": "RSLT", "display": "Result" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "664-3", "display": "Gram Stn XXX" }, { "system": "https://acme.org/codes", "code": "GMST", "display": "Gram Stain" } ], "text": "Gram Stain" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2016-08-18", "issued": "2016-08-18T23:06:32Z", "performer": [ { "reference": "Organization/example" } ], "component": [ { "code": { "coding": [ { "system": "http://loinc.org", "code": "664-3", "display": "Gram Stn XXX" } ], "text": "Gram Stain" }, "valueCodeableConcept": { "coding": [ { "system": "https://acme.org/codes", "code": "MNY", "display": "Many" } ], "text": "Many" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "664-3", "display": "Gram Stn XXX" } ], "text": "Gram Stain" }, "valueCodeableConcept": { "coding": [ { "system": "https://acme.org/codes", "code": "GNR", "display": "Gram Negative Rods" } ], "text": "Gram Negative Rods" } } ] } }, { "fullUrl": "http://test.fhir.org/r4/Observation/lri-growth1", "resource": { "resourceType": "Observation", "id": "growth1", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: growth1</p><p><b>identifier</b>: id: growth1</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Aerobic Respiratory Culture, Sputum</span></p><p><b>subject</b>: <a>Generated Summary: id: example; Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19/08/2016 9:06:32 AM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <span>Moderate Growth</span></p></div>" }, "identifier": [ { "system": "https://acme.org/identifiers", "value": "growth1" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "MB", "display": "microbiology" } ], "text": "Micro" }, { "coding": [ { "system": "urn:oid:2.16.840.1.113883.9.195.4.61", "code": "RSLT", "display": "Result" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "624-7", "display": "Bacteria Spt Resp Cul" }, { "system": "https://acme.org/codes", "code": "GROWTH", "display": "Growth" } ], "text": "Aerobic Respiratory Culture, Sputum" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2016-08-18", "issued": "2016-08-18T23:06:32Z", "performer": [ { "reference": "Organization/example" } ], "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "263812008", "display": "Moderate Growth" } ], "text": "Moderate Growth" } } }, { "fullUrl": "http://test.fhir.org/r4/Observation/lri-growth2", "resource": { "resourceType": "Observation", "id": "growth2", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: growth2</p><p><b>identifier</b>: id: growth2</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Aerobic Respiratory Culture, Sputum</span></p><p><b>subject</b>: <a>Generated Summary: id: example; Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19/08/2016 9:06:32 AM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <span>Heavy growth</span></p></div>" }, "identifier": [ { "system": "https://acme.org/identifiers", "value": "growth2" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "MB", "display": "microbiology" } ], "text": "Micro" }, { "coding": [ { "system": "urn:oid:2.16.840.1.113883.9.195.4.61", "code": "RSLT", "display": "Result" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "624-7", "display": "Bacteria Spt Resp Cul" }, { "system": "https://acme.org/codes", "code": "GROWTH", "display": "Growth" } ], "text": "Aerobic Respiratory Culture, Sputum" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2016-08-18", "issued": "2016-08-18T23:06:32Z", "performer": [ { "reference": "Organization/example" } ], "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "263776006", "display": "Heavy growth" } ], "text": "Heavy growth" } } }, { "fullUrl": "http://test.fhir.org/r4/Observation/lri-growth3", "resource": { "resourceType": "Observation", "id": "growth3", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: growth3</p><p><b>identifier</b>: id: growth3</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Aerobic Respiratory Culture, Sputum</span></p><p><b>subject</b>: <a>Generated Summary: id: example; Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19/08/2016 9:06:32 AM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <span>Heavy growth</span></p></div>" }, "identifier": [ { "system": "https://acme.org/identifiers", "value": "growth3" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "MB", "display": "microbiology" } ], "text": "Micro" }, { "coding": [ { "system": "urn:oid:2.16.840.1.113883.9.195.4.61", "code": "RSLT", "display": "Result" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "624-7", "display": "Bacteria Spt Resp Cul" }, { "system": "https://acme.org/codes", "code": "GROWTH", "display": "Growth" } ], "text": "Aerobic Respiratory Culture, Sputum" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2016-08-18", "issued": "2016-08-18T23:06:32Z", "performer": [ { "reference": "Organization/example" } ], "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "263776006", "display": "Heavy growth" } ], "text": "Heavy growth" } } }, { "fullUrl": "http://test.fhir.org/r4/Observation/lri-org2-amp", "resource": { "resourceType": "Observation", "id": "org2-amp", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: org2-amp</p><p><b>identifier</b>: id: org2-amp</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Ampicilin MIC</span></p><p><b>subject</b>: <a>Generated Summary: id: example; Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19/08/2016 9:06:32 AM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <0.06 ug/ml</p><p><b>interpretation</b>: <span>Susceptible</span></p></div>" }, "identifier": [ { "system": "https://acme.org/identifiers", "value": "org2-amp" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "MB", "display": "microbiology" } ], "text": "Micro" }, { "coding": [ { "system": "urn:oid:2.16.840.1.113883.9.195.4.61", "code": "RSLT", "display": "Result" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "28-1", "display": "Ampicilin Islt MIC" }, { "system": "https://acme.org/codes", "code": "AMPMIC", "display": "Ampicilin MIC" } ], "text": "Ampicilin MIC" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2016-08-18", "issued": "2016-08-18T23:06:32Z", "performer": [ { "reference": "Organization/example" } ], "valueQuantity": { "value": 0.06, "comparator": "<", "unit": "ug/ml", "system": "http://unitsofmeasure.org", "code": "ug/mL" }, "interpretation": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code": "S", "display": "Susceptible" } ] } ] } }, { "fullUrl": "http://test.fhir.org/r4/Observation/lri-org2-cip", "resource": { "resourceType": "Observation", "id": "org2-cip", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: org2-cip</p><p><b>identifier</b>: id: org2-cip</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Ciprofloxacin MIC</span></p><p><b>subject</b>: <a>Generated Summary: id: example; Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19/08/2016 9:06:32 AM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <0.05 ug/ml</p><p><b>interpretation</b>: <span>Susceptible</span></p></div>" }, "identifier": [ { "system": "https://acme.org/identifiers", "value": "org2-cip" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "MB", "display": "microbiology" } ], "text": "Micro" }, { "coding": [ { "system": "urn:oid:2.16.840.1.113883.9.195.4.61", "code": "RSLT", "display": "Result" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "185-9", "display": "Ciprofloxacin Islt MIC" }, { "system": "https://acme.org/codes", "code": "CIPMIC", "display": "Ciprofloxacin MIC" } ], "text": "Ciprofloxacin MIC" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2016-08-18", "issued": "2016-08-18T23:06:32Z", "performer": [ { "reference": "Organization/example" } ], "valueQuantity": { "value": 0.05, "comparator": "<", "unit": "ug/ml", "system": "http://unitsofmeasure.org", "code": "ug/mL" }, "interpretation": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code": "S", "display": "Susceptible" } ] } ] } }, { "fullUrl": "http://test.fhir.org/r4/Observation/lri-org2-gent", "resource": { "resourceType": "Observation", "id": "org2-gent", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: org2-gent</p><p><b>identifier</b>: id: org2-gent</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Gentamicin MIC</span></p><p><b>subject</b>: <a>Generated Summary: id: example; Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19/08/2016 9:06:32 AM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <0.05 ug/ml</p><p><b>interpretation</b>: <span>Susceptible</span></p></div>" }, "identifier": [ { "system": "https://acme.org/identifiers", "value": "org2-gent" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "MB", "display": "microbiology" } ], "text": "Micro" }, { "coding": [ { "system": "urn:oid:2.16.840.1.113883.9.195.4.61", "code": "RSLT", "display": "Result" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "267-5", "display": "Gentamicin Islt MIC" }, { "system": "https://acme.org/codes", "code": "CIPMIC", "display": "Gentamicin MIC" } ], "text": "Gentamicin MIC" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2016-08-18", "issued": "2016-08-18T23:06:32Z", "performer": [ { "reference": "Organization/example" } ], "valueQuantity": { "value": 0.05, "comparator": "<", "unit": "ug/ml", "system": "http://unitsofmeasure.org", "code": "ug/mL" }, "interpretation": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code": "S", "display": "Susceptible" } ] } ] } }, { "fullUrl": "http://test.fhir.org/r4/Observation/lri-org3-amp", "resource": { "resourceType": "Observation", "id": "org3-amp", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: org3-amp</p><p><b>identifier</b>: id: org3-amp</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Ampicilin MIC</span></p><p><b>subject</b>: <a>Generated Summary: id: example; Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19/08/2016 9:06:32 AM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <0.06 ug/ml</p><p><b>interpretation</b>: <span>Susceptible</span></p></div>" }, "identifier": [ { "system": "https://acme.org/identifiers", "value": "org3-amp" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "MB", "display": "microbiology" } ], "text": "Micro" }, { "coding": [ { "system": "urn:oid:2.16.840.1.113883.9.195.4.61", "code": "RSLT", "display": "Result" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "28-1", "display": "Ampicilin Islt MIC" }, { "system": "https://acme.org/codes", "code": "AMPMIC", "display": "Ampicilin MIC" } ], "text": "Ampicilin MIC" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2016-08-18", "issued": "2016-08-18T23:06:32Z", "performer": [ { "reference": "Organization/example" } ], "valueQuantity": { "value": 0.06, "comparator": "<", "unit": "ug/ml", "system": "http://unitsofmeasure.org", "code": "ug/mL" }, "interpretation": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code": "S", "display": "Susceptible" } ] } ] } }, { "fullUrl": "http://test.fhir.org/r4/Observation/lri-org3-cip", "resource": { "resourceType": "Observation", "id": "org3-cip", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: org3-cip</p><p><b>identifier</b>: id: org3-cip</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Ciprofloxacin MIC</span></p><p><b>subject</b>: <a>Generated Summary: id: example; Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19/08/2016 9:06:32 AM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <0.05 ug/ml</p><p><b>interpretation</b>: <span>Susceptible</span></p></div>" }, "identifier": [ { "system": "https://acme.org/identifiers", "value": "org3-cip" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "MB", "display": "microbiology" } ], "text": "Micro" }, { "coding": [ { "system": "urn:oid:2.16.840.1.113883.9.195.4.61", "code": "RSLT", "display": "Result" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "185-9", "display": "Ciprofloxacin Islt MIC" }, { "system": "https://acme.org/codes", "code": "CIPMIC", "display": "Ciprofloxacin MIC" } ], "text": "Ciprofloxacin MIC" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2016-08-18", "issued": "2016-08-18T23:06:32Z", "performer": [ { "reference": "Organization/example" } ], "valueQuantity": { "value": 0.05, "comparator": "<", "unit": "ug/ml", "system": "http://unitsofmeasure.org", "code": "ug/mL" }, "interpretation": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code": "S", "display": "Susceptible" } ] } ] } }, { "fullUrl": "http://test.fhir.org/r4/Observation/lri-org3-gent", "resource": { "resourceType": "Observation", "id": "org3-gent", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: org3-gent</p><p><b>identifier</b>: id: org3-gent</p><p/><p><b>category</b>: <span>Micro</span></p><p><b>code</b>: <span>Gentamicin MIC</span></p><p><b>subject</b>: <a>Generated Summary: id: example; Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19/08/2016 9:06:32 AM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <0.05 ug/ml</p><p><b>interpretation</b>: <span>Susceptible</span></p></div>" }, "identifier": [ { "system": "https://acme.org/identifiers", "value": "org3-gent" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "MB", "display": "microbiology" } ], "text": "Micro" } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "267-5", "display": "Gentamicin Islt MIC" } ], "text": "Gentamicin MIC" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2016-08-18", "issued": "2016-08-18T23:06:32Z", "performer": [ { "reference": "Organization/example" } ], "valueQuantity": { "value": 0.05, "comparator": "<", "unit": "ug/ml", "system": "http://unitsofmeasure.org", "code": "ug/mL" }, "interpretation": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code": "S", "display": "Susceptible" } ] } ] } }, { "fullUrl": "http://test.fhir.org/r4/Observation/lri-organism1", "resource": { "resourceType": "Observation", "id": "organism1", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: organism1</p><p><b>identifier</b>: id: organism1</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Aerobic Respiratory Culture, Sputum</span></p><p><b>subject</b>: <a>Generated Summary: id: example; Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19/08/2016 9:06:32 AM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <span>Normal flora</span></p><p><b>hasMember</b>: <a>Moderate growth</a></p></div>" }, "identifier": [ { "system": "https://acme.org/identifiers", "value": "organism1" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "MB", "display": "microbiology" } ], "text": "Micro" }, { "coding": [ { "system": "urn:oid:2.16.840.1.113883.9.195.4.61", "code": "RSLT", "display": "Result" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "624-7", "display": "Bacteria Spt Resp Cul" }, { "system": "https://acme.org/codes", "code": "CULTID", "display": "Culture ID" } ], "text": "Aerobic Respiratory Culture, Sputum" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2016-08-18", "issued": "2016-08-18T23:06:32Z", "performer": [ { "reference": "Organization/example" } ], "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "23506009", "display": "Normal flora" } ], "text": "Normal flora" }, "hasMember": [ { "reference": "Observation/growth1", "display": "Moderate growth" } ] } }, { "fullUrl": "http://test.fhir.org/r4/Observation/lri-organism2", "resource": { "resourceType": "Observation", "id": "organism2", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: organism2</p><p><b>identifier</b>: id: organism2</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Aerobic Respiratory Culture, Sputum</span></p><p><b>subject</b>: <a>Generated Summary: id: example; Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19/08/2016 9:06:32 AM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <span>Klebsiella pneumonia</span></p><p><b>hasMember</b>: </p><ul><li><a>Heavy growth</a></li><li><a>Ampicillin MIC - Susceptible</a></li><li><a>Ciprofloxacin MIC - Susceptible</a></li><li><a>Gentamicin MIC - Susceptible</a></li></ul></div>" }, "identifier": [ { "system": "https://acme.org/identifiers", "value": "organism2" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "MB", "display": "microbiology" } ], "text": "Micro" }, { "coding": [ { "system": "urn:oid:2.16.840.1.113883.9.195.4.61", "code": "RSLT", "display": "Result" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "624-7", "display": "Bacteria Spt Resp Cul" }, { "system": "https://acme.org/codes", "code": "CULTID", "display": "Culture ID" } ], "text": "Aerobic Respiratory Culture, Sputum" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2016-08-18", "issued": "2016-08-18T23:06:32Z", "performer": [ { "reference": "Organization/example" } ], "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "56415008", "display": "Klebsiella pneumonia" } ], "text": "Klebsiella pneumonia" }, "hasMember": [ { "reference": "Observation/growth2", "display": "Heavy growth" }, { "reference": "Observation/org2-amp", "display": "Ampicillin MIC - Susceptible" }, { "reference": "Observation/org2-cip", "display": "Ciprofloxacin MIC - Susceptible" }, { "reference": "Observation/org2-gent", "display": "Gentamicin MIC - Susceptible" } ] } }, { "fullUrl": "http://test.fhir.org/r4/Observation/lri-organism3", "resource": { "resourceType": "Observation", "id": "organism3", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: organism3</p><p><b>identifier</b>: id: organism3</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Aerobic Respiratory Culture, Sputum</span></p><p><b>subject</b>: <a>Generated Summary: id: example; Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19/08/2016 9:06:32 AM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <span>Staphlyococcuc aureus</span></p><p><b>hasMember</b>: </p><ul><li><a>Heavy growth</a></li><li><a>Ampicillin MIC - Susceptible</a></li><li><a>Ciprofloxacin MIC - Susceptible</a></li><li><a>Gentamicin MIC - Susceptible</a></li></ul></div>" }, "identifier": [ { "system": "https://acme.org/identifiers", "value": "organism3" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "MB", "display": "microbiology" } ], "text": "Micro" }, { "coding": [ { "system": "urn:oid:2.16.840.1.113883.9.195.4.61", "code": "RSLT", "display": "Result" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "624-7", "display": "Bacteria Spt Resp Cul" }, { "system": "https://acme.org/codes", "code": "CULTID", "display": "Culture ID" } ], "text": "Aerobic Respiratory Culture, Sputum" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2016-08-18", "issued": "2016-08-18T23:06:32Z", "performer": [ { "reference": "Organization/example" } ], "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "3092008", "display": "Staphlyococcuc aureus" } ], "text": "Staphlyococcuc aureus" }, "hasMember": [ { "reference": "Observation/growth3", "display": "Heavy growth" }, { "reference": "Observation/org3-amp", "display": "Ampicillin MIC - Susceptible" }, { "reference": "Observation/org3-cip", "display": "Ciprofloxacin MIC - Susceptible" }, { "reference": "Observation/org3-gent", "display": "Gentamicin MIC - Susceptible" } ] } } ] }
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.