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.xml

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

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

An collection Bundle showing an example of a complex Micro Isolate and Sensitivities (id = "lri-example")

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

<Bundle xmlns="http://hl7.org/fhir">
  <id value="lri-example"/> 
  <meta> 
    <versionId value="1"/> 
    <lastUpdated value="2017-06-27T00:52:51Z"/> 
  </meta> 
  <type value="collection"/> 
  <entry> 
    <fullUrl value="http://test.fhir.org/r4/DiagnosticReport/lri-example"/> 
    <resource> 
      <DiagnosticReport> 
        <id value="lri-example"/> 
        <text> <status value="generated"/> <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> </text> <identifier> 
          <type> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> 
              <code value="PLAC"/> 
              <display value="Placer Identifier"/> 
            </coding> 
          </type> 
          <system value="https://acme.org/identifiers"/> 
          <value value="RP723234"/> 
        </identifier> 
        <identifier> 
          <type> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> 
              <code value="FILL"/> 
              <display value="Filler Identifier"/> 
            </coding> 
          </type> 
          <system value="https://acme.org/identifiers"/> 
          <value value="250401"/> 
        </identifier> 
        <identifier> 
          <type> 
            <coding> 
              <system value="https://acme.org/identifiers"/> 
              <code value="GRP"/> 
              <display value="Group"/> 
            </coding> 
          </type> 
          <system value="https://acme.org/identifiers"/> 
          <value value="RFP 123456"/> 
        </identifier> 
        <basedOn> 
          <reference value="ServiceRequest/example"/> 
        </basedOn> 
        <status value="final"/> 
        <category> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="LAB"/> 
            <display value="Laboratory"/> 
          </coding> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="MB"/> 
            <display value="microbiology"/> 
          </coding> 
        </category> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="624-7"/> 
            <display value="Bacteria Spt Resp Cul"/> 
          </coding> 
          <text value="Aerobic Respiratory Culture, Sputum"/> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> 
        </subject> 
        <effectiveDateTime value="2016-08-15"/> 
        <issued value="2016-08-18T18:14:35Z"/> 
        <performer> 
          <reference value="Organization/example"/> 
        </performer> 
        <specimen> 
          <reference value="Specimen/example"/> 
        </specimen> 
        <result> 
          <reference value="Observation/organism1"/> 
          <display value="Normal Flora"/> 
        </result> 
        <result> 
          <reference value="Observation/organism2"/> 
          <display value="Klebsiella pneumoniae"/> 
        </result> 
        <result> 
          <reference value="Observation/organism3"/> 
          <display value="Staphlyococcuc aureus"/> 
        </result> 
        <result> 
          <reference value="Observation/gramstain1"/> 
          <display value="Many WBCs"/> 
        </result> 
        <result> 
          <reference value="Observation/gramstain2"/> 
          <display value="Moderate Gram Positive Rods"/> 
        </result> 
        <result> 
          <reference value="Observation/gramstain3"/> 
          <display value="Moderate Gram Positive Cocci in Chains"/> 
        </result> 
        <result> 
          <reference value="Observation/gramstain4"/> 
          <display value="Many Gram Negative Rods"/> 
        </result> 
      </DiagnosticReport> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="http://test.fhir.org/r4/Observation/lri-gramstain1"/> 
    <resource> 
      <Observation> 
        <id value="gramstain1"/> 
        <text> <status value="generated"/> <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> </text> <identifier> 
          <system value="https://acme.org/identifiers"/> 
          <value value="gramstain1"/> 
        </identifier> 
        <status value="final"/> 
        <category> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> 
            <code value="laboratory"/> 
            <display value="Laboratory"/> 
          </coding> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="MB"/> 
            <display value="microbiology"/> 
          </coding> 
          <text value="Micro"/> 
        </category> 
        <category> 
          <coding> 
            <system value="urn:oid:2.16.840.1.113883.9.195.4.61"/> 
            <code value="RSLT"/> 
            <display value="Result"/> 
          </coding> 
        </category> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="664-3"/> 
            <display value="Gram Stn XXX"/> 
          </coding> 
          <coding> 
            <system value="https://acme.org/codes"/> 
            <code value="GMST"/> 
            <display value="Gram Stain"/> 
          </coding> 
          <text value="Gram Stain"/> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> 
        </subject> 
        <effectiveDateTime value="2016-08-18"/> 
        <issued value="2016-08-18T23:06:32Z"/> 
        <performer> 
          <reference value="Organization/example"/> 
        </performer> 
        <component> 
          <code> 
            <coding> 
              <system value="http://loinc.org"/> 
              <code value="664-3"/> 
              <display value="Gram Stn XXX"/> 
            </coding> 
            <text value="Gram Stain"/> 
          </code> 
          <valueCodeableConcept> 
            <coding> 
              <system value="https://acme.org/codes"/> 
              <code value="MNY"/> 
              <display value="Many"/> 
            </coding> 
            <text value="Many"/> 
          </valueCodeableConcept> 
        </component> 
        <component> 
          <code> 
            <coding> 
              <system value="http://loinc.org"/> 
              <code value="664-3"/> 
              <display value="Gram Stn XXX"/> 
            </coding> 
            <text value="Gram Stain"/> 
          </code> 
          <valueCodeableConcept> 
            <coding> 
              <system value="https://acme.org/codes"/> 
              <code value="WBCS"/> 
              <display value="WBCS"/> 
            </coding> 
            <text value="WBCS"/> 
          </valueCodeableConcept> 
        </component> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="http://test.fhir.org/r4/Observation/lri-gramstain2"/> 
    <resource> 
      <Observation> 
        <id value="gramstain2"/> 
        <text> <status value="generated"/> <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> </text> <identifier> 
          <system value="https://acme.org/identifiers"/> 
          <value value="gramstain2"/> 
        </identifier> 
        <status value="final"/> 
        <category> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> 
            <code value="laboratory"/> 
            <display value="Laboratory"/> 
          </coding> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="MB"/> 
            <display value="microbiology"/> 
          </coding> 
          <text value="Micro"/> 
        </category> 
        <category> 
          <coding> 
            <system value="urn:oid:2.16.840.1.113883.9.195.4.61"/> 
            <code value="RSLT"/> 
            <display value="Result"/> 
          </coding> 
        </category> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="664-3"/> 
            <display value="Gram Stn XXX"/> 
          </coding> 
          <coding> 
            <system value="https://acme.org/codes"/> 
            <code value="GMST"/> 
            <display value="Gram Stain"/> 
          </coding> 
          <text value="Gram Stain"/> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> 
        </subject> 
        <effectiveDateTime value="2016-08-18"/> 
        <issued value="2016-08-18T23:06:32Z"/> 
        <performer> 
          <reference value="Organization/example"/> 
        </performer> 
        <component> 
          <code> 
            <coding> 
              <system value="http://loinc.org"/> 
              <code value="664-3"/> 
              <display value="Gram Stn XXX"/> 
            </coding> 
            <text value="Gram Stain"/> 
          </code> 
          <valueCodeableConcept> 
            <coding> 
              <system value="https://acme.org/codes"/> 
              <code value="MOD"/> 
              <display value="Moderate"/> 
            </coding> 
            <text value="Moderate"/> 
          </valueCodeableConcept> 
        </component> 
        <component> 
          <code> 
            <coding> 
              <system value="http://loinc.org"/> 
              <code value="664-3"/> 
              <display value="Gram Stn XXX"/> 
            </coding> 
            <text value="Gram Stain"/> 
          </code> 
          <valueCodeableConcept> 
            <coding> 
              <system value="https://acme.org/codes"/> 
              <code value="GPR"/> 
              <display value="Moderate"/> 
            </coding> 
            <text value="Gram Positive Rods"/> 
          </valueCodeableConcept> 
        </component> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="http://test.fhir.org/r4/Observation/lri-gramstain3"/> 
    <resource> 
      <Observation> 
        <id value="gramstain3"/> 
        <text> <status value="generated"/> <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> </text> <identifier> 
          <system value="https://acme.org/identifiers"/> 
          <value value="gramstain3"/> 
        </identifier> 
        <status value="final"/> 
        <category> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> 
            <code value="laboratory"/> 
            <display value="Laboratory"/> 
          </coding> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="MB"/> 
            <display value="microbiology"/> 
          </coding> 
          <text value="Micro"/> 
        </category> 
        <category> 
          <coding> 
            <system value="urn:oid:2.16.840.1.113883.9.195.4.61"/> 
            <code value="RSLT"/> 
            <display value="Result"/> 
          </coding> 
        </category> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="664-3"/> 
            <display value="Gram Stn XXX"/> 
          </coding> 
          <coding> 
            <system value="https://acme.org/codes"/> 
            <code value="GMST"/> 
            <display value="Gram Stain"/> 
          </coding> 
          <text value="Gram Stain"/> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> 
        </subject> 
        <effectiveDateTime value="2016-08-18"/> 
        <issued value="2016-08-18T23:06:32Z"/> 
        <performer> 
          <reference value="Organization/example"/> 
        </performer> 
        <component> 
          <code> 
            <coding> 
              <system value="http://loinc.org"/> 
              <code value="664-3"/> 
              <display value="Gram Stn XXX"/> 
            </coding> 
            <text value="Gram Stain"/> 
          </code> 
          <valueCodeableConcept> 
            <coding> 
              <system value="https://acme.org/codes"/> 
              <code value="MOD"/> 
              <display value="Moderate"/> 
            </coding> 
            <text value="Moderate"/> 
          </valueCodeableConcept> 
        </component> 
        <component> 
          <code> 
            <coding> 
              <system value="http://loinc.org"/> 
              <code value="664-3"/> 
              <display value="Gram Stn XXX"/> 
            </coding> 
            <text value="Gram Stain"/> 
          </code> 
          <valueCodeableConcept> 
            <coding> 
              <system value="https://acme.org/codes"/> 
              <code value="GPCCH"/> 
              <display value="Gram Positive Cocci in Chains"/> 
            </coding> 
            <text value="Gram Positive Cocci in Chains"/> 
          </valueCodeableConcept> 
        </component> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="http://test.fhir.org/r4/Observation/lri-gramstain4"/> 
    <resource> 
      <Observation> 
        <id value="gramstain4"/> 
        <text> <status value="generated"/> <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> </text> <identifier> 
          <system value="https://acme.org/identifiers"/> 
          <value value="gramstain4"/> 
        </identifier> 
        <status value="final"/> 
        <category> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> 
            <code value="laboratory"/> 
            <display value="Laboratory"/> 
          </coding> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="MB"/> 
            <display value="microbiology"/> 
          </coding> 
          <text value="Micro"/> 
        </category> 
        <category> 
          <coding> 
            <system value="urn:oid:2.16.840.1.113883.9.195.4.61"/> 
            <code value="RSLT"/> 
            <display value="Result"/> 
          </coding> 
        </category> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="664-3"/> 
            <display value="Gram Stn XXX"/> 
          </coding> 
          <coding> 
            <system value="https://acme.org/codes"/> 
            <code value="GMST"/> 
            <display value="Gram Stain"/> 
          </coding> 
          <text value="Gram Stain"/> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> 
        </subject> 
        <effectiveDateTime value="2016-08-18"/> 
        <issued value="2016-08-18T23:06:32Z"/> 
        <performer> 
          <reference value="Organization/example"/> 
        </performer> 
        <component> 
          <code> 
            <coding> 
              <system value="http://loinc.org"/> 
              <code value="664-3"/> 
              <display value="Gram Stn XXX"/> 
            </coding> 
            <text value="Gram Stain"/> 
          </code> 
          <valueCodeableConcept> 
            <coding> 
              <system value="https://acme.org/codes"/> 
              <code value="MNY"/> 
              <display value="Many"/> 
            </coding> 
            <text value="Many"/> 
          </valueCodeableConcept> 
        </component> 
        <component> 
          <code> 
            <coding> 
              <system value="http://loinc.org"/> 
              <code value="664-3"/> 
              <display value="Gram Stn XXX"/> 
            </coding> 
            <text value="Gram Stain"/> 
          </code> 
          <valueCodeableConcept> 
            <coding> 
              <system value="https://acme.org/codes"/> 
              <code value="GNR"/> 
              <display value="Gram Negative Rods"/> 
            </coding> 
            <text value="Gram Negative Rods"/> 
          </valueCodeableConcept> 
        </component> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="http://test.fhir.org/r4/Observation/lri-growth1"/> 
    <resource> 
      <Observation> 
        <id value="growth1"/> 
        <text> <status value="generated"/> <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> </text> <identifier> 
          <system value="https://acme.org/identifiers"/> 
          <value value="growth1"/> 
        </identifier> 
        <status value="final"/> 
        <category> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> 
            <code value="laboratory"/> 
            <display value="Laboratory"/> 
          </coding> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="MB"/> 
            <display value="microbiology"/> 
          </coding> 
          <text value="Micro"/> 
        </category> 
        <category> 
          <coding> 
            <system value="urn:oid:2.16.840.1.113883.9.195.4.61"/> 
            <code value="RSLT"/> 
            <display value="Result"/> 
          </coding> 
        </category> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="624-7"/> 
            <display value="Bacteria Spt Resp Cul"/> 
          </coding> 
          <coding> 
            <system value="https://acme.org/codes"/> 
            <code value="GROWTH"/> 
            <display value="Growth"/> 
          </coding> 
          <text value="Aerobic Respiratory Culture, Sputum"/> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> 
        </subject> 
        <effectiveDateTime value="2016-08-18"/> 
        <issued value="2016-08-18T23:06:32Z"/> 
        <performer> 
          <reference value="Organization/example"/> 
        </performer> 
        <valueCodeableConcept> 
          <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="263812008"/> 
            <display value="Moderate Growth"/> 
          </coding> 
          <text value="Moderate Growth"/> 
        </valueCodeableConcept> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="http://test.fhir.org/r4/Observation/lri-growth2"/> 
    <resource> 
      <Observation> 
        <id value="growth2"/> 
        <text> <status value="generated"/> <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> </text> <identifier> 
          <system value="https://acme.org/identifiers"/> 
          <value value="growth2"/> 
        </identifier> 
        <status value="final"/> 
        <category> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> 
            <code value="laboratory"/> 
            <display value="Laboratory"/> 
          </coding> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="MB"/> 
            <display value="microbiology"/> 
          </coding> 
          <text value="Micro"/> 
        </category> 
        <category> 
          <coding> 
            <system value="urn:oid:2.16.840.1.113883.9.195.4.61"/> 
            <code value="RSLT"/> 
            <display value="Result"/> 
          </coding> 
        </category> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="624-7"/> 
            <display value="Bacteria Spt Resp Cul"/> 
          </coding> 
          <coding> 
            <system value="https://acme.org/codes"/> 
            <code value="GROWTH"/> 
            <display value="Growth"/> 
          </coding> 
          <text value="Aerobic Respiratory Culture, Sputum"/> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> 
        </subject> 
        <effectiveDateTime value="2016-08-18"/> 
        <issued value="2016-08-18T23:06:32Z"/> 
        <performer> 
          <reference value="Organization/example"/> 
        </performer> 
        <valueCodeableConcept> 
          <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="263776006"/> 
            <display value="Heavy growth"/> 
          </coding> 
          <text value="Heavy growth"/> 
        </valueCodeableConcept> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="http://test.fhir.org/r4/Observation/lri-growth3"/> 
    <resource> 
      <Observation> 
        <id value="growth3"/> 
        <text> <status value="generated"/> <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> </text> <identifier> 
          <system value="https://acme.org/identifiers"/> 
          <value value="growth3"/> 
        </identifier> 
        <status value="final"/> 
        <category> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> 
            <code value="laboratory"/> 
            <display value="Laboratory"/> 
          </coding> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="MB"/> 
            <display value="microbiology"/> 
          </coding> 
          <text value="Micro"/> 
        </category> 
        <category> 
          <coding> 
            <system value="urn:oid:2.16.840.1.113883.9.195.4.61"/> 
            <code value="RSLT"/> 
            <display value="Result"/> 
          </coding> 
        </category> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="624-7"/> 
            <display value="Bacteria Spt Resp Cul"/> 
          </coding> 
          <coding> 
            <system value="https://acme.org/codes"/> 
            <code value="GROWTH"/> 
            <display value="Growth"/> 
          </coding> 
          <text value="Aerobic Respiratory Culture, Sputum"/> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> 
        </subject> 
        <effectiveDateTime value="2016-08-18"/> 
        <issued value="2016-08-18T23:06:32Z"/> 
        <performer> 
          <reference value="Organization/example"/> 
        </performer> 
        <valueCodeableConcept> 
          <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="263776006"/> 
            <display value="Heavy growth"/> 
          </coding> 
          <text value="Heavy growth"/> 
        </valueCodeableConcept> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="http://test.fhir.org/r4/Observation/lri-org2-amp"/> 
    <resource> 
      <Observation> 
        <id value="org2-amp"/> 
        <text> <status value="generated"/> <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> </text> <identifier> 
          <system value="https://acme.org/identifiers"/> 
          <value value="org2-amp"/> 
        </identifier> 
        <status value="final"/> 
        <category> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> 
            <code value="laboratory"/> 
            <display value="Laboratory"/> 
          </coding> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="MB"/> 
            <display value="microbiology"/> 
          </coding> 
          <text value="Micro"/> 
        </category> 
        <category> 
          <coding> 
            <system value="urn:oid:2.16.840.1.113883.9.195.4.61"/> 
            <code value="RSLT"/> 
            <display value="Result"/> 
          </coding> 
        </category> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="28-1"/> 
            <display value="Ampicilin Islt MIC"/> 
          </coding> 
          <coding> 
            <system value="https://acme.org/codes"/> 
            <code value="AMPMIC"/> 
            <display value="Ampicilin MIC"/> 
          </coding> 
          <text value="Ampicilin MIC"/> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> 
        </subject> 
        <effectiveDateTime value="2016-08-18"/> 
        <issued value="2016-08-18T23:06:32Z"/> 
        <performer> 
          <reference value="Organization/example"/> 
        </performer> 
        <valueQuantity> 
          <value value="0.06"/> 
          <comparator value="&lt;"/> 
          <unit value="ug/ml"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="ug/mL"/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
            <display value="Susceptible"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="http://test.fhir.org/r4/Observation/lri-org2-cip"/> 
    <resource> 
      <Observation> 
        <id value="org2-cip"/> 
        <text> <status value="generated"/> <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> </text> <identifier> 
          <system value="https://acme.org/identifiers"/> 
          <value value="org2-cip"/> 
        </identifier> 
        <status value="final"/> 
        <category> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> 
            <code value="laboratory"/> 
            <display value="Laboratory"/> 
          </coding> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="MB"/> 
            <display value="microbiology"/> 
          </coding> 
          <text value="Micro"/> 
        </category> 
        <category> 
          <coding> 
            <system value="urn:oid:2.16.840.1.113883.9.195.4.61"/> 
            <code value="RSLT"/> 
            <display value="Result"/> 
          </coding> 
        </category> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="185-9"/> 
            <display value="Ciprofloxacin Islt MIC"/> 
          </coding> 
          <coding> 
            <system value="https://acme.org/codes"/> 
            <code value="CIPMIC"/> 
            <display value="Ciprofloxacin MIC"/> 
          </coding> 
          <text value="Ciprofloxacin MIC"/> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> 
        </subject> 
        <effectiveDateTime value="2016-08-18"/> 
        <issued value="2016-08-18T23:06:32Z"/> 
        <performer> 
          <reference value="Organization/example"/> 
        </performer> 
        <valueQuantity> 
          <value value="0.05"/> 
          <comparator value="&lt;"/> 
          <unit value="ug/ml"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="ug/mL"/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
            <display value="Susceptible"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="http://test.fhir.org/r4/Observation/lri-org2-gent"/> 
    <resource> 
      <Observation> 
        <id value="org2-gent"/> 
        <text> <status value="generated"/> <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> </text> <identifier> 
          <system value="https://acme.org/identifiers"/> 
          <value value="org2-gent"/> 
        </identifier> 
        <status value="final"/> 
        <category> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> 
            <code value="laboratory"/> 
            <display value="Laboratory"/> 
          </coding> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="MB"/> 
            <display value="microbiology"/> 
          </coding> 
          <text value="Micro"/> 
        </category> 
        <category> 
          <coding> 
            <system value="urn:oid:2.16.840.1.113883.9.195.4.61"/> 
            <code value="RSLT"/> 
            <display value="Result"/> 
          </coding> 
        </category> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="267-5"/> 
            <display value="Gentamicin Islt MIC"/> 
          </coding> 
          <coding> 
            <system value="https://acme.org/codes"/> 
            <code value="CIPMIC"/> 
            <display value="Gentamicin MIC"/> 
          </coding> 
          <text value="Gentamicin MIC"/> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> 
        </subject> 
        <effectiveDateTime value="2016-08-18"/> 
        <issued value="2016-08-18T23:06:32Z"/> 
        <performer> 
          <reference value="Organization/example"/> 
        </performer> 
        <valueQuantity> 
          <value value="0.05"/> 
          <comparator value="&lt;"/> 
          <unit value="ug/ml"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="ug/mL"/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
            <display value="Susceptible"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="http://test.fhir.org/r4/Observation/lri-org3-amp"/> 
    <resource> 
      <Observation> 
        <id value="org3-amp"/> 
        <text> <status value="generated"/> <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> </text> <identifier> 
          <system value="https://acme.org/identifiers"/> 
          <value value="org3-amp"/> 
        </identifier> 
        <status value="final"/> 
        <category> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> 
            <code value="laboratory"/> 
            <display value="Laboratory"/> 
          </coding> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="MB"/> 
            <display value="microbiology"/> 
          </coding> 
          <text value="Micro"/> 
        </category> 
        <category> 
          <coding> 
            <system value="urn:oid:2.16.840.1.113883.9.195.4.61"/> 
            <code value="RSLT"/> 
            <display value="Result"/> 
          </coding> 
        </category> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="28-1"/> 
            <display value="Ampicilin Islt MIC"/> 
          </coding> 
          <coding> 
            <system value="https://acme.org/codes"/> 
            <code value="AMPMIC"/> 
            <display value="Ampicilin MIC"/> 
          </coding> 
          <text value="Ampicilin MIC"/> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> 
        </subject> 
        <effectiveDateTime value="2016-08-18"/> 
        <issued value="2016-08-18T23:06:32Z"/> 
        <performer> 
          <reference value="Organization/example"/> 
        </performer> 
        <valueQuantity> 
          <value value="0.06"/> 
          <comparator value="&lt;"/> 
          <unit value="ug/ml"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="ug/mL"/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
            <display value="Susceptible"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="http://test.fhir.org/r4/Observation/lri-org3-cip"/> 
    <resource> 
      <Observation> 
        <id value="org3-cip"/> 
        <text> <status value="generated"/> <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> </text> <identifier> 
          <system value="https://acme.org/identifiers"/> 
          <value value="org3-cip"/> 
        </identifier> 
        <status value="final"/> 
        <category> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> 
            <code value="laboratory"/> 
            <display value="Laboratory"/> 
          </coding> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="MB"/> 
            <display value="microbiology"/> 
          </coding> 
          <text value="Micro"/> 
        </category> 
        <category> 
          <coding> 
            <system value="urn:oid:2.16.840.1.113883.9.195.4.61"/> 
            <code value="RSLT"/> 
            <display value="Result"/> 
          </coding> 
        </category> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="185-9"/> 
            <display value="Ciprofloxacin Islt MIC"/> 
          </coding> 
          <coding> 
            <system value="https://acme.org/codes"/> 
            <code value="CIPMIC"/> 
            <display value="Ciprofloxacin MIC"/> 
          </coding> 
          <text value="Ciprofloxacin MIC"/> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> 
        </subject> 
        <effectiveDateTime value="2016-08-18"/> 
        <issued value="2016-08-18T23:06:32Z"/> 
        <performer> 
          <reference value="Organization/example"/> 
        </performer> 
        <valueQuantity> 
          <value value="0.05"/> 
          <comparator value="&lt;"/> 
          <unit value="ug/ml"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="ug/mL"/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
            <display value="Susceptible"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="http://test.fhir.org/r4/Observation/lri-org3-gent"/> 
    <resource> 
      <Observation> 
        <id value="org3-gent"/> 
        <text> <status value="generated"/> <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> </text> <identifier> 
          <system value="https://acme.org/identifiers"/> 
          <value value="org3-gent"/> 
        </identifier> 
        <status value="final"/> 
        <category> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> 
            <code value="laboratory"/> 
            <display value="Laboratory"/> 
          </coding> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="MB"/> 
            <display value="microbiology"/> 
          </coding> 
          <text value="Micro"/> 
        </category> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="267-5"/> 
            <display value="Gentamicin Islt MIC"/> 
          </coding> 
          <text value="Gentamicin MIC"/> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> 
        </subject> 
        <effectiveDateTime value="2016-08-18"/> 
        <issued value="2016-08-18T23:06:32Z"/> 
        <performer> 
          <reference value="Organization/example"/> 
        </performer> 
        <valueQuantity> 
          <value value="0.05"/> 
          <comparator value="&lt;"/> 
          <unit value="ug/ml"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="ug/mL"/> 
        </valueQuantity> 
        <interpretation> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
            <code value="S"/> 
            <display value="Susceptible"/> 
          </coding> 
        </interpretation> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="http://test.fhir.org/r4/Observation/lri-organism1"/> 
    <resource> 
      <Observation> 
        <id value="organism1"/> 
        <text> <status value="generated"/> <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> </text> <identifier> 
          <system value="https://acme.org/identifiers"/> 
          <value value="organism1"/> 
        </identifier> 
        <status value="final"/> 
        <category> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> 
            <code value="laboratory"/> 
            <display value="Laboratory"/> 
          </coding> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="MB"/> 
            <display value="microbiology"/> 
          </coding> 
          <text value="Micro"/> 
        </category> 
        <category> 
          <coding> 
            <system value="urn:oid:2.16.840.1.113883.9.195.4.61"/> 
            <code value="RSLT"/> 
            <display value="Result"/> 
          </coding> 
        </category> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="624-7"/> 
            <display value="Bacteria Spt Resp Cul"/> 
          </coding> 
          <coding> 
            <system value="https://acme.org/codes"/> 
            <code value="CULTID"/> 
            <display value="Culture ID"/> 
          </coding> 
          <text value="Aerobic Respiratory Culture, Sputum"/> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> 
        </subject> 
        <effectiveDateTime value="2016-08-18"/> 
        <issued value="2016-08-18T23:06:32Z"/> 
        <performer> 
          <reference value="Organization/example"/> 
        </performer> 
        <valueCodeableConcept> 
          <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="23506009"/> 
            <display value="Normal flora"/> 
          </coding> 
          <text value="Normal flora"/> 
        </valueCodeableConcept> 
        <hasMember> 
          <reference value="Observation/growth1"/> 
          <display value="Moderate growth"/> 
        </hasMember> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="http://test.fhir.org/r4/Observation/lri-organism2"/> 
    <resource> 
      <Observation> 
        <id value="organism2"/> 
        <text> <status value="generated"/> <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> </text> <identifier> 
          <system value="https://acme.org/identifiers"/> 
          <value value="organism2"/> 
        </identifier> 
        <status value="final"/> 
        <category> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> 
            <code value="laboratory"/> 
            <display value="Laboratory"/> 
          </coding> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="MB"/> 
            <display value="microbiology"/> 
          </coding> 
          <text value="Micro"/> 
        </category> 
        <category> 
          <coding> 
            <system value="urn:oid:2.16.840.1.113883.9.195.4.61"/> 
            <code value="RSLT"/> 
            <display value="Result"/> 
          </coding> 
        </category> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="624-7"/> 
            <display value="Bacteria Spt Resp Cul"/> 
          </coding> 
          <coding> 
            <system value="https://acme.org/codes"/> 
            <code value="CULTID"/> 
            <display value="Culture ID"/> 
          </coding> 
          <text value="Aerobic Respiratory Culture, Sputum"/> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> 
        </subject> 
        <effectiveDateTime value="2016-08-18"/> 
        <issued value="2016-08-18T23:06:32Z"/> 
        <performer> 
          <reference value="Organization/example"/> 
        </performer> 
        <valueCodeableConcept> 
          <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="56415008"/> 
            <display value="Klebsiella pneumonia"/> 
          </coding> 
          <text value="Klebsiella pneumonia"/> 
        </valueCodeableConcept> 
        <hasMember> 
          <reference value="Observation/growth2"/> 
          <display value="Heavy growth"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/org2-amp"/> 
          <display value="Ampicillin MIC - Susceptible"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/org2-cip"/> 
          <display value="Ciprofloxacin MIC - Susceptible"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/org2-gent"/> 
          <display value="Gentamicin MIC  - Susceptible"/> 
        </hasMember> 
      </Observation> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="http://test.fhir.org/r4/Observation/lri-organism3"/> 
    <resource> 
      <Observation> 
        <id value="organism3"/> 
        <text> <status value="generated"/> <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> </text> <identifier> 
          <system value="https://acme.org/identifiers"/> 
          <value value="organism3"/> 
        </identifier> 
        <status value="final"/> 
        <category> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> 
            <code value="laboratory"/> 
            <display value="Laboratory"/> 
          </coding> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="MB"/> 
            <display value="microbiology"/> 
          </coding> 
          <text value="Micro"/> 
        </category> 
        <category> 
          <coding> 
            <system value="urn:oid:2.16.840.1.113883.9.195.4.61"/> 
            <code value="RSLT"/> 
            <display value="Result"/> 
          </coding> 
        </category> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="624-7"/> 
            <display value="Bacteria Spt Resp Cul"/> 
          </coding> 
          <coding> 
            <system value="https://acme.org/codes"/> 
            <code value="CULTID"/> 
            <display value="Culture ID"/> 
          </coding> 
          <text value="Aerobic Respiratory Culture, Sputum"/> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> 
        </subject> 
        <effectiveDateTime value="2016-08-18"/> 
        <issued value="2016-08-18T23:06:32Z"/> 
        <performer> 
          <reference value="Organization/example"/> 
        </performer> 
        <valueCodeableConcept> 
          <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="3092008"/> 
            <display value="Staphlyococcuc aureus"/> 
          </coding> 
          <text value="Staphlyococcuc aureus"/> 
        </valueCodeableConcept> 
        <hasMember> 
          <reference value="Observation/growth3"/> 
          <display value="Heavy growth"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/org3-amp"/> 
          <display value="Ampicillin MIC - Susceptible"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/org3-cip"/> 
          <display value="Ciprofloxacin MIC - Susceptible"/> 
        </hasMember> 
        <hasMember> 
          <reference value="Observation/org3-gent"/> 
          <display value="Gentamicin MIC  - Susceptible"/> 
        </hasMember> 
      </Observation> 
    </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.