Release 4B Ballot #1
DiagnosticsThis page is part of the FHIR Specification (v4.1.0: Release 4B 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: R4B R4
| Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner |
Raw JSON (canonical form + also see JSON Format Specification)
An collection Bundle showing an example of a complex Micro Isolate and Sensitivities
{
"resourceType": "Bundle",
"id": "lri-example",
"meta": {
"versionId": "1",
"lastUpdated": "2017-06-27T00:52:51Z"
},
"type": "collection",
"entry": [
{
"fullUrl": "http://test.fhir.org/r4/DiagnosticReport/lri-example",
"resource": {
"resourceType": "DiagnosticReport",
"id": "lri-example",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2><span>Aerobic Respiratory Culture, Sputum</span> (<span>Laboratory</span>) </h2><table><tr><td>Subject</td><td><b>Jim </b> 1974-12-25 ( Medical record number: 12345 (USUAL))</td></tr><tr><td>When For</td><td>2016-08-15</td></tr><tr><td>Reported</td><td>19 Aug. 2016, 4:14:35 am</td></tr><tr><td>Identifiers:</td><td> Placer Identifier: RP723234 Filler Identifier: 250401 Group: RFP 123456</td></tr></table><p><b>Report Details</b></p><table><tr><td><b>Code</b></td><td><b>Value</b></td></tr><tr><td><i><a>Observation</a></i></td></tr><tr><td><i><a>Observation</a></i></td></tr><tr><td><i><a>Observation</a></i></td></tr><tr><td><i><a>Observation</a></i></td></tr><tr><td><i><a>Observation</a></i></td></tr><tr><td><i><a>Observation</a></i></td></tr><tr><td><i><a>Observation</a></i></td></tr></table></div>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "PLAC",
"display": "Placer Identifier"
}
]
},
"system": "https://acme.org/identifiers",
"value": "RP723234"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "FILL",
"display": "Filler Identifier"
}
]
},
"system": "https://acme.org/identifiers",
"value": "250401"
},
{
"type": {
"coding": [
{
"system": "https://acme.org/identifiers",
"code": "GRP",
"display": "Group"
}
]
},
"system": "https://acme.org/identifiers",
"value": "RFP 123456"
}
],
"basedOn": [
{
"reference": "ServiceRequest/example"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "LAB",
"display": "Laboratory"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "microbiology"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "624-7",
"display": "Bacteria Spt Resp Cul"
}
],
"text": "Aerobic Respiratory Culture, Sputum"
},
"subject": {
"reference": "Patient/example"
},
"effectiveDateTime": "2016-08-15",
"issued": "2016-08-18T18:14:35Z",
"performer": [
{
"reference": "Organization/example"
}
],
"specimen": [
{
"reference": "Specimen/example"
}
],
"result": [
{
"reference": "Observation/organism1",
"display": "Normal Flora"
},
{
"reference": "Observation/organism2",
"display": "Klebsiella pneumoniae"
},
{
"reference": "Observation/organism3",
"display": "Staphlyococcuc aureus"
},
{
"reference": "Observation/gramstain1",
"display": "Many WBCs"
},
{
"reference": "Observation/gramstain2",
"display": "Moderate Gram Positive Rods"
},
{
"reference": "Observation/gramstain3",
"display": "Moderate Gram Positive Cocci in Chains"
},
{
"reference": "Observation/gramstain4",
"display": "Many Gram Negative Rods"
}
]
}
},
{
"fullUrl": "http://test.fhir.org/r4/Observation/lri-gramstain1",
"resource": {
"resourceType": "Observation",
"id": "gramstain1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: gramstain1</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>value</b>: <span>Many</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>value</b>: <span>WBCS</span></p></blockquote></div>"
},
"identifier": [
{
"system": "https://acme.org/identifiers",
"value": "gramstain1"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "microbiology"
}
],
"text": "Micro"
},
{
"coding": [
{
"system": "urn:oid:2.16.840.1.113883.9.195.4.61",
"code": "RSLT",
"display": "Result"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "664-3",
"display": "Gram Stn XXX"
},
{
"system": "https://acme.org/codes",
"code": "GMST",
"display": "Gram Stain"
}
],
"text": "Gram Stain"
},
"subject": {
"reference": "Patient/example"
},
"effectiveDateTime": "2016-08-18",
"issued": "2016-08-18T23:06:32Z",
"performer": [
{
"reference": "Organization/example"
}
],
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "664-3",
"display": "Gram Stn XXX"
}
],
"text": "Gram Stain"
},
"valueCodeableConcept": {
"coding": [
{
"system": "https://acme.org/codes",
"code": "MNY",
"display": "Many"
}
],
"text": "Many"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "664-3",
"display": "Gram Stn XXX"
}
],
"text": "Gram Stain"
},
"valueCodeableConcept": {
"coding": [
{
"system": "https://acme.org/codes",
"code": "WBCS",
"display": "WBCS"
}
],
"text": "WBCS"
}
}
]
}
},
{
"fullUrl": "http://test.fhir.org/r4/Observation/lri-gramstain2",
"resource": {
"resourceType": "Observation",
"id": "gramstain2",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: gramstain2</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>value</b>: <span>Moderate</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>value</b>: <span>Gram Positive Rods</span></p></blockquote></div>"
},
"identifier": [
{
"system": "https://acme.org/identifiers",
"value": "gramstain2"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "microbiology"
}
],
"text": "Micro"
},
{
"coding": [
{
"system": "urn:oid:2.16.840.1.113883.9.195.4.61",
"code": "RSLT",
"display": "Result"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "664-3",
"display": "Gram Stn XXX"
},
{
"system": "https://acme.org/codes",
"code": "GMST",
"display": "Gram Stain"
}
],
"text": "Gram Stain"
},
"subject": {
"reference": "Patient/example"
},
"effectiveDateTime": "2016-08-18",
"issued": "2016-08-18T23:06:32Z",
"performer": [
{
"reference": "Organization/example"
}
],
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "664-3",
"display": "Gram Stn XXX"
}
],
"text": "Gram Stain"
},
"valueCodeableConcept": {
"coding": [
{
"system": "https://acme.org/codes",
"code": "MOD",
"display": "Moderate"
}
],
"text": "Moderate"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "664-3",
"display": "Gram Stn XXX"
}
],
"text": "Gram Stain"
},
"valueCodeableConcept": {
"coding": [
{
"system": "https://acme.org/codes",
"code": "GPR",
"display": "Moderate"
}
],
"text": "Gram Positive Rods"
}
}
]
}
},
{
"fullUrl": "http://test.fhir.org/r4/Observation/lri-gramstain3",
"resource": {
"resourceType": "Observation",
"id": "gramstain3",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: gramstain3</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>value</b>: <span>Moderate</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>value</b>: <span>Gram Positive Cocci in Chains</span></p></blockquote></div>"
},
"identifier": [
{
"system": "https://acme.org/identifiers",
"value": "gramstain3"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "microbiology"
}
],
"text": "Micro"
},
{
"coding": [
{
"system": "urn:oid:2.16.840.1.113883.9.195.4.61",
"code": "RSLT",
"display": "Result"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "664-3",
"display": "Gram Stn XXX"
},
{
"system": "https://acme.org/codes",
"code": "GMST",
"display": "Gram Stain"
}
],
"text": "Gram Stain"
},
"subject": {
"reference": "Patient/example"
},
"effectiveDateTime": "2016-08-18",
"issued": "2016-08-18T23:06:32Z",
"performer": [
{
"reference": "Organization/example"
}
],
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "664-3",
"display": "Gram Stn XXX"
}
],
"text": "Gram Stain"
},
"valueCodeableConcept": {
"coding": [
{
"system": "https://acme.org/codes",
"code": "MOD",
"display": "Moderate"
}
],
"text": "Moderate"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "664-3",
"display": "Gram Stn XXX"
}
],
"text": "Gram Stain"
},
"valueCodeableConcept": {
"coding": [
{
"system": "https://acme.org/codes",
"code": "GPCCH",
"display": "Gram Positive Cocci in Chains"
}
],
"text": "Gram Positive Cocci in Chains"
}
}
]
}
},
{
"fullUrl": "http://test.fhir.org/r4/Observation/lri-gramstain4",
"resource": {
"resourceType": "Observation",
"id": "gramstain4",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: gramstain4</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>value</b>: <span>Many</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span>Gram Stain</span></p><p><b>value</b>: <span>Gram Negative Rods</span></p></blockquote></div>"
},
"identifier": [
{
"system": "https://acme.org/identifiers",
"value": "gramstain4"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "microbiology"
}
],
"text": "Micro"
},
{
"coding": [
{
"system": "urn:oid:2.16.840.1.113883.9.195.4.61",
"code": "RSLT",
"display": "Result"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "664-3",
"display": "Gram Stn XXX"
},
{
"system": "https://acme.org/codes",
"code": "GMST",
"display": "Gram Stain"
}
],
"text": "Gram Stain"
},
"subject": {
"reference": "Patient/example"
},
"effectiveDateTime": "2016-08-18",
"issued": "2016-08-18T23:06:32Z",
"performer": [
{
"reference": "Organization/example"
}
],
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "664-3",
"display": "Gram Stn XXX"
}
],
"text": "Gram Stain"
},
"valueCodeableConcept": {
"coding": [
{
"system": "https://acme.org/codes",
"code": "MNY",
"display": "Many"
}
],
"text": "Many"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "664-3",
"display": "Gram Stn XXX"
}
],
"text": "Gram Stain"
},
"valueCodeableConcept": {
"coding": [
{
"system": "https://acme.org/codes",
"code": "GNR",
"display": "Gram Negative Rods"
}
],
"text": "Gram Negative Rods"
}
}
]
}
},
{
"fullUrl": "http://test.fhir.org/r4/Observation/lri-growth1",
"resource": {
"resourceType": "Observation",
"id": "growth1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: growth1</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Aerobic Respiratory Culture, Sputum</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <span>Moderate Growth</span></p></div>"
},
"identifier": [
{
"system": "https://acme.org/identifiers",
"value": "growth1"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "microbiology"
}
],
"text": "Micro"
},
{
"coding": [
{
"system": "urn:oid:2.16.840.1.113883.9.195.4.61",
"code": "RSLT",
"display": "Result"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "624-7",
"display": "Bacteria Spt Resp Cul"
},
{
"system": "https://acme.org/codes",
"code": "GROWTH",
"display": "Growth"
}
],
"text": "Aerobic Respiratory Culture, Sputum"
},
"subject": {
"reference": "Patient/example"
},
"effectiveDateTime": "2016-08-18",
"issued": "2016-08-18T23:06:32Z",
"performer": [
{
"reference": "Organization/example"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "263812008",
"display": "Moderate Growth"
}
],
"text": "Moderate Growth"
}
}
},
{
"fullUrl": "http://test.fhir.org/r4/Observation/lri-growth2",
"resource": {
"resourceType": "Observation",
"id": "growth2",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: growth2</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Aerobic Respiratory Culture, Sputum</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <span>Heavy growth</span></p></div>"
},
"identifier": [
{
"system": "https://acme.org/identifiers",
"value": "growth2"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "microbiology"
}
],
"text": "Micro"
},
{
"coding": [
{
"system": "urn:oid:2.16.840.1.113883.9.195.4.61",
"code": "RSLT",
"display": "Result"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "624-7",
"display": "Bacteria Spt Resp Cul"
},
{
"system": "https://acme.org/codes",
"code": "GROWTH",
"display": "Growth"
}
],
"text": "Aerobic Respiratory Culture, Sputum"
},
"subject": {
"reference": "Patient/example"
},
"effectiveDateTime": "2016-08-18",
"issued": "2016-08-18T23:06:32Z",
"performer": [
{
"reference": "Organization/example"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "263776006",
"display": "Heavy growth"
}
],
"text": "Heavy growth"
}
}
},
{
"fullUrl": "http://test.fhir.org/r4/Observation/lri-growth3",
"resource": {
"resourceType": "Observation",
"id": "growth3",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: growth3</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Aerobic Respiratory Culture, Sputum</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <span>Heavy growth</span></p></div>"
},
"identifier": [
{
"system": "https://acme.org/identifiers",
"value": "growth3"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "microbiology"
}
],
"text": "Micro"
},
{
"coding": [
{
"system": "urn:oid:2.16.840.1.113883.9.195.4.61",
"code": "RSLT",
"display": "Result"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "624-7",
"display": "Bacteria Spt Resp Cul"
},
{
"system": "https://acme.org/codes",
"code": "GROWTH",
"display": "Growth"
}
],
"text": "Aerobic Respiratory Culture, Sputum"
},
"subject": {
"reference": "Patient/example"
},
"effectiveDateTime": "2016-08-18",
"issued": "2016-08-18T23:06:32Z",
"performer": [
{
"reference": "Organization/example"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "263776006",
"display": "Heavy growth"
}
],
"text": "Heavy growth"
}
}
},
{
"fullUrl": "http://test.fhir.org/r4/Observation/lri-org2-amp",
"resource": {
"resourceType": "Observation",
"id": "org2-amp",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: org2-amp</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Ampicilin MIC</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <0.06 ug/ml</p><p><b>interpretation</b>: <span>Susceptible</span></p></div>"
},
"identifier": [
{
"system": "https://acme.org/identifiers",
"value": "org2-amp"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "microbiology"
}
],
"text": "Micro"
},
{
"coding": [
{
"system": "urn:oid:2.16.840.1.113883.9.195.4.61",
"code": "RSLT",
"display": "Result"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "28-1",
"display": "Ampicilin Islt MIC"
},
{
"system": "https://acme.org/codes",
"code": "AMPMIC",
"display": "Ampicilin MIC"
}
],
"text": "Ampicilin MIC"
},
"subject": {
"reference": "Patient/example"
},
"effectiveDateTime": "2016-08-18",
"issued": "2016-08-18T23:06:32Z",
"performer": [
{
"reference": "Organization/example"
}
],
"valueQuantity": {
"value": 0.06,
"comparator": "<",
"unit": "ug/ml",
"system": "http://unitsofmeasure.org",
"code": "ug/mL"
},
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "S",
"display": "Susceptible"
}
]
}
]
}
},
{
"fullUrl": "http://test.fhir.org/r4/Observation/lri-org2-cip",
"resource": {
"resourceType": "Observation",
"id": "org2-cip",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: org2-cip</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Ciprofloxacin MIC</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <0.05 ug/ml</p><p><b>interpretation</b>: <span>Susceptible</span></p></div>"
},
"identifier": [
{
"system": "https://acme.org/identifiers",
"value": "org2-cip"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "microbiology"
}
],
"text": "Micro"
},
{
"coding": [
{
"system": "urn:oid:2.16.840.1.113883.9.195.4.61",
"code": "RSLT",
"display": "Result"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "185-9",
"display": "Ciprofloxacin Islt MIC"
},
{
"system": "https://acme.org/codes",
"code": "CIPMIC",
"display": "Ciprofloxacin MIC"
}
],
"text": "Ciprofloxacin MIC"
},
"subject": {
"reference": "Patient/example"
},
"effectiveDateTime": "2016-08-18",
"issued": "2016-08-18T23:06:32Z",
"performer": [
{
"reference": "Organization/example"
}
],
"valueQuantity": {
"value": 0.05,
"comparator": "<",
"unit": "ug/ml",
"system": "http://unitsofmeasure.org",
"code": "ug/mL"
},
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "S",
"display": "Susceptible"
}
]
}
]
}
},
{
"fullUrl": "http://test.fhir.org/r4/Observation/lri-org2-gent",
"resource": {
"resourceType": "Observation",
"id": "org2-gent",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: org2-gent</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Gentamicin MIC</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <0.05 ug/ml</p><p><b>interpretation</b>: <span>Susceptible</span></p></div>"
},
"identifier": [
{
"system": "https://acme.org/identifiers",
"value": "org2-gent"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "microbiology"
}
],
"text": "Micro"
},
{
"coding": [
{
"system": "urn:oid:2.16.840.1.113883.9.195.4.61",
"code": "RSLT",
"display": "Result"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "267-5",
"display": "Gentamicin Islt MIC"
},
{
"system": "https://acme.org/codes",
"code": "CIPMIC",
"display": "Gentamicin MIC"
}
],
"text": "Gentamicin MIC"
},
"subject": {
"reference": "Patient/example"
},
"effectiveDateTime": "2016-08-18",
"issued": "2016-08-18T23:06:32Z",
"performer": [
{
"reference": "Organization/example"
}
],
"valueQuantity": {
"value": 0.05,
"comparator": "<",
"unit": "ug/ml",
"system": "http://unitsofmeasure.org",
"code": "ug/mL"
},
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "S",
"display": "Susceptible"
}
]
}
]
}
},
{
"fullUrl": "http://test.fhir.org/r4/Observation/lri-org3-amp",
"resource": {
"resourceType": "Observation",
"id": "org3-amp",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: org3-amp</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Ampicilin MIC</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <0.06 ug/ml</p><p><b>interpretation</b>: <span>Susceptible</span></p></div>"
},
"identifier": [
{
"system": "https://acme.org/identifiers",
"value": "org3-amp"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "microbiology"
}
],
"text": "Micro"
},
{
"coding": [
{
"system": "urn:oid:2.16.840.1.113883.9.195.4.61",
"code": "RSLT",
"display": "Result"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "28-1",
"display": "Ampicilin Islt MIC"
},
{
"system": "https://acme.org/codes",
"code": "AMPMIC",
"display": "Ampicilin MIC"
}
],
"text": "Ampicilin MIC"
},
"subject": {
"reference": "Patient/example"
},
"effectiveDateTime": "2016-08-18",
"issued": "2016-08-18T23:06:32Z",
"performer": [
{
"reference": "Organization/example"
}
],
"valueQuantity": {
"value": 0.06,
"comparator": "<",
"unit": "ug/ml",
"system": "http://unitsofmeasure.org",
"code": "ug/mL"
},
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "S",
"display": "Susceptible"
}
]
}
]
}
},
{
"fullUrl": "http://test.fhir.org/r4/Observation/lri-org3-cip",
"resource": {
"resourceType": "Observation",
"id": "org3-cip",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: org3-cip</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Ciprofloxacin MIC</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <0.05 ug/ml</p><p><b>interpretation</b>: <span>Susceptible</span></p></div>"
},
"identifier": [
{
"system": "https://acme.org/identifiers",
"value": "org3-cip"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "microbiology"
}
],
"text": "Micro"
},
{
"coding": [
{
"system": "urn:oid:2.16.840.1.113883.9.195.4.61",
"code": "RSLT",
"display": "Result"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "185-9",
"display": "Ciprofloxacin Islt MIC"
},
{
"system": "https://acme.org/codes",
"code": "CIPMIC",
"display": "Ciprofloxacin MIC"
}
],
"text": "Ciprofloxacin MIC"
},
"subject": {
"reference": "Patient/example"
},
"effectiveDateTime": "2016-08-18",
"issued": "2016-08-18T23:06:32Z",
"performer": [
{
"reference": "Organization/example"
}
],
"valueQuantity": {
"value": 0.05,
"comparator": "<",
"unit": "ug/ml",
"system": "http://unitsofmeasure.org",
"code": "ug/mL"
},
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "S",
"display": "Susceptible"
}
]
}
]
}
},
{
"fullUrl": "http://test.fhir.org/r4/Observation/lri-org3-gent",
"resource": {
"resourceType": "Observation",
"id": "org3-gent",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: org3-gent</p><p/><p><b>category</b>: <span>Micro</span></p><p><b>code</b>: <span>Gentamicin MIC</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <0.05 ug/ml</p><p><b>interpretation</b>: <span>Susceptible</span></p></div>"
},
"identifier": [
{
"system": "https://acme.org/identifiers",
"value": "org3-gent"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "microbiology"
}
],
"text": "Micro"
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "267-5",
"display": "Gentamicin Islt MIC"
}
],
"text": "Gentamicin MIC"
},
"subject": {
"reference": "Patient/example"
},
"effectiveDateTime": "2016-08-18",
"issued": "2016-08-18T23:06:32Z",
"performer": [
{
"reference": "Organization/example"
}
],
"valueQuantity": {
"value": 0.05,
"comparator": "<",
"unit": "ug/ml",
"system": "http://unitsofmeasure.org",
"code": "ug/mL"
},
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "S",
"display": "Susceptible"
}
]
}
]
}
},
{
"fullUrl": "http://test.fhir.org/r4/Observation/lri-organism1",
"resource": {
"resourceType": "Observation",
"id": "organism1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: organism1</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Aerobic Respiratory Culture, Sputum</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <span>Normal flora</span></p><p><b>hasMember</b>: <a>Moderate growth</a></p></div>"
},
"identifier": [
{
"system": "https://acme.org/identifiers",
"value": "organism1"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "microbiology"
}
],
"text": "Micro"
},
{
"coding": [
{
"system": "urn:oid:2.16.840.1.113883.9.195.4.61",
"code": "RSLT",
"display": "Result"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "624-7",
"display": "Bacteria Spt Resp Cul"
},
{
"system": "https://acme.org/codes",
"code": "CULTID",
"display": "Culture ID"
}
],
"text": "Aerobic Respiratory Culture, Sputum"
},
"subject": {
"reference": "Patient/example"
},
"effectiveDateTime": "2016-08-18",
"issued": "2016-08-18T23:06:32Z",
"performer": [
{
"reference": "Organization/example"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "23506009",
"display": "Normal flora"
}
],
"text": "Normal flora"
},
"hasMember": [
{
"reference": "Observation/growth1",
"display": "Moderate growth"
}
]
}
},
{
"fullUrl": "http://test.fhir.org/r4/Observation/lri-organism2",
"resource": {
"resourceType": "Observation",
"id": "organism2",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: organism2</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Aerobic Respiratory Culture, Sputum</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <span>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>"
},
"identifier": [
{
"system": "https://acme.org/identifiers",
"value": "organism2"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "microbiology"
}
],
"text": "Micro"
},
{
"coding": [
{
"system": "urn:oid:2.16.840.1.113883.9.195.4.61",
"code": "RSLT",
"display": "Result"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "624-7",
"display": "Bacteria Spt Resp Cul"
},
{
"system": "https://acme.org/codes",
"code": "CULTID",
"display": "Culture ID"
}
],
"text": "Aerobic Respiratory Culture, Sputum"
},
"subject": {
"reference": "Patient/example"
},
"effectiveDateTime": "2016-08-18",
"issued": "2016-08-18T23:06:32Z",
"performer": [
{
"reference": "Organization/example"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "56415008",
"display": "Klebsiella pneumonia"
}
],
"text": "Klebsiella pneumonia"
},
"hasMember": [
{
"reference": "Observation/growth2",
"display": "Heavy growth"
},
{
"reference": "Observation/org2-amp",
"display": "Ampicillin MIC - Susceptible"
},
{
"reference": "Observation/org2-cip",
"display": "Ciprofloxacin MIC - Susceptible"
},
{
"reference": "Observation/org2-gent",
"display": "Gentamicin MIC - Susceptible"
}
]
}
},
{
"fullUrl": "http://test.fhir.org/r4/Observation/lri-organism3",
"resource": {
"resourceType": "Observation",
"id": "organism3",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: organism3</p><p/><p><b>category</b>: <span>Micro</span>, <span>Result</span></p><p><b>code</b>: <span>Aerobic Respiratory Culture, Sputum</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2016-08-18</p><p><b>issued</b>: 19 Aug. 2016, 9:06:32 am</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: <span>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>"
},
"identifier": [
{
"system": "https://acme.org/identifiers",
"value": "organism3"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "microbiology"
}
],
"text": "Micro"
},
{
"coding": [
{
"system": "urn:oid:2.16.840.1.113883.9.195.4.61",
"code": "RSLT",
"display": "Result"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "624-7",
"display": "Bacteria Spt Resp Cul"
},
{
"system": "https://acme.org/codes",
"code": "CULTID",
"display": "Culture ID"
}
],
"text": "Aerobic Respiratory Culture, Sputum"
},
"subject": {
"reference": "Patient/example"
},
"effectiveDateTime": "2016-08-18",
"issued": "2016-08-18T23:06:32Z",
"performer": [
{
"reference": "Organization/example"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "3092008",
"display": "Staphlyococcuc aureus"
}
],
"text": "Staphlyococcuc aureus"
},
"hasMember": [
{
"reference": "Observation/growth3",
"display": "Heavy growth"
},
{
"reference": "Observation/org3-amp",
"display": "Ampicillin MIC - Susceptible"
},
{
"reference": "Observation/org3-cip",
"display": "Ciprofloxacin MIC - Susceptible"
},
{
"reference": "Observation/org3-gent",
"display": "Gentamicin MIC - Susceptible"
}
]
}
}
]
}
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.
FHIR ®© HL7.org 2011+. FHIR R4B Ballot #1 hl7.fhir.core#4.1.0 generated on Thu, Mar 11, 2021 17:09+1100.
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