R4 Draft for Comment

This page is part of the FHIR Specification (v3.2.0: R4 Ballot 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: R5 R4B R4 R3 R2

Diagnosticreport-micro1.json

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

Raw JSON (canonical form)

An example of a complex Micro Isolate and Sensitivities.

{
  "resourceType": "Bundle",
  "id": "micro",
  "type": "collection",
  "entry": [
    {
      "fullUrl": "https://example.com/base/DiagnosticReport/micro",
      "resource": {
        "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>identifier</b>: 290741144</p><p><b>basedOn</b>: <a>ServiceRequest/req</a></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><p><b>performer</b>: Todd Ashby</p><p><b>result</b>: <a>Observation/org1</a></p></div>"
        },
        "identifier": [
          {
            "system": "http://hnam.org/identifiers/orders",
            "value": "290741144"
          }
        ],
        "basedOn": [
          {
            "reference": "ServiceRequest/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": [
          {
            "display": "Todd Ashby"
          }
        ],
        "result": [
          {
            "reference": "Observation/org1"
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obx1-4",
      "resource": {
        "resourceType": "Observation",
        "id": "obx1-4",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obx1-4</p><p><b>status</b>: final</p><p><b>code</b>: ORGANISM <span>(Details : {http://acme.org/lab/codes/tests code 'ORGANISM' = 'ORGANISM)</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: Staphylococcus aureus <span>(Details : {http://acme.org/lab/codes/organisms code 'Staaur' = 'Staaur)</span></p></div>"
        },
        "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"
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obx1-5",
      "resource": {
        "resourceType": "Observation",
        "id": "obx1-5",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obx1-5</p><p><b>status</b>: final</p><p><b>code</b>: CULTPOSNEG <span>(Details : {http://acme.org/lab/codes/tests code 'CULTPOSNEG' = 'CULTPOSNEG)</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: POS <span>(Details : {http://acme.org/lab/codes/flags code 'POS' = 'POS)</span></p></div>"
        },
        "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"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obx2-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obx2-1",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obx2-1</p><p><b>status</b>: final</p><p><b>code</b>: Ampicillin <span>(Details : {http://acme.org/lab/codes/tests code '60504' = '60504', given as 'Ampicillin'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>interpretation</b>: Resistant <span>(Details : {http://hl7.org/fhir/v2/0078 code 'R' = 'Resistant)</span></p></div>"
        },
        "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"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obx2-2",
      "resource": {
        "resourceType": "Observation",
        "id": "obx2-2",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obx2-2</p><p><b>status</b>: final</p><p><b>code</b>: Cefazolin <span>(Details : {http://acme.org/lab/codes/tests code '60512' = '60512', given as 'Cefazolin'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &lt;=2</p><p><b>interpretation</b>: Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></p></div>"
        },
        "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"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obx2-4",
      "resource": {
        "resourceType": "Observation",
        "id": "obx2-4",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obx2-4</p><p><b>status</b>: final</p><p><b>code</b>: Cefoxitin <span>(Details : {http://acme.org/lab/codes/tests code '60516' = '60516', given as 'Cefoxitin'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &lt;=4</p><p><b>interpretation</b>: Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></p></div>"
        },
        "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"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obx2-6",
      "resource": {
        "resourceType": "Observation",
        "id": "obx2-6",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obx2-6</p><p><b>status</b>: final</p><p><b>code</b>: Clindamycin <span>(Details : {http://acme.org/lab/codes/tests code '60527' = '60527', given as 'Clindamycin'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &gt;=0.5</p><p><b>interpretation</b>: Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></p></div>"
        },
        "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"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obx2-8",
      "resource": {
        "resourceType": "Observation",
        "id": "obx2-8",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obx2-8</p><p><b>status</b>: final</p><p><b>code</b>: Daptomycin <span>(Details : {http://acme.org/lab/codes/tests code '61203' = '61203', given as 'Daptomycin'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &gt;=1</p><p><b>interpretation</b>: Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></p></div>"
        },
        "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"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obx2-10",
      "resource": {
        "resourceType": "Observation",
        "id": "obx2-10",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obx2-10</p><p><b>status</b>: final</p><p><b>code</b>: Doxycycline <span>(Details : {http://acme.org/lab/codes/tests code '60532' = '60532', given as 'Doxycycline'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &lt;=0.5</p><p><b>interpretation</b>: Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></p></div>"
        },
        "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"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obx2-12",
      "resource": {
        "resourceType": "Observation",
        "id": "obx2-12",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obx2-12</p><p><b>status</b>: final</p><p><b>code</b>: Erythromycin <span>(Details : {http://acme.org/lab/codes/tests code '60533' = '60533', given as 'Erythromycin'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &gt;=8</p><p><b>interpretation</b>: Resistant <span>(Details : {http://hl7.org/fhir/v2/0078 code 'R' = 'Resistant)</span></p></div>"
        },
        "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"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obx2-14",
      "resource": {
        "resourceType": "Observation",
        "id": "obx2-14",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obx2-14</p><p><b>status</b>: final</p><p><b>code</b>: Gentamicin <span>(Details : {http://acme.org/lab/codes/tests code '60536' = '60536', given as 'Gentamicin'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &lt;=2</p><p><b>interpretation</b>: Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></p></div>"
        },
        "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"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obx2-16",
      "resource": {
        "resourceType": "Observation",
        "id": "obx2-16",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obx2-16</p><p><b>status</b>: final</p><p><b>code</b>: Levofloxacin <span>(Details : {http://acme.org/lab/codes/tests code '61007' = '61007', given as 'Levofloxacin'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &lt;=0.5</p><p><b>interpretation</b>: Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></p></div>"
        },
        "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"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obx2-18",
      "resource": {
        "resourceType": "Observation",
        "id": "obx2-18",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obx2-18</p><p><b>status</b>: final</p><p><b>code</b>: Linezolid <span>(Details : {http://acme.org/lab/codes/tests code '60699' = '60699', given as 'Linezolid'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: 4</p><p><b>interpretation</b>: Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></p></div>"
        },
        "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"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obx2-20",
      "resource": {
        "resourceType": "Observation",
        "id": "obx2-20",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obx2-20</p><p><b>status</b>: final</p><p><b>code</b>: Moxifloxacin <span>(Details : {http://acme.org/lab/codes/tests code '61204' = '61204', given as 'Moxifloxacin'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &lt;=0.5</p><p><b>interpretation</b>: Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></p></div>"
        },
        "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"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obx2-22",
      "resource": {
        "resourceType": "Observation",
        "id": "obx2-22",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obx2-22</p><p><b>status</b>: final</p><p><b>code</b>: Oxacillin <span>(Details : {http://acme.org/lab/codes/tests code '60551' = '60551', given as 'Oxacillin'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: 0.5</p><p><b>interpretation</b>: Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></p></div>"
        },
        "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"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obx2-24",
      "resource": {
        "resourceType": "Observation",
        "id": "obx2-24",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obx2-24</p><p><b>status</b>: final</p><p><b>code</b>: Penicillin <span>(Details : {http://acme.org/lab/codes/tests code '60552' = '60552', given as 'Penicillin'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &gt;=2</p><p><b>interpretation</b>: Resistant <span>(Details : {http://hl7.org/fhir/v2/0078 code 'R' = 'Resistant)</span></p></div>"
        },
        "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"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obx2-26",
      "resource": {
        "resourceType": "Observation",
        "id": "obx2-26",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obx2-26</p><p><b>status</b>: final</p><p><b>code</b>: Quinupristin/Dalfopristin <span>(Details : {http://acme.org/lab/codes/tests code '60697' = '60697', given as 'Quinupristin/Dalfopristin'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: 0.5</p><p><b>interpretation</b>: Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></p></div>"
        },
        "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"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obx2-28",
      "resource": {
        "resourceType": "Observation",
        "id": "obx2-28",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obx2-28</p><p><b>status</b>: final</p><p><b>code</b>: Rifampin <span>(Details : {http://acme.org/lab/codes/tests code '60555' = '60555', given as 'Rifampin'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &lt;=0.5</p><p><b>interpretation</b>: Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></p></div>"
        },
        "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"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obx2-30",
      "resource": {
        "resourceType": "Observation",
        "id": "obx2-30",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obx2-30</p><p><b>status</b>: final</p><p><b>code</b>: Tetracycline <span>(Details : {http://acme.org/lab/codes/tests code '60558' = '60558', given as 'Tetracycline'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &lt;=0.5</p><p><b>interpretation</b>: Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></p></div>"
        },
        "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"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obx2-32",
      "resource": {
        "resourceType": "Observation",
        "id": "obx2-32",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obx2-32</p><p><b>status</b>: final</p><p><b>code</b>: Trimethoprim/Sulfamethoxazole <span>(Details : {http://acme.org/lab/codes/tests code '60561' = '60561', given as 'Trimethoprim/Sulfamethoxazole'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &lt;=0.0526</p><p><b>interpretation</b>: Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></p></div>"
        },
        "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"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obx2-34",
      "resource": {
        "resourceType": "Observation",
        "id": "obx2-34",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obx2-34</p><p><b>status</b>: final</p><p><b>code</b>: Vancomycin <span>(Details : {http://acme.org/lab/codes/tests code '60563' = '60563', given as 'Vancomycin'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: 1</p><p><b>interpretation</b>: Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></p></div>"
        },
        "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"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/nte-1",
      "resource": {
        "resourceType": "Observation",
        "id": "nte-1",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: nte-1</p><p><b>status</b>: final</p><p><b>code</b>: D-Test <span>(Details : {http://acme.org/lab/codes/tests code '2099930' = '2099930', given as 'D-Test'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: D-Test:  Negative - This isolate does not demonstrate inducible clindamycin resistance in vitro.</p></div>"
        },
        "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."
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obx3-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obx3-1",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obx3-1</p><p><b>status</b>: final</p><p><b>code</b>: Oxacillin <span>(Details : {http://acme.org/lab/codes/tests code '60036' = '60036', given as 'Oxacillin'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>interpretation</b>: Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></p></div>"
        },
        "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"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obr-2",
      "resource": {
        "resourceType": "Observation",
        "id": "obr-2",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obr-2</p><p><b>status</b>: final</p><p><b>code</b>: Susceptibility - Automated broth dilution (Billed) <span>(Details : {http://acme.org/lab/codes/panels code '60790' = '60790', given as 'Susceptibility - Automated broth dilution (Billed)'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>performer</b>: Todd Ashby</p><p><b>hasMember</b>: <a>Observation/obx2-1</a>, <a>Observation/obx2-2</a>, <a>Observation/obx2-4</a>, <a>Observation/obx2-6</a>, <a>Observation/obx2-8</a>, <a>Observation/obx2-10</a>, <a>Observation/obx2-12</a>, <a>Observation/obx2-14</a>, <a>Observation/obx2-16</a>, <a>Observation/obx2-18</a>, <a>Observation/obx2-20</a>, <a>Observation/obx2-22</a>, <a>Observation/obx2-24</a>, <a>Observation/obx2-26</a>, <a>Observation/obx2-28</a>, <a>Observation/obx2-30</a>, <a>Observation/obx2-32</a>, <a>Observation/obx2-34</a>, <a>Observation/nte-1</a></p></div>"
        },
        "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"
          }
        ],
        "hasMember": [
          {
            "reference": "Observation/obx2-1"
          },
          {
            "reference": "Observation/obx2-2"
          },
          {
            "reference": "Observation/obx2-4"
          },
          {
            "reference": "Observation/obx2-6"
          },
          {
            "reference": "Observation/obx2-8"
          },
          {
            "reference": "Observation/obx2-10"
          },
          {
            "reference": "Observation/obx2-12"
          },
          {
            "reference": "Observation/obx2-14"
          },
          {
            "reference": "Observation/obx2-16"
          },
          {
            "reference": "Observation/obx2-18"
          },
          {
            "reference": "Observation/obx2-20"
          },
          {
            "reference": "Observation/obx2-22"
          },
          {
            "reference": "Observation/obx2-24"
          },
          {
            "reference": "Observation/obx2-26"
          },
          {
            "reference": "Observation/obx2-28"
          },
          {
            "reference": "Observation/obx2-30"
          },
          {
            "reference": "Observation/obx2-32"
          },
          {
            "reference": "Observation/obx2-34"
          },
          {
            "reference": "Observation/nte-1"
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/obr-3",
      "resource": {
        "resourceType": "Observation",
        "id": "obr-3",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obr-3</p><p><b>status</b>: final</p><p><b>code</b>: Susceptibility - Disk diffusion (Billed) <span>(Details : {http://acme.org/lab/codes/panels code '60418' = '60418', given as 'Susceptibility - Disk diffusion (Billed)'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>hasMember</b>: <a>Observation/obx3-1</a></p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://acme.org/lab/codes/panels",
              "code": "60418",
              "display": "Susceptibility - Disk diffusion (Billed)"
            }
          ]
        },
        "subject": {
          "reference": "Patient/example"
        },
        "hasMember": [
          {
            "reference": "Observation/obx3-1"
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/Observation/org1",
      "resource": {
        "resourceType": "Observation",
        "id": "org1",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: org1</p><p><b>status</b>: final</p><p><b>code</b>: Staphylococcus aureus Panel <span>(Details : {http://acme.org/lab/codes/organisms code 'Staaur' = 'Staaur)</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>hasMember</b>: <a>Observation/obx1-4</a>, <a>Observation/obx1-5</a>, <a>Observation/obr-2</a>, <a>Observation/obr-3</a></p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://acme.org/lab/codes/organisms",
              "code": "Staaur"
            }
          ],
          "text": "Staphylococcus aureus Panel"
        },
        "subject": {
          "reference": "Patient/example"
        },
        "hasMember": [
          {
            "reference": "Observation/obx1-4"
          },
          {
            "reference": "Observation/obx1-5"
          },
          {
            "reference": "Observation/obr-2"
          },
          {
            "reference": "Observation/obr-3"
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.com/base/ServiceRequest/req",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "req",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: req</p><p><b>identifier</b>: 255337816</p><p><b>status</b>: active</p><p><b>intent</b>: original-order</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></div>"
        },
        "identifier": [
          {
            "value": "255337816"
          }
        ],
        "status": "active",
        "intent": "original-order",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "632-0"
            }
          ],
          "text": "Culture, MRSA"
        },
        "subject": {
          "reference": "Patient/example"
        }
      }
    }
  ]
}

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.