DSTU2
This page is part of the FHIR Specification (v1.0.2: DSTU 2). 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",
"id": "micro",
"text": {
"status": "generated",
"div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: micro</p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 290741144</p><p><b>status</b>: final</p><p><b>category</b>: Microbiology <span>(Details : {http://hl7.org/fhir/v2/0074 code 'MB' = 'Microbiology)</span></p><p><b>code</b>: Culture, MRSA <span>(Details : {LOINC code '632-0' = 'Bacteria identified in Wound by Aerobe culture)</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: 07/08/2009 7:00:00 PM</p><p><b>issued</b>: 10/08/2009 8:25:44 AM</p><p><b>performer</b>: Todd Ashby</p><p><b>request</b>: id: req; Patient/example; 255337816</p><p><b>result</b>: id: org1; status: final; Staphylococcus aureus Panel <span>(Details : {http://acme.org/lab/codes/organisms code 'Staaur' = '??)</span>; Patient/example</p></div>"
},
"contained": [
{
"resourceType": "Observation",
"id": "obx1-4",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "ORGANISM"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueCodeableConcept": {
"coding": [
{
"fhir_comments": [
" CE "
],
"system": "http://acme.org/lab/codes/organisms",
"code": "Staaur"
}
],
"text": "Staphylococcus aureus"
}
},
{
"resourceType": "Observation",
"id": "obx1-5",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "CULTPOSNEG"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://acme.org/lab/codes/flags",
"code": "POS"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-1",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60504",
"display": "Ampicillin"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "R"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-2",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60512",
"display": "Cefazolin"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 2,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-4",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60516",
"display": "Cefoxitin"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 4,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-6",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60527",
"display": "Clindamycin"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5,
"comparator": ">="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-8",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "61203",
"display": "Daptomycin"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 1,
"comparator": ">="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-10",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60532",
"display": "Doxycycline"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-12",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60533",
"display": "Erythromycin"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 8,
"comparator": ">="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "R"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-14",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60536",
"display": "Gentamicin"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 2,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-16",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "61007",
"display": "Levofloxacin"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-18",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60699",
"display": "Linezolid"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 4
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-20",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "61204",
"display": "Moxifloxacin"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-22",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60551",
"display": "Oxacillin"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-24",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60552",
"display": "Penicillin"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 2,
"comparator": ">="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "R"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-26",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60697",
"display": "Quinupristin/Dalfopristin"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-28",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60555",
"display": "Rifampin"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-30",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60558",
"display": "Tetracycline"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-32",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60561",
"display": "Trimethoprim/Sulfamethoxazole"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.0526,
"comparator": "<=",
"_comparator": {
"fhir_comments": [
" not sure what to do with <=1/19 "
]
}
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obx2-34",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60563",
"display": "Vancomycin"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 1
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "nte-1",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "2099930",
"display": "D-Test"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueString": "D-Test: Negative - This isolate does not demonstrate inducible clindamycin resistance in vitro."
},
{
"resourceType": "Observation",
"id": "obx3-1",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60036",
"display": "Oxacillin"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obr-2",
"status": "final",
"code": {
"fhir_comments": [
" OBR 2 "
],
"coding": [
{
"system": "http://acme.org/lab/codes/panels",
"code": "60790",
"display": "Susceptibility - Automated broth dilution (Billed)"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"related": [
{
"fhir_comments": [
" now, references to the OBXs. for reader convenience, we take keep the OBX identification, though this is not required in practice. Note that many of the oBX segments are pairs that get collapsed "
],
"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",
"status": "final",
"code": {
"fhir_comments": [
" OBR 3 "
],
"coding": [
{
"system": "http://acme.org/lab/codes/panels",
"code": "60418",
"display": "Susceptibility - Disk diffusion (Billed)"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"related": [
{
"type": "has-member",
"target": {
"reference": "#obx3-1"
}
}
]
},
{
"resourceType": "Observation",
"id": "org1",
"status": "final",
"code": {
"fhir_comments": [
" OBR 1 "
],
"coding": [
{
"system": "http://acme.org/lab/codes/organisms",
"code": "Staaur"
}
],
"text": "Staphylococcus aureus Panel"
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"related": [
{
"type": "has-member",
"target": {
"reference": "#obx1-4"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx1-5"
}
},
{
"fhir_comments": [
" group - automated broth dilution. This is unusual - usually, there's just one level of group, and this group would be skipped "
],
"type": "has-member",
"target": {
"reference": "#obr-2"
}
},
{
"fhir_comments": [
" group - Disk diffusion "
],
"type": "has-member",
"target": {
"reference": "#obr-3"
}
}
]
},
{
"resourceType": "DiagnosticOrder",
"id": "req",
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"identifier": [
{
"value": "255337816"
}
]
}
],
"identifier": [
{
"system": "http://hnam.org/identifiers/orders",
"value": "290741144",
"_value": {
"fhir_comments": [
" seems like a likely choice "
]
}
}
],
"status": "final",
"category": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0074",
"code": "MB"
}
]
},
"code": {
"fhir_comments": [
" start of the main resource "
],
"coding": [
{
"system": "http://loinc.org",
"code": "632-0"
}
],
"text": "Culture, MRSA"
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"effectiveDateTime": "2009-08-07T19:00:00+10:00",
"issued": "2009-08-10T08:25:44+10:00",
"performer": {
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
},
"request": [
{
"reference": "#req"
}
],
"result": [
{
"reference": "#org1"
}
]
}
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.
© HL7.org 2011+. FHIR DSTU2 (v1.0.2-7202) generated on Sat, Oct 24, 2015 07:44+1100.
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