Release 4

This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). 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"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : lri-example</p> <p> <b> identifier</b> : Placer Identifier = RP723234, Filler Identifier = 250401, Group = RFP 123456</p> <p> <b> basedOn</b> : <a> ServiceRequest/example</a> </p> <p> <b> status</b> : final</p> <p> <b> category</b> : Laboratory <span> (Details : {http://terminology.hl7.org/CodeSystem/v2-0074 code 'LAB' = 'Laboratory', given
                 as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'MB' = 'Microbiology',
                 given as 'microbiology'})</span> </p> <p> <b> code</b> : Aerobic Respiratory Culture, Sputum <span> (Details : {LOINC code '624-7' = 'Bacteria identified in Sputum by Respiratory culture',
                 given as 'Bacteria Spt Resp Cul'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> effective</b> : 15/08/2016</p> <p> <b> issued</b> : 18/08/2016 6:14:35 PM</p> <p> <b> performer</b> : <a> Organization/example</a> </p> <p> <b> specimen</b> : <a> Specimen/example</a> </p> <p> <b> result</b> : </p> <ul> <li> <a> Normal Flora</a> </li> <li> <a> Klebsiella pneumoniae</a> </li> <li> <a> Staphlyococcuc aureus</a> </li> <li> <a> Many WBCs</a> </li> <li> <a> Moderate Gram Positive Rods</a> </li> <li> <a> Moderate Gram Positive Cocci in Chains</a> </li> <li> <a> Many Gram Negative Rods</a> </li> </ul> </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 with Details</b> </p> <p> <b> id</b> : gramstain1</p> <p> <b> identifier</b> : gramstain1</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Micro <span> (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory'
                 = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074
                 code 'MB' = 'Microbiology', given as 'microbiology'})</span> , Result <span> (Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span> </p> <p> <b> code</b> : Gram Stain <span> (Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified
                 specimen by Gram stain', given as 'Gram Stn XXX'}; {https://acme.org/codes code 'GMST'
                 = 'GMST', given as 'Gram Stain'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> effective</b> : 18/08/2016</p> <p> <b> issued</b> : 18/08/2016 11:06:32 PM</p> <p> <b> performer</b> : <a> Organization/example</a> </p> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : Gram Stain <span> (Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified
                   specimen by Gram stain', given as 'Gram Stn XXX'})</span> </p> <p> <b> value</b> : Many <span> (Details : {https://acme.org/codes code 'MNY' = 'MNY', given as 'Many'})</span> </p> </blockquote> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : Gram Stain <span> (Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified
                   specimen by Gram stain', given as 'Gram Stn XXX'})</span> </p> <p> <b> value</b> : WBCS <span> (Details : {https://acme.org/codes code 'WBCS' = 'WBCS', given as '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 with Details</b> </p> <p> <b> id</b> : gramstain2</p> <p> <b> identifier</b> : gramstain2</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Micro <span> (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory'
                 = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074
                 code 'MB' = 'Microbiology', given as 'microbiology'})</span> , Result <span> (Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span> </p> <p> <b> code</b> : Gram Stain <span> (Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified
                 specimen by Gram stain', given as 'Gram Stn XXX'}; {https://acme.org/codes code 'GMST'
                 = 'GMST', given as 'Gram Stain'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> effective</b> : 18/08/2016</p> <p> <b> issued</b> : 18/08/2016 11:06:32 PM</p> <p> <b> performer</b> : <a> Organization/example</a> </p> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : Gram Stain <span> (Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified
                   specimen by Gram stain', given as 'Gram Stn XXX'})</span> </p> <p> <b> value</b> : Moderate <span> (Details : {https://acme.org/codes code 'MOD' = 'MOD', given as 'Moderate'})</span> </p> </blockquote> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : Gram Stain <span> (Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified
                   specimen by Gram stain', given as 'Gram Stn XXX'})</span> </p> <p> <b> value</b> : Gram Positive Rods <span> (Details : {https://acme.org/codes code 'GPR' = 'GPR', given as 'Moderate'})</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 with Details</b> </p> <p> <b> id</b> : gramstain3</p> <p> <b> identifier</b> : gramstain3</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Micro <span> (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory'
                 = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074
                 code 'MB' = 'Microbiology', given as 'microbiology'})</span> , Result <span> (Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span> </p> <p> <b> code</b> : Gram Stain <span> (Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified
                 specimen by Gram stain', given as 'Gram Stn XXX'}; {https://acme.org/codes code 'GMST'
                 = 'GMST', given as 'Gram Stain'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> effective</b> : 18/08/2016</p> <p> <b> issued</b> : 18/08/2016 11:06:32 PM</p> <p> <b> performer</b> : <a> Organization/example</a> </p> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : Gram Stain <span> (Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified
                   specimen by Gram stain', given as 'Gram Stn XXX'})</span> </p> <p> <b> value</b> : Moderate <span> (Details : {https://acme.org/codes code 'MOD' = 'MOD', given as 'Moderate'})</span> </p> </blockquote> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : Gram Stain <span> (Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified
                   specimen by Gram stain', given as 'Gram Stn XXX'})</span> </p> <p> <b> value</b> : Gram Positive Cocci in Chains <span> (Details : {https://acme.org/codes code 'GPCCH' = 'GPCCH', given as 'Gram Positive Cocci
                   in Chains'})</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 with Details</b> </p> <p> <b> id</b> : gramstain4</p> <p> <b> identifier</b> : gramstain4</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Micro <span> (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory'
                 = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074
                 code 'MB' = 'Microbiology', given as 'microbiology'})</span> , Result <span> (Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span> </p> <p> <b> code</b> : Gram Stain <span> (Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified
                 specimen by Gram stain', given as 'Gram Stn XXX'}; {https://acme.org/codes code 'GMST'
                 = 'GMST', given as 'Gram Stain'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> effective</b> : 18/08/2016</p> <p> <b> issued</b> : 18/08/2016 11:06:32 PM</p> <p> <b> performer</b> : <a> Organization/example</a> </p> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : Gram Stain <span> (Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified
                   specimen by Gram stain', given as 'Gram Stn XXX'})</span> </p> <p> <b> value</b> : Many <span> (Details : {https://acme.org/codes code 'MNY' = 'MNY', given as 'Many'})</span> </p> </blockquote> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : Gram Stain <span> (Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified
                   specimen by Gram stain', given as 'Gram Stn XXX'})</span> </p> <p> <b> value</b> : Gram Negative Rods <span> (Details : {https://acme.org/codes code 'GNR' = 'GNR', given as 'Gram Negative Rods'})</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 with Details</b> </p> <p> <b> id</b> : growth1</p> <p> <b> identifier</b> : growth1</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Micro <span> (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory'
                 = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074
                 code 'MB' = 'Microbiology', given as 'microbiology'})</span> , Result <span> (Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span> </p> <p> <b> code</b> : Aerobic Respiratory Culture, Sputum <span> (Details : {LOINC code '624-7' = 'Bacteria identified in Sputum by Respiratory culture',
                 given as 'Bacteria Spt Resp Cul'}; {https://acme.org/codes code 'GROWTH' = 'GROWTH', given
                 as 'Growth'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> effective</b> : 18/08/2016</p> <p> <b> issued</b> : 18/08/2016 11:06:32 PM</p> <p> <b> performer</b> : <a> Organization/example</a> </p> <p> <b> value</b> : Moderate Growth <span> (Details : {SNOMED CT code '263812008' = 'Moderate growth', given as 'Moderate Growth'})</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 with Details</b> </p> <p> <b> id</b> : growth2</p> <p> <b> identifier</b> : growth2</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Micro <span> (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory'
                 = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074
                 code 'MB' = 'Microbiology', given as 'microbiology'})</span> , Result <span> (Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span> </p> <p> <b> code</b> : Aerobic Respiratory Culture, Sputum <span> (Details : {LOINC code '624-7' = 'Bacteria identified in Sputum by Respiratory culture',
                 given as 'Bacteria Spt Resp Cul'}; {https://acme.org/codes code 'GROWTH' = 'GROWTH', given
                 as 'Growth'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> effective</b> : 18/08/2016</p> <p> <b> issued</b> : 18/08/2016 11:06:32 PM</p> <p> <b> performer</b> : <a> Organization/example</a> </p> <p> <b> value</b> : Heavy growth <span> (Details : {SNOMED CT code '263776006' = 'Heavy growth', given as 'Heavy growth'})</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 with Details</b> </p> <p> <b> id</b> : growth3</p> <p> <b> identifier</b> : growth3</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Micro <span> (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory'
                 = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074
                 code 'MB' = 'Microbiology', given as 'microbiology'})</span> , Result <span> (Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span> </p> <p> <b> code</b> : Aerobic Respiratory Culture, Sputum <span> (Details : {LOINC code '624-7' = 'Bacteria identified in Sputum by Respiratory culture',
                 given as 'Bacteria Spt Resp Cul'}; {https://acme.org/codes code 'GROWTH' = 'GROWTH', given
                 as 'Growth'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> effective</b> : 18/08/2016</p> <p> <b> issued</b> : 18/08/2016 11:06:32 PM</p> <p> <b> performer</b> : <a> Organization/example</a> </p> <p> <b> value</b> : Heavy growth <span> (Details : {SNOMED CT code '263776006' = 'Heavy growth', given as 'Heavy growth'})</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 with Details</b> </p> <p> <b> id</b> : org2-amp</p> <p> <b> identifier</b> : org2-amp</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Micro <span> (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory'
                 = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074
                 code 'MB' = 'Microbiology', given as 'microbiology'})</span> , Result <span> (Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span> </p> <p> <b> code</b> : Ampicilin MIC <span> (Details : {LOINC code '28-1' = 'Ampicillin [Susceptibility] by Minimum inhibitory concentration
                 (MIC)', given as 'Ampicilin Islt MIC'}; {https://acme.org/codes code 'AMPMIC' = 'AMPMIC',
                 given as 'Ampicilin MIC'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> effective</b> : 18/08/2016</p> <p> <b> issued</b> : 18/08/2016 11:06:32 PM</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> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible', given as 'Susceptible'})</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 with Details</b> </p> <p> <b> id</b> : org2-cip</p> <p> <b> identifier</b> : org2-cip</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Micro <span> (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory'
                 = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074
                 code 'MB' = 'Microbiology', given as 'microbiology'})</span> , Result <span> (Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span> </p> <p> <b> code</b> : Ciprofloxacin MIC <span> (Details : {LOINC code '185-9' = 'Ciprofloxacin [Susceptibility] by Minimum inhibitory
                 concentration (MIC)', given as 'Ciprofloxacin Islt MIC'}; {https://acme.org/codes code
                 'CIPMIC' = 'CIPMIC', given as 'Ciprofloxacin MIC'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> effective</b> : 18/08/2016</p> <p> <b> issued</b> : 18/08/2016 11:06:32 PM</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> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible', given as 'Susceptible'})</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 with Details</b> </p> <p> <b> id</b> : org2-gent</p> <p> <b> identifier</b> : org2-gent</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Micro <span> (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory'
                 = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074
                 code 'MB' = 'Microbiology', given as 'microbiology'})</span> , Result <span> (Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span> </p> <p> <b> code</b> : Gentamicin MIC <span> (Details : {LOINC code '267-5' = 'Gentamicin [Susceptibility] by Minimum inhibitory concentration
                 (MIC)', given as 'Gentamicin Islt MIC'}; {https://acme.org/codes code 'CIPMIC' = 'CIPMIC',
                 given as 'Gentamicin MIC'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> effective</b> : 18/08/2016</p> <p> <b> issued</b> : 18/08/2016 11:06:32 PM</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> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible', given as 'Susceptible'})</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 with Details</b> </p> <p> <b> id</b> : org3-amp</p> <p> <b> identifier</b> : org3-amp</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Micro <span> (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory'
                 = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074
                 code 'MB' = 'Microbiology', given as 'microbiology'})</span> , Result <span> (Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span> </p> <p> <b> code</b> : Ampicilin MIC <span> (Details : {LOINC code '28-1' = 'Ampicillin [Susceptibility] by Minimum inhibitory concentration
                 (MIC)', given as 'Ampicilin Islt MIC'}; {https://acme.org/codes code 'AMPMIC' = 'AMPMIC',
                 given as 'Ampicilin MIC'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> effective</b> : 18/08/2016</p> <p> <b> issued</b> : 18/08/2016 11:06:32 PM</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> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible', given as 'Susceptible'})</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 with Details</b> </p> <p> <b> id</b> : org3-cip</p> <p> <b> identifier</b> : org3-cip</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Micro <span> (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory'
                 = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074
                 code 'MB' = 'Microbiology', given as 'microbiology'})</span> , Result <span> (Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span> </p> <p> <b> code</b> : Ciprofloxacin MIC <span> (Details : {LOINC code '185-9' = 'Ciprofloxacin [Susceptibility] by Minimum inhibitory
                 concentration (MIC)', given as 'Ciprofloxacin Islt MIC'}; {https://acme.org/codes code
                 'CIPMIC' = 'CIPMIC', given as 'Ciprofloxacin MIC'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> effective</b> : 18/08/2016</p> <p> <b> issued</b> : 18/08/2016 11:06:32 PM</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> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible', given as 'Susceptible'})</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 with Details</b> </p> <p> <b> id</b> : org3-gent</p> <p> <b> identifier</b> : org3-gent</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Micro <span> (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory'
                 = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074
                 code 'MB' = 'Microbiology', given as 'microbiology'})</span> </p> <p> <b> code</b> : Gentamicin MIC <span> (Details : {LOINC code '267-5' = 'Gentamicin [Susceptibility] by Minimum inhibitory concentration
                 (MIC)', given as 'Gentamicin Islt MIC'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> effective</b> : 18/08/2016</p> <p> <b> issued</b> : 18/08/2016 11:06:32 PM</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> (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S'
                 = 'Susceptible', given as 'Susceptible'})</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 with Details</b> </p> <p> <b> id</b> : organism1</p> <p> <b> identifier</b> : organism1</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Micro <span> (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory'
                 = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074
                 code 'MB' = 'Microbiology', given as 'microbiology'})</span> , Result <span> (Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span> </p> <p> <b> code</b> : Aerobic Respiratory Culture, Sputum <span> (Details : {LOINC code '624-7' = 'Bacteria identified in Sputum by Respiratory culture',
                 given as 'Bacteria Spt Resp Cul'}; {https://acme.org/codes code 'CULTID' = 'CULTID', given
                 as 'Culture ID'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> effective</b> : 18/08/2016</p> <p> <b> issued</b> : 18/08/2016 11:06:32 PM</p> <p> <b> performer</b> : <a> Organization/example</a> </p> <p> <b> value</b> : Normal flora <span> (Details : {SNOMED CT code '23506009' = 'Normal flora', given as 'Normal flora'})</span> </p> <p> <b> hasMember</b> : <a> 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 with Details</b> </p> <p> <b> id</b> : organism2</p> <p> <b> identifier</b> : organism2</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Micro <span> (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory'
                 = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074
                 code 'MB' = 'Microbiology', given as 'microbiology'})</span> , Result <span> (Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span> </p> <p> <b> code</b> : Aerobic Respiratory Culture, Sputum <span> (Details : {LOINC code '624-7' = 'Bacteria identified in Sputum by Respiratory culture',
                 given as 'Bacteria Spt Resp Cul'}; {https://acme.org/codes code 'CULTID' = 'CULTID', given
                 as 'Culture ID'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> effective</b> : 18/08/2016</p> <p> <b> issued</b> : 18/08/2016 11:06:32 PM</p> <p> <b> performer</b> : <a> Organization/example</a> </p> <p> <b> value</b> : Klebsiella pneumonia <span> (Details : {SNOMED CT code '56415008' = 'Klebsiella pneumoniae', given as 'Klebsiella
                 pneumonia'})</span> </p> <p> <b> hasMember</b> : </p> <ul> <li> <a> Heavy growth</a> </li> <li> <a> Ampicillin MIC - Susceptible</a> </li> <li> <a> Ciprofloxacin MIC - Susceptible</a> </li> <li> <a> Gentamicin MIC  - Susceptible</a> </li> </ul> </div> </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 with Details</b> </p> <p> <b> id</b> : organism3</p> <p> <b> identifier</b> : organism3</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Micro <span> (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory'
                 = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074
                 code 'MB' = 'Microbiology', given as 'microbiology'})</span> , Result <span> (Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span> </p> <p> <b> code</b> : Aerobic Respiratory Culture, Sputum <span> (Details : {LOINC code '624-7' = 'Bacteria identified in Sputum by Respiratory culture',
                 given as 'Bacteria Spt Resp Cul'}; {https://acme.org/codes code 'CULTID' = 'CULTID', given
                 as 'Culture ID'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> effective</b> : 18/08/2016</p> <p> <b> issued</b> : 18/08/2016 11:06:32 PM</p> <p> <b> performer</b> : <a> Organization/example</a> </p> <p> <b> value</b> : Staphlyococcuc aureus <span> (Details : {SNOMED CT code '3092008' = 'Staphylococcus aureus', given as 'Staphlyococcuc
                 aureus'})</span> </p> <p> <b> hasMember</b> : </p> <ul> <li> <a> Heavy growth</a> </li> <li> <a> Ampicillin MIC - Susceptible</a> </li> <li> <a> Ciprofloxacin MIC - Susceptible</a> </li> <li> <a> Gentamicin MIC  - Susceptible</a> </li> </ul> </div> </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.