This page is part of the FHIR Specification (v0.0.82: DSTU 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
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" }