Release 4B
DiagnosticsThis page is part of the FHIR Specification (v4.3.0: R4B - STU). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
. Page versions: R5 R4B R4 R3 R2
| Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner |
Raw JSON (canonical form + also see JSON Format Specification)
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\"><h2><span title=\"Codes: {http://loinc.org 632-0}\">Culture, MRSA</span> (<span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0074 MB}\">Microbiology</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td><b>Jim </b> male, DoB: 1974-12-25 ( Medical record number: 12345 (USUAL))</td></tr><tr><td>Reported</td><td>2009-08-10T08:25:44+10:00</td></tr><tr><td>Identifier:</td><td> id: 290741144</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td></tr><tr><td colspan=\"2\"><i>Observation</i></td></tr></table></div>"
},
"identifier": [
{
"system": "http://hnam.org/identifiers/orders",
"value": "290741144"
}
],
"basedOn": [
{
"reference": "ServiceRequest/req"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obx1-4" </p></div><p><b>status</b>: final</p><p><b>code</b>: ORGANISM <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#ORGANISM)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>value</b>: Staphylococcus aureus <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (organisms#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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obx1-5" </p></div><p><b>status</b>: final</p><p><b>code</b>: CULTPOSNEG <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#CULTPOSNEG)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>value</b>: POS <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (flags#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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obx2-1" </p></div><p><b>status</b>: final</p><p><b>code</b>: Ampicillin <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#60504)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>interpretation</b>: Resistant <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#R)</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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obx2-2" </p></div><p><b>status</b>: final</p><p><b>code</b>: Cefazolin <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#60512)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>value</b>: <=2</p><p><b>interpretation</b>: Susceptible <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#S)</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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obx2-4" </p></div><p><b>status</b>: final</p><p><b>code</b>: Cefoxitin <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#60516)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>value</b>: <=4</p><p><b>interpretation</b>: Susceptible <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#S)</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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obx2-6" </p></div><p><b>status</b>: final</p><p><b>code</b>: Clindamycin <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#60527)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>value</b>: >=0.5</p><p><b>interpretation</b>: Susceptible <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#S)</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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obx2-8" </p></div><p><b>status</b>: final</p><p><b>code</b>: Daptomycin <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#61203)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>value</b>: >=1</p><p><b>interpretation</b>: Susceptible <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#S)</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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obx2-10" </p></div><p><b>status</b>: final</p><p><b>code</b>: Doxycycline <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#60532)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>value</b>: <=0.5</p><p><b>interpretation</b>: Susceptible <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#S)</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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obx2-12" </p></div><p><b>status</b>: final</p><p><b>code</b>: Erythromycin <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#60533)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>value</b>: >=8</p><p><b>interpretation</b>: Resistant <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#R)</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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obx2-14" </p></div><p><b>status</b>: final</p><p><b>code</b>: Gentamicin <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#60536)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>value</b>: <=2</p><p><b>interpretation</b>: Susceptible <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#S)</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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obx2-16" </p></div><p><b>status</b>: final</p><p><b>code</b>: Levofloxacin <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#61007)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>value</b>: <=0.5</p><p><b>interpretation</b>: Susceptible <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#S)</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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obx2-18" </p></div><p><b>status</b>: final</p><p><b>code</b>: Linezolid <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#60699)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>value</b>: 4</p><p><b>interpretation</b>: Susceptible <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#S)</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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obx2-20" </p></div><p><b>status</b>: final</p><p><b>code</b>: Moxifloxacin <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#61204)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>value</b>: <=0.5</p><p><b>interpretation</b>: Susceptible <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#S)</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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obx2-22" </p></div><p><b>status</b>: final</p><p><b>code</b>: Oxacillin <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#60551)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>value</b>: 0.5</p><p><b>interpretation</b>: Susceptible <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#S)</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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obx2-24" </p></div><p><b>status</b>: final</p><p><b>code</b>: Penicillin <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#60552)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>value</b>: >=2</p><p><b>interpretation</b>: Resistant <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#R)</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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obx2-26" </p></div><p><b>status</b>: final</p><p><b>code</b>: Quinupristin/Dalfopristin <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#60697)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>value</b>: 0.5</p><p><b>interpretation</b>: Susceptible <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#S)</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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obx2-28" </p></div><p><b>status</b>: final</p><p><b>code</b>: Rifampin <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#60555)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>value</b>: <=0.5</p><p><b>interpretation</b>: Susceptible <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#S)</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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obx2-30" </p></div><p><b>status</b>: final</p><p><b>code</b>: Tetracycline <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#60558)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>value</b>: <=0.5</p><p><b>interpretation</b>: Susceptible <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#S)</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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obx2-32" </p></div><p><b>status</b>: final</p><p><b>code</b>: Trimethoprim/Sulfamethoxazole <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#60561)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>value</b>: <=0.0526</p><p><b>interpretation</b>: Susceptible <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#S)</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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obx2-34" </p></div><p><b>status</b>: final</p><p><b>code</b>: Vancomycin <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#60563)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>value</b>: 1</p><p><b>interpretation</b>: Susceptible <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#S)</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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "nte-1" </p></div><p><b>status</b>: final</p><p><b>code</b>: D-Test <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#2099930)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obx3-1" </p></div><p><b>status</b>: final</p><p><b>code</b>: Oxacillin <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (tests#60036)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>interpretation</b>: Susceptible <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#S)</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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obr-2" </p></div><p><b>status</b>: final</p><p><b>code</b>: Susceptibility - Automated broth dilution (Billed) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (panels#60790)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>performer</b>: <span>: Todd Ashby</span></p><p><b>hasMember</b>: </p><ul><li><a href=\"todo.html\">Observation/obx2-1</a></li><li><a href=\"todo.html\">Observation/obx2-2</a></li><li><a href=\"todo.html\">Observation/obx2-4</a></li><li><a href=\"todo.html\">Observation/obx2-6</a></li><li><a href=\"todo.html\">Observation/obx2-8</a></li><li><a href=\"todo.html\">Observation/obx2-10</a></li><li><a href=\"todo.html\">Observation/obx2-12</a></li><li><a href=\"todo.html\">Observation/obx2-14</a></li><li><a href=\"todo.html\">Observation/obx2-16</a></li><li><a href=\"todo.html\">Observation/obx2-18</a></li><li><a href=\"todo.html\">Observation/obx2-20</a></li><li><a href=\"todo.html\">Observation/obx2-22</a></li><li><a href=\"todo.html\">Observation/obx2-24</a></li><li><a href=\"todo.html\">Observation/obx2-26</a></li><li><a href=\"todo.html\">Observation/obx2-28</a></li><li><a href=\"todo.html\">Observation/obx2-30</a></li><li><a href=\"todo.html\">Observation/obx2-32</a></li><li><a href=\"todo.html\">Observation/obx2-34</a></li><li><a href=\"todo.html\">Observation/nte-1</a></li></ul></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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "obr-3" </p></div><p><b>status</b>: final</p><p><b>code</b>: Susceptibility - Disk diffusion (Billed) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (panels#60418)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>hasMember</b>: <a href=\"todo.html\">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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "org1" </p></div><p><b>status</b>: final</p><p><b>code</b>: Staphylococcus aureus Panel <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (organisms#Staaur)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>hasMember</b>: </p><ul><li><a href=\"todo.html\">Observation/obx1-4</a></li><li><a href=\"todo.html\">Observation/obx1-5</a></li><li><a href=\"todo.html\">Observation/obr-2</a></li><li><a href=\"todo.html\">Observation/obr-3</a></li></ul></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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "req" </p></div><p><b>identifier</b>: id: 255337816</p><p><b>status</b>: active</p><p><b>intent</b>: original-order</p><p><b>code</b>: Culture, MRSA <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#632-0)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</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.
FHIR ®© HL7.org 2011+. FHIR Release 4B (v4.3.0) hl7.fhir.r4b.core#4.3.0 generated on Sat, May 28, 2022 12:54+1000.
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