Release 5 Preview #3
DiagnosticsThis 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 
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| Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: 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"><h2> <span> Culture, MRSA</span> (<span> Microbiology</span> ) </h2> <table> <tr> <td> Subject</td> <td> <b> Jim </b> 1974-12-25 ( Medical record number: 12345 (USUAL))</td> </tr> <tr> <td> Reported</td> <td> 10/08/2009 8:25:44 AM</td> </tr> <tr> <td> Identifier:</td> <td> id: 290741144</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> </table> </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</b> </p> <p> <b> id</b> : obx1-4</p> <p/> <p> <b> code</b> : <span> ORGANISM</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> performer</b> : <span> Todd Ashby</span> </p> <p> <b> value</b> : <span> Staphylococcus aureus</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</b> </p> <p> <b> id</b> : obx1-5</p> <p/> <p> <b> code</b> : <span> CULTPOSNEG</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> performer</b> : <span> Todd Ashby</span> </p> <p> <b> value</b> : <span> 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</b> </p> <p> <b> id</b> : obx2-1</p> <p/> <p> <b> code</b> : <span> Ampicillin</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> performer</b> : <span> Todd Ashby</span> </p> <p> <b> interpretation</b> : <span> 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</b> </p> <p> <b> id</b> : obx2-2</p> <p/> <p> <b> code</b> : <span> Cefazolin</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> performer</b> : <span> Todd Ashby</span> </p> <p> <b> value</b> : <=2</p> <p> <b> interpretation</b> : <span> 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="<="/> </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</b> </p> <p> <b> id</b> : obx2-4</p> <p/> <p> <b> code</b> : <span> Cefoxitin</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> performer</b> : <span> Todd Ashby</span> </p> <p> <b> value</b> : <=4</p> <p> <b> interpretation</b> : <span> 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="<="/> </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</b> </p> <p> <b> id</b> : obx2-6</p> <p/> <p> <b> code</b> : <span> Clindamycin</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> performer</b> : <span> Todd Ashby</span> </p> <p> <b> value</b> : >=0.5</p> <p> <b> interpretation</b> : <span> 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=">="/> </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</b> </p> <p> <b> id</b> : obx2-8</p> <p/> <p> <b> code</b> : <span> Daptomycin</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> performer</b> : <span> Todd Ashby</span> </p> <p> <b> value</b> : >=1</p> <p> <b> interpretation</b> : <span> 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=">="/> </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</b> </p> <p> <b> id</b> : obx2-10</p> <p/> <p> <b> code</b> : <span> Doxycycline</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> performer</b> : <span> Todd Ashby</span> </p> <p> <b> value</b> : <=0.5</p> <p> <b> interpretation</b> : <span> 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="<="/> </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</b> </p> <p> <b> id</b> : obx2-12</p> <p/> <p> <b> code</b> : <span> Erythromycin</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> performer</b> : <span> Todd Ashby</span> </p> <p> <b> value</b> : >=8</p> <p> <b> interpretation</b> : <span> 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=">="/> </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</b> </p> <p> <b> id</b> : obx2-14</p> <p/> <p> <b> code</b> : <span> Gentamicin</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> performer</b> : <span> Todd Ashby</span> </p> <p> <b> value</b> : <=2</p> <p> <b> interpretation</b> : <span> 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="<="/> </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</b> </p> <p> <b> id</b> : obx2-16</p> <p/> <p> <b> code</b> : <span> Levofloxacin</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> performer</b> : <span> Todd Ashby</span> </p> <p> <b> value</b> : <=0.5</p> <p> <b> interpretation</b> : <span> 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="<="/> </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</b> </p> <p> <b> id</b> : obx2-18</p> <p/> <p> <b> code</b> : <span> Linezolid</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> performer</b> : <span> Todd Ashby</span> </p> <p> <b> value</b> : 4</p> <p> <b> interpretation</b> : <span> 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</b> </p> <p> <b> id</b> : obx2-20</p> <p/> <p> <b> code</b> : <span> Moxifloxacin</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> performer</b> : <span> Todd Ashby</span> </p> <p> <b> value</b> : <=0.5</p> <p> <b> interpretation</b> : <span> 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="<="/> </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</b> </p> <p> <b> id</b> : obx2-22</p> <p/> <p> <b> code</b> : <span> Oxacillin</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> performer</b> : <span> Todd Ashby</span> </p> <p> <b> value</b> : 0.5</p> <p> <b> interpretation</b> : <span> 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</b> </p> <p> <b> id</b> : obx2-24</p> <p/> <p> <b> code</b> : <span> Penicillin</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> performer</b> : <span> Todd Ashby</span> </p> <p> <b> value</b> : >=2</p> <p> <b> interpretation</b> : <span> 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=">="/> </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</b> </p> <p> <b> id</b> : obx2-26</p> <p/> <p> <b> code</b> : <span> Quinupristin/Dalfopristin</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> performer</b> : <span> Todd Ashby</span> </p> <p> <b> value</b> : 0.5</p> <p> <b> interpretation</b> : <span> 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</b> </p> <p> <b> id</b> : obx2-28</p> <p/> <p> <b> code</b> : <span> Rifampin</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> performer</b> : <span> Todd Ashby</span> </p> <p> <b> value</b> : <=0.5</p> <p> <b> interpretation</b> : <span> 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="<="/> </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</b> </p> <p> <b> id</b> : obx2-30</p> <p/> <p> <b> code</b> : <span> Tetracycline</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> performer</b> : <span> Todd Ashby</span> </p> <p> <b> value</b> : <=0.5</p> <p> <b> interpretation</b> : <span> 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="<="/> </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</b> </p> <p> <b> id</b> : obx2-32</p> <p/> <p> <b> code</b> : <span> Trimethoprim/Sulfamethoxazole</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> performer</b> : <span> Todd Ashby</span> </p> <p> <b> value</b> : <=0.0526</p> <p> <b> interpretation</b> : <span> 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="<="/> </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</b> </p> <p> <b> id</b> : obx2-34</p> <p/> <p> <b> code</b> : <span> Vancomycin</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> performer</b> : <span> Todd Ashby</span> </p> <p> <b> value</b> : 1</p> <p> <b> interpretation</b> : <span> 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</b> </p> <p> <b> id</b> : nte-1</p> <p/> <p> <b> code</b> : <span> D-Test</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> performer</b> : <span> Todd Ashby</span> </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</b> </p> <p> <b> id</b> : obx3-1</p> <p/> <p> <b> code</b> : <span> Oxacillin</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> performer</b> : <span> Todd Ashby</span> </p> <p> <b> interpretation</b> : <span> 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</b> </p> <p> <b> id</b> : obr-2</p> <p/> <p> <b> code</b> : <span> Susceptibility - Automated broth dilution (Billed)</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> performer</b> : <span> Todd Ashby</span> </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</b> </p> <p> <b> id</b> : obr-3</p> <p/> <p> <b> code</b> : <span> Susceptibility - Disk diffusion (Billed)</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> 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</b> </p> <p> <b> id</b> : org1</p> <p/> <p> <b> code</b> : <span> Staphylococcus aureus Panel</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> 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</b> </p> <p> <b> id</b> : req</p> <p> <b> identifier</b> : id: 255337816</p> <p> <b> status</b> : active</p> <p> <b> intent</b> : original-order</p> <p> <b> code</b> : <span> Culture, MRSA</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> </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.
FHIR ®© HL7.org 2011+. FHIR R5 Preview #3 hl7.fhir.core#4.5.0 generated on Thu, Aug 20, 2020 17:45+1000.
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