Release 4B Snapshot #1

This page is part of the FHIR Specification (v4.3.0-snapshot1: Release 4B Snapshot #1). 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

Diagnosticreport-example-lri.ttl

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

Raw Turtle (+ also see Turtle/RDF Format Specification)

An collection Bundle showing an example of a complex Micro Isolate and Sensitivities

@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Bundle/lri-example> a fhir:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "lri-example"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "1" ];
     fhir:Meta.lastUpdated [ fhir:value "2017-06-27T00:52:51Z"^^xsd:dateTime ]
  ];
  fhir:Bundle.type [ fhir:value "collection"];
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/DiagnosticReport/lri-example" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/DiagnosticReport/lri-example>
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-gramstain1" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-gramstain1>
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-gramstain2" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-gramstain2>
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-gramstain3" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-gramstain3>
  ], [
     fhir:index 4;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-gramstain4" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-gramstain4>
  ], [
     fhir:index 5;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-growth1" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-growth1>
  ], [
     fhir:index 6;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-growth2" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-growth2>
  ], [
     fhir:index 7;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-growth3" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-growth3>
  ], [
     fhir:index 8;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-org2-amp" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-org2-amp>
  ], [
     fhir:index 9;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-org2-cip" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-org2-cip>
  ], [
     fhir:index 10;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-org2-gent" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-org2-gent>
  ], [
     fhir:index 11;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-org3-amp" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-org3-amp>
  ], [
     fhir:index 12;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-org3-cip" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-org3-cip>
  ], [
     fhir:index 13;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-org3-gent" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-org3-gent>
  ], [
     fhir:index 14;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-organism1" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-organism1>
  ], [
     fhir:index 15;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-organism2" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-organism2>
  ], [
     fhir:index 16;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-organism3" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-organism3>
  ] .

<http://test.fhir.org/r4/DiagnosticReport/lri-example> a fhir:DiagnosticReport;
  fhir:Resource.id [ fhir:value "lri-example"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>2016-08-18T18:14:35Z</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>Observation</i></td></tr><tr><td><i>Observation</i></td></tr><tr><td><i>Observation</i></td></tr><tr><td><i>Observation</i></td></tr><tr><td><i>Observation</i></td></tr><tr><td><i>Observation</i></td></tr><tr><td><i>Observation</i></td></tr></table></div>"
  ];
  fhir:DiagnosticReport.identifier [
     fhir:index 0;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "PLAC" ];
         fhir:Coding.display [ fhir:value "Placer Identifier" ]
       ]
     ];
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "RP723234" ]
  ], [
     fhir:index 1;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "FILL" ];
         fhir:Coding.display [ fhir:value "Filler Identifier" ]
       ]
     ];
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "250401" ]
  ], [
     fhir:index 2;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://acme.org/identifiers" ];
         fhir:Coding.code [ fhir:value "GRP" ];
         fhir:Coding.display [ fhir:value "Group" ]
       ]
     ];
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "RFP 123456" ]
  ];
  fhir:DiagnosticReport.basedOn [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/ServiceRequest/example>;
     fhir:Reference.reference [ fhir:value "ServiceRequest/example" ]
  ];
  fhir:DiagnosticReport.status [ fhir:value "final"];
  fhir:DiagnosticReport.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "LAB" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ]
  ];
  fhir:DiagnosticReport.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:624-7;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "624-7" ];
       fhir:Coding.display [ fhir:value "Bacteria Spt Resp Cul" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Aerobic Respiratory Culture, Sputum" ]
  ];
  fhir:DiagnosticReport.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:DiagnosticReport.effectiveDateTime [ fhir:value "2016-08-15"^^xsd:date];
  fhir:DiagnosticReport.issued [ fhir:value "2016-08-18T18:14:35Z"^^xsd:dateTime];
  fhir:DiagnosticReport.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:DiagnosticReport.specimen [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Specimen/example>;
     fhir:Reference.reference [ fhir:value "Specimen/example" ]
  ];
  fhir:DiagnosticReport.result [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Observation/organism1>;
     fhir:Reference.reference [ fhir:value "Observation/organism1" ];
     fhir:Reference.display [ fhir:value "Normal Flora" ]
  ], [
     fhir:index 1;
     fhir:link <http://hl7.org/fhir/Observation/organism2>;
     fhir:Reference.reference [ fhir:value "Observation/organism2" ];
     fhir:Reference.display [ fhir:value "Klebsiella pneumoniae" ]
  ], [
     fhir:index 2;
     fhir:link <http://hl7.org/fhir/Observation/organism3>;
     fhir:Reference.reference [ fhir:value "Observation/organism3" ];
     fhir:Reference.display [ fhir:value "Staphlyococcuc aureus" ]
  ], [
     fhir:index 3;
     fhir:link <http://hl7.org/fhir/Observation/gramstain1>;
     fhir:Reference.reference [ fhir:value "Observation/gramstain1" ];
     fhir:Reference.display [ fhir:value "Many WBCs" ]
  ], [
     fhir:index 4;
     fhir:link <http://hl7.org/fhir/Observation/gramstain2>;
     fhir:Reference.reference [ fhir:value "Observation/gramstain2" ];
     fhir:Reference.display [ fhir:value "Moderate Gram Positive Rods" ]
  ], [
     fhir:index 5;
     fhir:link <http://hl7.org/fhir/Observation/gramstain3>;
     fhir:Reference.reference [ fhir:value "Observation/gramstain3" ];
     fhir:Reference.display [ fhir:value "Moderate Gram Positive Cocci in Chains" ]
  ], [
     fhir:index 6;
     fhir:link <http://hl7.org/fhir/Observation/gramstain4>;
     fhir:Reference.reference [ fhir:value "Observation/gramstain4" ];
     fhir:Reference.display [ fhir:value "Many Gram Negative Rods" ]
  ] .

<http://hl7.org/fhir/ServiceRequest/example> a fhir:ServiceRequest .

<http://hl7.org/fhir/Patient/example> a fhir:Patient .

<http://hl7.org/fhir/Organization/example> a fhir:Organization .

<http://hl7.org/fhir/Specimen/example> a fhir:Specimen .

<http://hl7.org/fhir/Observation/organism1> a fhir:Observation .

<http://hl7.org/fhir/Observation/organism2> a fhir:Observation .

<http://hl7.org/fhir/Observation/organism3> a fhir:Observation .

<http://hl7.org/fhir/Observation/gramstain1> a fhir:Observation .

<http://hl7.org/fhir/Observation/gramstain2> a fhir:Observation .

<http://hl7.org/fhir/Observation/gramstain3> a fhir:Observation .

<http://hl7.org/fhir/Observation/gramstain4> a fhir:Observation .

<http://test.fhir.org/r4/Observation/lri-gramstain1> a fhir:Observation;
  fhir:Resource.id [ fhir:value "gramstain1"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;gramstain1&quot; </p></div><p><b>identifier</b>: id: gramstain1</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span> (<a>Observation Category Codes</a>#laboratory &quot;Laboratory&quot;; <a>diagnosticServiceSectionId</a>#MB &quot;microbiology&quot;)</span>, Result <span> (unknown#RSLT)</span></p><p><b>code</b>: Gram Stain <span> (<a>LOINC</a>#664-3 &quot;Gram Stn XXX&quot;; codes#GMST)</span></p><p><b>subject</b>: <a>Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 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>: Gram Stain <span> (<a>LOINC</a>#664-3 &quot;Gram Stn XXX&quot;)</span></p><p><b>value</b>: Many <span> (codes#MNY)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Gram Stain <span> (<a>LOINC</a>#664-3 &quot;Gram Stn XXX&quot;)</span></p><p><b>value</b>: WBCS <span> (codes#WBCS)</span></p></blockquote></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "gramstain1" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:664-3;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "664-3" ];
       fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "GMST" ];
       fhir:Coding.display [ fhir:value "Gram Stain" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.component [
     fhir:index 0;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:664-3;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "664-3" ];
         fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
         fhir:Coding.code [ fhir:value "MNY" ];
         fhir:Coding.display [ fhir:value "Many" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Many" ]
     ]
  ], [
     fhir:index 1;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:664-3;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "664-3" ];
         fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
         fhir:Coding.code [ fhir:value "WBCS" ];
         fhir:Coding.display [ fhir:value "WBCS" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "WBCS" ]
     ]
  ] .

<http://test.fhir.org/r4/Observation/lri-gramstain2> a fhir:Observation;
  fhir:Resource.id [ fhir:value "gramstain2"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;gramstain2&quot; </p></div><p><b>identifier</b>: id: gramstain2</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span> (<a>Observation Category Codes</a>#laboratory &quot;Laboratory&quot;; <a>diagnosticServiceSectionId</a>#MB &quot;microbiology&quot;)</span>, Result <span> (unknown#RSLT)</span></p><p><b>code</b>: Gram Stain <span> (<a>LOINC</a>#664-3 &quot;Gram Stn XXX&quot;; codes#GMST)</span></p><p><b>subject</b>: <a>Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 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>: Gram Stain <span> (<a>LOINC</a>#664-3 &quot;Gram Stn XXX&quot;)</span></p><p><b>value</b>: Moderate <span> (codes#MOD)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Gram Stain <span> (<a>LOINC</a>#664-3 &quot;Gram Stn XXX&quot;)</span></p><p><b>value</b>: Gram Positive Rods <span> (codes#GPR &quot;Moderate&quot;)</span></p></blockquote></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "gramstain2" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:664-3;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "664-3" ];
       fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "GMST" ];
       fhir:Coding.display [ fhir:value "Gram Stain" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.component [
     fhir:index 0;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:664-3;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "664-3" ];
         fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
         fhir:Coding.code [ fhir:value "MOD" ];
         fhir:Coding.display [ fhir:value "Moderate" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Moderate" ]
     ]
  ], [
     fhir:index 1;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:664-3;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "664-3" ];
         fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
         fhir:Coding.code [ fhir:value "GPR" ];
         fhir:Coding.display [ fhir:value "Moderate" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Positive Rods" ]
     ]
  ] .

<http://test.fhir.org/r4/Observation/lri-gramstain3> a fhir:Observation;
  fhir:Resource.id [ fhir:value "gramstain3"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;gramstain3&quot; </p></div><p><b>identifier</b>: id: gramstain3</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span> (<a>Observation Category Codes</a>#laboratory &quot;Laboratory&quot;; <a>diagnosticServiceSectionId</a>#MB &quot;microbiology&quot;)</span>, Result <span> (unknown#RSLT)</span></p><p><b>code</b>: Gram Stain <span> (<a>LOINC</a>#664-3 &quot;Gram Stn XXX&quot;; codes#GMST)</span></p><p><b>subject</b>: <a>Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 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>: Gram Stain <span> (<a>LOINC</a>#664-3 &quot;Gram Stn XXX&quot;)</span></p><p><b>value</b>: Moderate <span> (codes#MOD)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Gram Stain <span> (<a>LOINC</a>#664-3 &quot;Gram Stn XXX&quot;)</span></p><p><b>value</b>: Gram Positive Cocci in Chains <span> (codes#GPCCH)</span></p></blockquote></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "gramstain3" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:664-3;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "664-3" ];
       fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "GMST" ];
       fhir:Coding.display [ fhir:value "Gram Stain" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.component [
     fhir:index 0;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:664-3;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "664-3" ];
         fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
         fhir:Coding.code [ fhir:value "MOD" ];
         fhir:Coding.display [ fhir:value "Moderate" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Moderate" ]
     ]
  ], [
     fhir:index 1;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:664-3;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "664-3" ];
         fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
         fhir:Coding.code [ fhir:value "GPCCH" ];
         fhir:Coding.display [ fhir:value "Gram Positive Cocci in Chains" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Positive Cocci in Chains" ]
     ]
  ] .

<http://test.fhir.org/r4/Observation/lri-gramstain4> a fhir:Observation;
  fhir:Resource.id [ fhir:value "gramstain4"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;gramstain4&quot; </p></div><p><b>identifier</b>: id: gramstain4</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span> (<a>Observation Category Codes</a>#laboratory &quot;Laboratory&quot;; <a>diagnosticServiceSectionId</a>#MB &quot;microbiology&quot;)</span>, Result <span> (unknown#RSLT)</span></p><p><b>code</b>: Gram Stain <span> (<a>LOINC</a>#664-3 &quot;Gram Stn XXX&quot;; codes#GMST)</span></p><p><b>subject</b>: <a>Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 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>: Gram Stain <span> (<a>LOINC</a>#664-3 &quot;Gram Stn XXX&quot;)</span></p><p><b>value</b>: Many <span> (codes#MNY)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Gram Stain <span> (<a>LOINC</a>#664-3 &quot;Gram Stn XXX&quot;)</span></p><p><b>value</b>: Gram Negative Rods <span> (codes#GNR)</span></p></blockquote></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "gramstain4" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:664-3;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "664-3" ];
       fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "GMST" ];
       fhir:Coding.display [ fhir:value "Gram Stain" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.component [
     fhir:index 0;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:664-3;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "664-3" ];
         fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
         fhir:Coding.code [ fhir:value "MNY" ];
         fhir:Coding.display [ fhir:value "Many" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Many" ]
     ]
  ], [
     fhir:index 1;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:664-3;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "664-3" ];
         fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
         fhir:Coding.code [ fhir:value "GNR" ];
         fhir:Coding.display [ fhir:value "Gram Negative Rods" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Negative Rods" ]
     ]
  ] .

<http://test.fhir.org/r4/Observation/lri-growth1> a fhir:Observation;
  fhir:Resource.id [ fhir:value "growth1"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;growth1&quot; </p></div><p><b>identifier</b>: id: growth1</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span> (<a>Observation Category Codes</a>#laboratory &quot;Laboratory&quot;; <a>diagnosticServiceSectionId</a>#MB &quot;microbiology&quot;)</span>, Result <span> (unknown#RSLT)</span></p><p><b>code</b>: Aerobic Respiratory Culture, Sputum <span> (<a>LOINC</a>#624-7 &quot;Bacteria Spt Resp Cul&quot;; codes#GROWTH &quot;Growth&quot;)</span></p><p><b>subject</b>: <a>Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: Moderate Growth <span> (<a>SNOMED CT</a>#263812008)</span></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "growth1" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:624-7;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "624-7" ];
       fhir:Coding.display [ fhir:value "Bacteria Spt Resp Cul" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "GROWTH" ];
       fhir:Coding.display [ fhir:value "Growth" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Aerobic Respiratory Culture, Sputum" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:263812008;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "263812008" ];
       fhir:Coding.display [ fhir:value "Moderate Growth" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Moderate Growth" ]
  ] .

<http://test.fhir.org/r4/Observation/lri-growth2> a fhir:Observation;
  fhir:Resource.id [ fhir:value "growth2"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;growth2&quot; </p></div><p><b>identifier</b>: id: growth2</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span> (<a>Observation Category Codes</a>#laboratory &quot;Laboratory&quot;; <a>diagnosticServiceSectionId</a>#MB &quot;microbiology&quot;)</span>, Result <span> (unknown#RSLT)</span></p><p><b>code</b>: Aerobic Respiratory Culture, Sputum <span> (<a>LOINC</a>#624-7 &quot;Bacteria Spt Resp Cul&quot;; codes#GROWTH &quot;Growth&quot;)</span></p><p><b>subject</b>: <a>Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: Heavy growth <span> (<a>SNOMED CT</a>#263776006)</span></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "growth2" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:624-7;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "624-7" ];
       fhir:Coding.display [ fhir:value "Bacteria Spt Resp Cul" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "GROWTH" ];
       fhir:Coding.display [ fhir:value "Growth" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Aerobic Respiratory Culture, Sputum" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:263776006;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "263776006" ];
       fhir:Coding.display [ fhir:value "Heavy growth" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Heavy growth" ]
  ] .

<http://test.fhir.org/r4/Observation/lri-growth3> a fhir:Observation;
  fhir:Resource.id [ fhir:value "growth3"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;growth3&quot; </p></div><p><b>identifier</b>: id: growth3</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span> (<a>Observation Category Codes</a>#laboratory &quot;Laboratory&quot;; <a>diagnosticServiceSectionId</a>#MB &quot;microbiology&quot;)</span>, Result <span> (unknown#RSLT)</span></p><p><b>code</b>: Aerobic Respiratory Culture, Sputum <span> (<a>LOINC</a>#624-7 &quot;Bacteria Spt Resp Cul&quot;; codes#GROWTH &quot;Growth&quot;)</span></p><p><b>subject</b>: <a>Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: Heavy growth <span> (<a>SNOMED CT</a>#263776006)</span></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "growth3" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:624-7;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "624-7" ];
       fhir:Coding.display [ fhir:value "Bacteria Spt Resp Cul" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "GROWTH" ];
       fhir:Coding.display [ fhir:value "Growth" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Aerobic Respiratory Culture, Sputum" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:263776006;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "263776006" ];
       fhir:Coding.display [ fhir:value "Heavy growth" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Heavy growth" ]
  ] .

<http://test.fhir.org/r4/Observation/lri-org2-amp> a fhir:Observation;
  fhir:Resource.id [ fhir:value "org2-amp"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;org2-amp&quot; </p></div><p><b>identifier</b>: id: org2-amp</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span> (<a>Observation Category Codes</a>#laboratory &quot;Laboratory&quot;; <a>diagnosticServiceSectionId</a>#MB &quot;microbiology&quot;)</span>, Result <span> (unknown#RSLT)</span></p><p><b>code</b>: Ampicilin MIC <span> (<a>LOINC</a>#28-1 &quot;Ampicilin Islt MIC&quot;; codes#AMPMIC)</span></p><p><b>subject</b>: <a>Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: &lt;0.06 ug/ml<span> (Details: UCUM code ug/mL = 'ug/mL')</span></p><p><b>interpretation</b>: Susceptible <span> (<a>ObservationInterpretation</a>#S)</span></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "org2-amp" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:28-1;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "28-1" ];
       fhir:Coding.display [ fhir:value "Ampicilin Islt MIC" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "AMPMIC" ];
       fhir:Coding.display [ fhir:value "Ampicilin MIC" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Ampicilin MIC" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "0.06"^^xsd:decimal ];
     fhir:Quantity.comparator [ fhir:value "<" ];
     fhir:Quantity.unit [ fhir:value "ug/ml" ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "ug/mL" ]
  ];
  fhir:Observation.interpretation [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ];
       fhir:Coding.code [ fhir:value "S" ];
       fhir:Coding.display [ fhir:value "Susceptible" ]
     ]
  ] .

<http://test.fhir.org/r4/Observation/lri-org2-cip> a fhir:Observation;
  fhir:Resource.id [ fhir:value "org2-cip"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;org2-cip&quot; </p></div><p><b>identifier</b>: id: org2-cip</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span> (<a>Observation Category Codes</a>#laboratory &quot;Laboratory&quot;; <a>diagnosticServiceSectionId</a>#MB &quot;microbiology&quot;)</span>, Result <span> (unknown#RSLT)</span></p><p><b>code</b>: Ciprofloxacin MIC <span> (<a>LOINC</a>#185-9 &quot;Ciprofloxacin Islt MIC&quot;; codes#CIPMIC)</span></p><p><b>subject</b>: <a>Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: &lt;0.05 ug/ml<span> (Details: UCUM code ug/mL = 'ug/mL')</span></p><p><b>interpretation</b>: Susceptible <span> (<a>ObservationInterpretation</a>#S)</span></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "org2-cip" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:185-9;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "185-9" ];
       fhir:Coding.display [ fhir:value "Ciprofloxacin Islt MIC" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "CIPMIC" ];
       fhir:Coding.display [ fhir:value "Ciprofloxacin MIC" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Ciprofloxacin MIC" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "0.05"^^xsd:decimal ];
     fhir:Quantity.comparator [ fhir:value "<" ];
     fhir:Quantity.unit [ fhir:value "ug/ml" ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "ug/mL" ]
  ];
  fhir:Observation.interpretation [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ];
       fhir:Coding.code [ fhir:value "S" ];
       fhir:Coding.display [ fhir:value "Susceptible" ]
     ]
  ] .

<http://test.fhir.org/r4/Observation/lri-org2-gent> a fhir:Observation;
  fhir:Resource.id [ fhir:value "org2-gent"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;org2-gent&quot; </p></div><p><b>identifier</b>: id: org2-gent</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span> (<a>Observation Category Codes</a>#laboratory &quot;Laboratory&quot;; <a>diagnosticServiceSectionId</a>#MB &quot;microbiology&quot;)</span>, Result <span> (unknown#RSLT)</span></p><p><b>code</b>: Gentamicin MIC <span> (<a>LOINC</a>#267-5 &quot;Gentamicin Islt MIC&quot;; codes#CIPMIC)</span></p><p><b>subject</b>: <a>Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: &lt;0.05 ug/ml<span> (Details: UCUM code ug/mL = 'ug/mL')</span></p><p><b>interpretation</b>: Susceptible <span> (<a>ObservationInterpretation</a>#S)</span></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "org2-gent" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:267-5;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "267-5" ];
       fhir:Coding.display [ fhir:value "Gentamicin Islt MIC" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "CIPMIC" ];
       fhir:Coding.display [ fhir:value "Gentamicin MIC" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Gentamicin MIC" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "0.05"^^xsd:decimal ];
     fhir:Quantity.comparator [ fhir:value "<" ];
     fhir:Quantity.unit [ fhir:value "ug/ml" ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "ug/mL" ]
  ];
  fhir:Observation.interpretation [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ];
       fhir:Coding.code [ fhir:value "S" ];
       fhir:Coding.display [ fhir:value "Susceptible" ]
     ]
  ] .

<http://test.fhir.org/r4/Observation/lri-org3-amp> a fhir:Observation;
  fhir:Resource.id [ fhir:value "org3-amp"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;org3-amp&quot; </p></div><p><b>identifier</b>: id: org3-amp</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span> (<a>Observation Category Codes</a>#laboratory &quot;Laboratory&quot;; <a>diagnosticServiceSectionId</a>#MB &quot;microbiology&quot;)</span>, Result <span> (unknown#RSLT)</span></p><p><b>code</b>: Ampicilin MIC <span> (<a>LOINC</a>#28-1 &quot;Ampicilin Islt MIC&quot;; codes#AMPMIC)</span></p><p><b>subject</b>: <a>Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: &lt;0.06 ug/ml<span> (Details: UCUM code ug/mL = 'ug/mL')</span></p><p><b>interpretation</b>: Susceptible <span> (<a>ObservationInterpretation</a>#S)</span></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "org3-amp" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:28-1;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "28-1" ];
       fhir:Coding.display [ fhir:value "Ampicilin Islt MIC" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "AMPMIC" ];
       fhir:Coding.display [ fhir:value "Ampicilin MIC" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Ampicilin MIC" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "0.06"^^xsd:decimal ];
     fhir:Quantity.comparator [ fhir:value "<" ];
     fhir:Quantity.unit [ fhir:value "ug/ml" ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "ug/mL" ]
  ];
  fhir:Observation.interpretation [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ];
       fhir:Coding.code [ fhir:value "S" ];
       fhir:Coding.display [ fhir:value "Susceptible" ]
     ]
  ] .

<http://test.fhir.org/r4/Observation/lri-org3-cip> a fhir:Observation;
  fhir:Resource.id [ fhir:value "org3-cip"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;org3-cip&quot; </p></div><p><b>identifier</b>: id: org3-cip</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span> (<a>Observation Category Codes</a>#laboratory &quot;Laboratory&quot;; <a>diagnosticServiceSectionId</a>#MB &quot;microbiology&quot;)</span>, Result <span> (unknown#RSLT)</span></p><p><b>code</b>: Ciprofloxacin MIC <span> (<a>LOINC</a>#185-9 &quot;Ciprofloxacin Islt MIC&quot;; codes#CIPMIC)</span></p><p><b>subject</b>: <a>Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: &lt;0.05 ug/ml<span> (Details: UCUM code ug/mL = 'ug/mL')</span></p><p><b>interpretation</b>: Susceptible <span> (<a>ObservationInterpretation</a>#S)</span></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "org3-cip" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:185-9;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "185-9" ];
       fhir:Coding.display [ fhir:value "Ciprofloxacin Islt MIC" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "CIPMIC" ];
       fhir:Coding.display [ fhir:value "Ciprofloxacin MIC" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Ciprofloxacin MIC" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "0.05"^^xsd:decimal ];
     fhir:Quantity.comparator [ fhir:value "<" ];
     fhir:Quantity.unit [ fhir:value "ug/ml" ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "ug/mL" ]
  ];
  fhir:Observation.interpretation [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ];
       fhir:Coding.code [ fhir:value "S" ];
       fhir:Coding.display [ fhir:value "Susceptible" ]
     ]
  ] .

<http://test.fhir.org/r4/Observation/lri-org3-gent> a fhir:Observation;
  fhir:Resource.id [ fhir:value "org3-gent"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;org3-gent&quot; </p></div><p><b>identifier</b>: id: org3-gent</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span> (<a>Observation Category Codes</a>#laboratory &quot;Laboratory&quot;; <a>diagnosticServiceSectionId</a>#MB &quot;microbiology&quot;)</span></p><p><b>code</b>: Gentamicin MIC <span> (<a>LOINC</a>#267-5 &quot;Gentamicin Islt MIC&quot;)</span></p><p><b>subject</b>: <a>Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: &lt;0.05 ug/ml<span> (Details: UCUM code ug/mL = 'ug/mL')</span></p><p><b>interpretation</b>: Susceptible <span> (<a>ObservationInterpretation</a>#S)</span></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "org3-gent" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:267-5;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "267-5" ];
       fhir:Coding.display [ fhir:value "Gentamicin Islt MIC" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Gentamicin MIC" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "0.05"^^xsd:decimal ];
     fhir:Quantity.comparator [ fhir:value "<" ];
     fhir:Quantity.unit [ fhir:value "ug/ml" ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "ug/mL" ]
  ];
  fhir:Observation.interpretation [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ];
       fhir:Coding.code [ fhir:value "S" ];
       fhir:Coding.display [ fhir:value "Susceptible" ]
     ]
  ] .

<http://test.fhir.org/r4/Observation/lri-organism1> a fhir:Observation;
  fhir:Resource.id [ fhir:value "organism1"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;organism1&quot; </p></div><p><b>identifier</b>: id: organism1</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span> (<a>Observation Category Codes</a>#laboratory &quot;Laboratory&quot;; <a>diagnosticServiceSectionId</a>#MB &quot;microbiology&quot;)</span>, Result <span> (unknown#RSLT)</span></p><p><b>code</b>: Aerobic Respiratory Culture, Sputum <span> (<a>LOINC</a>#624-7 &quot;Bacteria Spt Resp Cul&quot;; codes#CULTID &quot;Culture ID&quot;)</span></p><p><b>subject</b>: <a>Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: Normal flora <span> (<a>SNOMED CT</a>#23506009)</span></p><p><b>hasMember</b>: <a>Observation/growth1: Moderate growth</a></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "organism1" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:624-7;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "624-7" ];
       fhir:Coding.display [ fhir:value "Bacteria Spt Resp Cul" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "CULTID" ];
       fhir:Coding.display [ fhir:value "Culture ID" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Aerobic Respiratory Culture, Sputum" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:23506009;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "23506009" ];
       fhir:Coding.display [ fhir:value "Normal flora" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Normal flora" ]
  ];
  fhir:Observation.hasMember [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Observation/growth1>;
     fhir:Reference.reference [ fhir:value "Observation/growth1" ];
     fhir:Reference.display [ fhir:value "Moderate growth" ]
  ] .

<http://hl7.org/fhir/Observation/growth1> a fhir:Observation .

<http://test.fhir.org/r4/Observation/lri-organism2> a fhir:Observation;
  fhir:Resource.id [ fhir:value "organism2"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;organism2&quot; </p></div><p><b>identifier</b>: id: organism2</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span> (<a>Observation Category Codes</a>#laboratory &quot;Laboratory&quot;; <a>diagnosticServiceSectionId</a>#MB &quot;microbiology&quot;)</span>, Result <span> (unknown#RSLT)</span></p><p><b>code</b>: Aerobic Respiratory Culture, Sputum <span> (<a>LOINC</a>#624-7 &quot;Bacteria Spt Resp Cul&quot;; codes#CULTID &quot;Culture ID&quot;)</span></p><p><b>subject</b>: <a>Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: Klebsiella pneumonia <span> (<a>SNOMED CT</a>#56415008)</span></p><p><b>hasMember</b>: </p><ul><li><a>Observation/growth2: Heavy growth</a></li><li><a>Observation/org2-amp: Ampicillin MIC - Susceptible</a></li><li><a>Observation/org2-cip: Ciprofloxacin MIC - Susceptible</a></li><li><a>Observation/org2-gent: Gentamicin MIC  - Susceptible</a></li></ul></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "organism2" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:624-7;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "624-7" ];
       fhir:Coding.display [ fhir:value "Bacteria Spt Resp Cul" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "CULTID" ];
       fhir:Coding.display [ fhir:value "Culture ID" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Aerobic Respiratory Culture, Sputum" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:56415008;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "56415008" ];
       fhir:Coding.display [ fhir:value "Klebsiella pneumonia" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Klebsiella pneumonia" ]
  ];
  fhir:Observation.hasMember [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Observation/growth2>;
     fhir:Reference.reference [ fhir:value "Observation/growth2" ];
     fhir:Reference.display [ fhir:value "Heavy growth" ]
  ], [
     fhir:index 1;
     fhir:link <http://hl7.org/fhir/Observation/org2-amp>;
     fhir:Reference.reference [ fhir:value "Observation/org2-amp" ];
     fhir:Reference.display [ fhir:value "Ampicillin MIC - Susceptible" ]
  ], [
     fhir:index 2;
     fhir:link <http://hl7.org/fhir/Observation/org2-cip>;
     fhir:Reference.reference [ fhir:value "Observation/org2-cip" ];
     fhir:Reference.display [ fhir:value "Ciprofloxacin MIC - Susceptible" ]
  ], [
     fhir:index 3;
     fhir:link <http://hl7.org/fhir/Observation/org2-gent>;
     fhir:Reference.reference [ fhir:value "Observation/org2-gent" ];
     fhir:Reference.display [ fhir:value "Gentamicin MIC  - Susceptible" ]
  ] .

<http://hl7.org/fhir/Observation/growth2> a fhir:Observation .

<http://hl7.org/fhir/Observation/org2-amp> a fhir:Observation .

<http://hl7.org/fhir/Observation/org2-cip> a fhir:Observation .

<http://hl7.org/fhir/Observation/org2-gent> a fhir:Observation .

<http://test.fhir.org/r4/Observation/lri-organism3> a fhir:Observation;
  fhir:Resource.id [ fhir:value "organism3"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource &quot;organism3&quot; </p></div><p><b>identifier</b>: id: organism3</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span> (<a>Observation Category Codes</a>#laboratory &quot;Laboratory&quot;; <a>diagnosticServiceSectionId</a>#MB &quot;microbiology&quot;)</span>, Result <span> (unknown#RSLT)</span></p><p><b>code</b>: Aerobic Respiratory Culture, Sputum <span> (<a>LOINC</a>#624-7 &quot;Bacteria Spt Resp Cul&quot;; codes#CULTID &quot;Culture ID&quot;)</span></p><p><b>subject</b>: <a>Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: Staphlyococcuc aureus <span> (<a>SNOMED CT</a>#3092008)</span></p><p><b>hasMember</b>: </p><ul><li><a>Observation/growth3: Heavy growth</a></li><li><a>Observation/org3-amp: Ampicillin MIC - Susceptible</a></li><li><a>Observation/org3-cip: Ciprofloxacin MIC - Susceptible</a></li><li><a>Observation/org3-gent: Gentamicin MIC  - Susceptible</a></li></ul></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "organism3" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:624-7;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "624-7" ];
       fhir:Coding.display [ fhir:value "Bacteria Spt Resp Cul" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "CULTID" ];
       fhir:Coding.display [ fhir:value "Culture ID" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Aerobic Respiratory Culture, Sputum" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:3092008;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "3092008" ];
       fhir:Coding.display [ fhir:value "Staphlyococcuc aureus" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Staphlyococcuc aureus" ]
  ];
  fhir:Observation.hasMember [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Observation/growth3>;
     fhir:Reference.reference [ fhir:value "Observation/growth3" ];
     fhir:Reference.display [ fhir:value "Heavy growth" ]
  ], [
     fhir:index 1;
     fhir:link <http://hl7.org/fhir/Observation/org3-amp>;
     fhir:Reference.reference [ fhir:value "Observation/org3-amp" ];
     fhir:Reference.display [ fhir:value "Ampicillin MIC - Susceptible" ]
  ], [
     fhir:index 2;
     fhir:link <http://hl7.org/fhir/Observation/org3-cip>;
     fhir:Reference.reference [ fhir:value "Observation/org3-cip" ];
     fhir:Reference.display [ fhir:value "Ciprofloxacin MIC - Susceptible" ]
  ], [
     fhir:index 3;
     fhir:link <http://hl7.org/fhir/Observation/org3-gent>;
     fhir:Reference.reference [ fhir:value "Observation/org3-gent" ];
     fhir:Reference.display [ fhir:value "Gentamicin MIC  - Susceptible" ]
  ] .

<http://hl7.org/fhir/Observation/growth3> a fhir:Observation .

<http://hl7.org/fhir/Observation/org3-amp> a fhir:Observation .

<http://hl7.org/fhir/Observation/org3-cip> a fhir:Observation .

<http://hl7.org/fhir/Observation/org3-gent> a fhir:Observation .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Bundle/lri-example.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/Bundle/lri-example.ttl> .

# -------------------------------------------------------------------------------------


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.