FHIR Release 3 (STU)
DiagnosticsThis page is part of the FHIR Specification (v3.0.2: STU 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
. Page versions: R5 R4B R4 R3 R2
| Orders and Observations Work Group | Maturity Level: N/A | Ballot Status: Informative | Compartments: Device, Encounter, Patient, Practitioner |
An example of a complex Micro Isolate and Sensitivities
{
"resourceType": "DiagnosticReport",
"id": "micro",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: micro</p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 290741144</p><p><b>basedOn</b>: id: req; 255337816; status: active; intent: original-order; Culture, MRSA <span>(Details : {LOINC code '632-0' = 'Bacteria identified in Wound by Aerobe culture)</span>; ????</p><p><b>status</b>: final</p><p><b>category</b>: Microbiology <span>(Details : {http://hl7.org/fhir/v2/0074 code 'MB' = 'Microbiology)</span></p><p><b>code</b>: Culture, MRSA <span>(Details : {LOINC code '632-0' = 'Bacteria identified in Wound by Aerobe culture)</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>issued</b>: 10/08/2009 8:25:44 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td>Todd Ashby</td></tr></table><p><b>result</b>: id: org1; status: final; Staphylococcus aureus Panel <span>(Details : {http://acme.org/lab/codes/organisms code 'Staaur' = 'Staaur)</span>; ????</p></div>"
},
"contained": [
{
"resourceType": "Observation",
"id": "obx1-4",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "ORGANISM"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://acme.org/lab/codes/organisms",
"code": "Staaur"
}
],
"text": "Staphylococcus aureus"
}
},
{
"resourceType": "Observation",
"id": "obx1-5",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "CULTPOSNEG"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://acme.org/lab/codes/flags",
"code": "POS"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-1",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60504",
"display": "Ampicillin"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "R"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-2",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60512",
"display": "Cefazolin"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 2,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-4",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60516",
"display": "Cefoxitin"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 4,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-6",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60527",
"display": "Clindamycin"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5,
"comparator": ">="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-8",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "61203",
"display": "Daptomycin"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 1,
"comparator": ">="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-10",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60532",
"display": "Doxycycline"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-12",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60533",
"display": "Erythromycin"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 8,
"comparator": ">="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "R"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-14",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60536",
"display": "Gentamicin"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 2,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-16",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "61007",
"display": "Levofloxacin"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-18",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60699",
"display": "Linezolid"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 4
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-20",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "61204",
"display": "Moxifloxacin"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-22",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60551",
"display": "Oxacillin"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-24",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60552",
"display": "Penicillin"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 2,
"comparator": ">="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "R"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-26",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60697",
"display": "Quinupristin/Dalfopristin"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-28",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60555",
"display": "Rifampin"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-30",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60558",
"display": "Tetracycline"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-32",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60561",
"display": "Trimethoprim/Sulfamethoxazole"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.0526,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-34",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60563",
"display": "Vancomycin"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 1
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "nte-1",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "2099930",
"display": "D-Test"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"valueString": "D-Test: Negative - This isolate does not demonstrate inducible clindamycin resistance in vitro."
},
{
"resourceType": "Observation",
"id": "obx3-1",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60036",
"display": "Oxacillin"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obr-2",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/panels",
"code": "60790",
"display": "Susceptibility - Automated broth dilution (Billed)"
}
]
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"related": [
{
"type": "has-member",
"target": {
"reference": "#obx2-1"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-2"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-4"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-6"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-8"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-10"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-12"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-14"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-16"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-18"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-20"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-22"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-24"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-26"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-28"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-30"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-32"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-34"
}
},
{
"type": "has-member",
"target": {
"reference": "#nte-1"
}
}
]
},
{
"resourceType": "Observation",
"id": "obr-3",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/panels",
"code": "60418",
"display": "Susceptibility - Disk diffusion (Billed)"
}
]
},
"subject": {
"reference": "Patient/example"
},
"related": [
{
"type": "has-member",
"target": {
"reference": "#obx3-1"
}
}
]
},
{
"resourceType": "Observation",
"id": "org1",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/organisms",
"code": "Staaur"
}
],
"text": "Staphylococcus aureus Panel"
},
"subject": {
"reference": "Patient/example"
},
"related": [
{
"type": "has-member",
"target": {
"reference": "#obx1-4"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx1-5"
}
},
{
"type": "has-member",
"target": {
"reference": "#obr-2"
}
},
{
"type": "has-member",
"target": {
"reference": "#obr-3"
}
}
]
},
{
"resourceType": "ProcedureRequest",
"id": "req",
"identifier": [
{
"value": "255337816"
}
],
"status": "active",
"intent": "original-order",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "632-0"
}
],
"text": "Culture, MRSA"
},
"subject": {
"reference": "Patient/example"
}
}
],
"identifier": [
{
"system": "http://hnam.org/identifiers/orders",
"value": "290741144"
}
],
"basedOn": [
{
"reference": "#req"
}
],
"status": "final",
"category": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0074",
"code": "MB"
}
]
},
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "632-0"
}
],
"text": "Culture, MRSA"
},
"subject": {
"reference": "Patient/example"
},
"issued": "2009-08-10T08:25:44+10:00",
"performer": [
{
"actor": {
"display": "Todd Ashby"
}
}
],
"result": [
{
"reference": "#org1"
}
]
}
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.
®© HL7.org 2011+. FHIR Release 3 (STU; v3.0.2-11200) generated on Thurs, Oct 24, 2019 11:53+1100. QA Page
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