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Diagnosticreport-micro1.json

An example of a complex Micro Isolate and Sensitivities

{
  "resourceType": "DiagnosticReport",
  "text": {
    "status": "generated",
    "div": "<div>\n      <p>\n        <b>Generated Narrative</b>\n      </p>\n      <p>\n        <b>name</b>: \n        <span title=\"Codes: {http://loinc.org 632-0}\">Culture, MRSA</span>\n      </p>\n      <p>\n        <b>status</b>: final_\n      </p>\n      <p>\n        <b>issued</b>: 10-Aug 2009 8:25\n      </p>\n      <p>\n        <b>subject</b>: \n        <a href=\"patient-example.html\">MRN = 12345 (usual); Peter James Chalmers (official), Jim ; Male; birthDate: 25-Dec 1974; active</a>\n      </p>\n      <p>\n        <b>performer</b>: Todd Ashby\n      </p>\n      <p>\n        <b>identifier</b>: 290741144\n      </p>\n      <p>\n        <b>requestDetail</b>: Patient/101; 255337816\n      </p>\n      <p>\n        <b>serviceCategory</b>: \n        <span title=\"Codes: {http://hl7.org/fhir/v2/0074 MB}\">Microbiology</span>\n      </p>\n      <p>\n        <b>diagnostic[x]</b>: 7-Aug 2009 19:0\n      </p>\n    </div>"
  },
  "contained": [
    {
      "resourceType": "Observation",
      "id": "obx1-4",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "ORGANISM"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/organisms",
            "code": "Staaur"
          }
        ],
        "text": "Staphylococcus aureus"
      },
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "obx1-5",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "CULTPOSNEG"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/flags",
            "code": "POS"
          }
        ]
      },
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "obx2-1",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "60504",
            "display": "Ampicillin"
          }
        ]
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "R"
          }
        ]
      },
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "obx2-2",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "60512",
            "display": "Cefazolin"
          }
        ]
      },
      "valueQuantity": {
        "value": 2,
        "comparator": "<="
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      },
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "obx2-4",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "60516",
            "display": "Cefoxitin"
          }
        ]
      },
      "valueQuantity": {
        "value": 4,
        "comparator": "<="
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      },
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "obx2-6",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "60527",
            "display": "Clindamycin"
          }
        ]
      },
      "valueQuantity": {
        "value": 0.5,
        "comparator": ">="
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      },
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "obx2-8",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "61203",
            "display": "Daptomycin"
          }
        ]
      },
      "valueQuantity": {
        "value": 1,
        "comparator": ">="
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      },
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "obx2-10",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": " 60532",
            "display": "Doxycycline"
          }
        ]
      },
      "valueQuantity": {
        "value": 0.5,
        "comparator": "<="
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      },
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "obx2-12",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": " 60533",
            "display": "Erythromycin"
          }
        ]
      },
      "valueQuantity": {
        "value": 8,
        "comparator": ">="
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "R"
          }
        ]
      },
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "obx2-14",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": " 60536",
            "display": "Gentamicin"
          }
        ]
      },
      "valueQuantity": {
        "value": 2,
        "comparator": "<="
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      },
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "obx2-16",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": " 61007",
            "display": "Levofloxacin"
          }
        ]
      },
      "valueQuantity": {
        "value": 0.5,
        "comparator": "<="
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      },
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "obx2-18",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": " 60699",
            "display": "Linezolid"
          }
        ]
      },
      "valueQuantity": {
        "value": 4
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      },
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "obx2-20",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": " 61204",
            "display": "Moxifloxacin"
          }
        ]
      },
      "valueQuantity": {
        "value": 0.5,
        "comparator": "<="
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      },
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "obx2-22",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": " 60551",
            "display": "Oxacillin"
          }
        ]
      },
      "valueQuantity": {
        "value": 0.5
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      },
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "obx2-24",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": " 60552",
            "display": "Penicillin"
          }
        ]
      },
      "valueQuantity": {
        "value": 2,
        "comparator": ">="
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "R"
          }
        ]
      },
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "obx2-26",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": " 60697",
            "display": "Quinupristin/Dalfopristin"
          }
        ]
      },
      "valueQuantity": {
        "value": 0.5
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      },
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "obx2-28",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": " 60555",
            "display": "Rifampin"
          }
        ]
      },
      "valueQuantity": {
        "value": 0.5,
        "comparator": "<="
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      },
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "obx2-30",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": " 60558",
            "display": "Tetracycline"
          }
        ]
      },
      "valueQuantity": {
        "value": 0.5,
        "comparator": "<="
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      },
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "obx2-32",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": " 60561",
            "display": "Trimethoprim/Sulfamethoxazole"
          }
        ]
      },
      "valueQuantity": {
        "value": 0.0526,
        "comparator": "<="
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      },
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "obx2-34",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": " 60563",
            "display": "Vancomycin"
          }
        ]
      },
      "valueQuantity": {
        "value": 1
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      },
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "nte-1",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "2099930",
            "display": "D-Test"
          }
        ]
      },
      "valueString": "D-Test:  Negative - This isolate does not demonstrate inducible clindamycin resistance in vitro.",
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "obx3-1",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "60036",
            "display": "Oxacillin"
          }
        ]
      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      },
      "status": "final",
      "reliability": "ok"
    },
    {
      "resourceType": "Observation",
      "id": "obr-2",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/panels",
            "code": "60790",
            "display": "Susceptibility - Automated broth dilution (Billed)"
          }
        ]
      },
      "status": "final",
      "reliability": "ok",
      "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",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/panels",
            "code": "60418",
            "display": "Susceptibility - Disk diffusion (Billed)"
          }
        ]
      },
      "status": "final",
      "reliability": "ok",
      "related": [
        {
          "type": "has-member",
          "target": {
            "reference": "#obx3-1"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "org1",
      "name": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/organisms",
            "code": "Staaur"
          }
        ],
        "text": "Staphylococcus aureus Panel"
      },
      "status": "final",
      "reliability": "ok",
      "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": "DiagnosticOrder",
      "id": "req",
      "subject": {
        "reference": "Patient/101"
      },
      "identifier": [
        {
          "value": "255337816"
        }
      ]
    }
  ],
  "name": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "632-0"
      }
    ],
    "text": "Culture, MRSA"
  },
  "status": "final",
  "issued": "2009-08-10T08:25:44",
  "subject": {
    "reference": "Patient/example"
  },
  "performer": {
    "display": "Todd Ashby"
  },
  "identifier": {
    "system": "http://hnam.org/identifiers/orders",
    "value": "290741144"
  },
  "requestDetail": [
    {
      "reference": "#req"
    }
  ],
  "serviceCategory": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/v2/0074",
        "code": "MB"
      }
    ]
  },
  "diagnosticDateTime": "2009-08-07T19:00:00"
}