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Diagnosticreport-example-lri.ttl

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner

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An collection Bundle showing an example of a complex Micro Isolate and Sensitivities

@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Bundle/lri-example> a fhir:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "lri-example"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "1" ];
     fhir:Meta.lastUpdated [ fhir:value "2017-06-27T00:52:51Z"^^xsd:dateTime ]
  ];
  fhir:Bundle.type [ fhir:value "collection"];
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/DiagnosticReport/lri-example" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/DiagnosticReport/lri-example>
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-gramstain1" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-gramstain1>
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-gramstain2" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-gramstain2>
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-gramstain3" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-gramstain3>
  ], [
     fhir:index 4;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-gramstain4" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-gramstain4>
  ], [
     fhir:index 5;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-growth1" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-growth1>
  ], [
     fhir:index 6;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-growth2" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-growth2>
  ], [
     fhir:index 7;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-growth3" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-growth3>
  ], [
     fhir:index 8;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-org2-amp" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-org2-amp>
  ], [
     fhir:index 9;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-org2-cip" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-org2-cip>
  ], [
     fhir:index 10;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-org2-gent" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-org2-gent>
  ], [
     fhir:index 11;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-org3-amp" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-org3-amp>
  ], [
     fhir:index 12;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-org3-cip" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-org3-cip>
  ], [
     fhir:index 13;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-org3-gent" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-org3-gent>
  ], [
     fhir:index 14;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-organism1" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-organism1>
  ], [
     fhir:index 15;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-organism2" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-organism2>
  ], [
     fhir:index 16;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.org/r4/Observation/lri-organism3" ];
     fhir:Bundle.entry.resource <http://test.fhir.org/r4/Observation/lri-organism3>
  ] .

<http://test.fhir.org/r4/DiagnosticReport/lri-example> a fhir:DiagnosticReport;
  fhir:Resource.id [ fhir:value "lri-example"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: lri-example</p><p><b>identifier</b>: Placer Identifier = RP723234, Filler Identifier = 250401, Group = RFP 123456</p><p><b>basedOn</b>: <a>ServiceRequest/example</a></p><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span>(Details : {http://terminology.hl7.org/CodeSystem/v2-0074 code 'LAB' = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'MB' = 'Microbiology', given as 'microbiology'})</span></p><p><b>code</b>: Aerobic Respiratory Culture, Sputum <span>(Details : {LOINC code '624-7' = 'Bacteria identified in Sputum by Respiratory culture', given as 'Bacteria Spt Resp Cul'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Aug 15, 2016</p><p><b>issued</b>: Aug 18, 2016 6:14:35 PM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>specimen</b>: <a>Specimen/example</a></p><p><b>result</b>: </p><ul><li><a>Normal Flora</a></li><li><a>Klebsiella pneumoniae</a></li><li><a>Staphlyococcuc aureus</a></li><li><a>Many WBCs</a></li><li><a>Moderate Gram Positive Rods</a></li><li><a>Moderate Gram Positive Cocci in Chains</a></li><li><a>Many Gram Negative Rods</a></li></ul></div>"
  ];
  fhir:DiagnosticReport.identifier [
     fhir:index 0;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "PLAC" ];
         fhir:Coding.display [ fhir:value "Placer Identifier" ]
       ]
     ];
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "RP723234" ]
  ], [
     fhir:index 1;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "FILL" ];
         fhir:Coding.display [ fhir:value "Filler Identifier" ]
       ]
     ];
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "250401" ]
  ], [
     fhir:index 2;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://acme.org/identifiers" ];
         fhir:Coding.code [ fhir:value "GRP" ];
         fhir:Coding.display [ fhir:value "Group" ]
       ]
     ];
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "RFP 123456" ]
  ];
  fhir:DiagnosticReport.basedOn [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/ServiceRequest/example>;
     fhir:Reference.reference [ fhir:value "ServiceRequest/example" ]
  ];
  fhir:DiagnosticReport.status [ fhir:value "final"];
  fhir:DiagnosticReport.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "LAB" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ]
  ];
  fhir:DiagnosticReport.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:624-7;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "624-7" ];
       fhir:Coding.display [ fhir:value "Bacteria Spt Resp Cul" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Aerobic Respiratory Culture, Sputum" ]
  ];
  fhir:DiagnosticReport.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:DiagnosticReport.effectiveDateTime [ fhir:value "2016-08-15"^^xsd:date];
  fhir:DiagnosticReport.issued [ fhir:value "2016-08-18T18:14:35Z"^^xsd:dateTime];
  fhir:DiagnosticReport.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:DiagnosticReport.specimen [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Specimen/example>;
     fhir:Reference.reference [ fhir:value "Specimen/example" ]
  ];
  fhir:DiagnosticReport.result [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Observation/organism1>;
     fhir:Reference.reference [ fhir:value "Observation/organism1" ];
     fhir:Reference.display [ fhir:value "Normal Flora" ]
  ], [
     fhir:index 1;
     fhir:link <http://hl7.org/fhir/Observation/organism2>;
     fhir:Reference.reference [ fhir:value "Observation/organism2" ];
     fhir:Reference.display [ fhir:value "Klebsiella pneumoniae" ]
  ], [
     fhir:index 2;
     fhir:link <http://hl7.org/fhir/Observation/organism3>;
     fhir:Reference.reference [ fhir:value "Observation/organism3" ];
     fhir:Reference.display [ fhir:value "Staphlyococcuc aureus" ]
  ], [
     fhir:index 3;
     fhir:link <http://hl7.org/fhir/Observation/gramstain1>;
     fhir:Reference.reference [ fhir:value "Observation/gramstain1" ];
     fhir:Reference.display [ fhir:value "Many WBCs" ]
  ], [
     fhir:index 4;
     fhir:link <http://hl7.org/fhir/Observation/gramstain2>;
     fhir:Reference.reference [ fhir:value "Observation/gramstain2" ];
     fhir:Reference.display [ fhir:value "Moderate Gram Positive Rods" ]
  ], [
     fhir:index 5;
     fhir:link <http://hl7.org/fhir/Observation/gramstain3>;
     fhir:Reference.reference [ fhir:value "Observation/gramstain3" ];
     fhir:Reference.display [ fhir:value "Moderate Gram Positive Cocci in Chains" ]
  ], [
     fhir:index 6;
     fhir:link <http://hl7.org/fhir/Observation/gramstain4>;
     fhir:Reference.reference [ fhir:value "Observation/gramstain4" ];
     fhir:Reference.display [ fhir:value "Many Gram Negative Rods" ]
  ] .

<http://hl7.org/fhir/ServiceRequest/example> a fhir:ServiceRequest .

<http://hl7.org/fhir/Patient/example> a fhir:Patient .

<http://hl7.org/fhir/Organization/example> a fhir:Organization .

<http://hl7.org/fhir/Specimen/example> a fhir:Specimen .

<http://hl7.org/fhir/Observation/organism1> a fhir:Observation .

<http://hl7.org/fhir/Observation/organism2> a fhir:Observation .

<http://hl7.org/fhir/Observation/organism3> a fhir:Observation .

<http://hl7.org/fhir/Observation/gramstain1> a fhir:Observation .

<http://hl7.org/fhir/Observation/gramstain2> a fhir:Observation .

<http://hl7.org/fhir/Observation/gramstain3> a fhir:Observation .

<http://hl7.org/fhir/Observation/gramstain4> a fhir:Observation .

<http://test.fhir.org/r4/Observation/lri-gramstain1> a fhir:Observation;
  fhir:Resource.id [ fhir:value "gramstain1"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: gramstain1</p><p><b>identifier</b>: gramstain1</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'MB' = 'Microbiology', given as 'microbiology'})</span>, Result <span>(Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span></p><p><b>code</b>: Gram Stain <span>(Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified specimen by Gram stain', given as 'Gram Stn XXX'}; {https://acme.org/codes code 'GMST' = 'GMST', given as 'Gram Stain'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Aug 18, 2016</p><p><b>issued</b>: Aug 18, 2016 11:06:32 PM</p><p><b>performer</b>: <a>Organization/example</a></p><blockquote><p><b>component</b></p><p><b>code</b>: Gram Stain <span>(Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified specimen by Gram stain', given as 'Gram Stn XXX'})</span></p><p><b>value</b>: Many <span>(Details : {https://acme.org/codes code 'MNY' = 'MNY', given as 'Many'})</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Gram Stain <span>(Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified specimen by Gram stain', given as 'Gram Stn XXX'})</span></p><p><b>value</b>: WBCS <span>(Details : {https://acme.org/codes code 'WBCS' = 'WBCS', given as 'WBCS'})</span></p></blockquote></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "gramstain1" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:664-3;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "664-3" ];
       fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "GMST" ];
       fhir:Coding.display [ fhir:value "Gram Stain" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.component [
     fhir:index 0;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:664-3;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "664-3" ];
         fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
         fhir:Coding.code [ fhir:value "MNY" ];
         fhir:Coding.display [ fhir:value "Many" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Many" ]
     ]
  ], [
     fhir:index 1;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:664-3;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "664-3" ];
         fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
         fhir:Coding.code [ fhir:value "WBCS" ];
         fhir:Coding.display [ fhir:value "WBCS" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "WBCS" ]
     ]
  ] .

<http://test.fhir.org/r4/Observation/lri-gramstain2> a fhir:Observation;
  fhir:Resource.id [ fhir:value "gramstain2"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: gramstain2</p><p><b>identifier</b>: gramstain2</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'MB' = 'Microbiology', given as 'microbiology'})</span>, Result <span>(Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span></p><p><b>code</b>: Gram Stain <span>(Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified specimen by Gram stain', given as 'Gram Stn XXX'}; {https://acme.org/codes code 'GMST' = 'GMST', given as 'Gram Stain'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Aug 18, 2016</p><p><b>issued</b>: Aug 18, 2016 11:06:32 PM</p><p><b>performer</b>: <a>Organization/example</a></p><blockquote><p><b>component</b></p><p><b>code</b>: Gram Stain <span>(Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified specimen by Gram stain', given as 'Gram Stn XXX'})</span></p><p><b>value</b>: Moderate <span>(Details : {https://acme.org/codes code 'MOD' = 'MOD', given as 'Moderate'})</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Gram Stain <span>(Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified specimen by Gram stain', given as 'Gram Stn XXX'})</span></p><p><b>value</b>: Gram Positive Rods <span>(Details : {https://acme.org/codes code 'GPR' = 'GPR', given as 'Moderate'})</span></p></blockquote></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "gramstain2" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:664-3;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "664-3" ];
       fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "GMST" ];
       fhir:Coding.display [ fhir:value "Gram Stain" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.component [
     fhir:index 0;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:664-3;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "664-3" ];
         fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
         fhir:Coding.code [ fhir:value "MOD" ];
         fhir:Coding.display [ fhir:value "Moderate" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Moderate" ]
     ]
  ], [
     fhir:index 1;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:664-3;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "664-3" ];
         fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
         fhir:Coding.code [ fhir:value "GPR" ];
         fhir:Coding.display [ fhir:value "Moderate" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Positive Rods" ]
     ]
  ] .

<http://test.fhir.org/r4/Observation/lri-gramstain3> a fhir:Observation;
  fhir:Resource.id [ fhir:value "gramstain3"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: gramstain3</p><p><b>identifier</b>: gramstain3</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'MB' = 'Microbiology', given as 'microbiology'})</span>, Result <span>(Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span></p><p><b>code</b>: Gram Stain <span>(Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified specimen by Gram stain', given as 'Gram Stn XXX'}; {https://acme.org/codes code 'GMST' = 'GMST', given as 'Gram Stain'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Aug 18, 2016</p><p><b>issued</b>: Aug 18, 2016 11:06:32 PM</p><p><b>performer</b>: <a>Organization/example</a></p><blockquote><p><b>component</b></p><p><b>code</b>: Gram Stain <span>(Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified specimen by Gram stain', given as 'Gram Stn XXX'})</span></p><p><b>value</b>: Moderate <span>(Details : {https://acme.org/codes code 'MOD' = 'MOD', given as 'Moderate'})</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Gram Stain <span>(Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified specimen by Gram stain', given as 'Gram Stn XXX'})</span></p><p><b>value</b>: Gram Positive Cocci in Chains <span>(Details : {https://acme.org/codes code 'GPCCH' = 'GPCCH', given as 'Gram Positive Cocci in Chains'})</span></p></blockquote></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "gramstain3" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:664-3;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "664-3" ];
       fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "GMST" ];
       fhir:Coding.display [ fhir:value "Gram Stain" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.component [
     fhir:index 0;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:664-3;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "664-3" ];
         fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
         fhir:Coding.code [ fhir:value "MOD" ];
         fhir:Coding.display [ fhir:value "Moderate" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Moderate" ]
     ]
  ], [
     fhir:index 1;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:664-3;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "664-3" ];
         fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
         fhir:Coding.code [ fhir:value "GPCCH" ];
         fhir:Coding.display [ fhir:value "Gram Positive Cocci in Chains" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Positive Cocci in Chains" ]
     ]
  ] .

<http://test.fhir.org/r4/Observation/lri-gramstain4> a fhir:Observation;
  fhir:Resource.id [ fhir:value "gramstain4"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: gramstain4</p><p><b>identifier</b>: gramstain4</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'MB' = 'Microbiology', given as 'microbiology'})</span>, Result <span>(Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span></p><p><b>code</b>: Gram Stain <span>(Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified specimen by Gram stain', given as 'Gram Stn XXX'}; {https://acme.org/codes code 'GMST' = 'GMST', given as 'Gram Stain'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Aug 18, 2016</p><p><b>issued</b>: Aug 18, 2016 11:06:32 PM</p><p><b>performer</b>: <a>Organization/example</a></p><blockquote><p><b>component</b></p><p><b>code</b>: Gram Stain <span>(Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified specimen by Gram stain', given as 'Gram Stn XXX'})</span></p><p><b>value</b>: Many <span>(Details : {https://acme.org/codes code 'MNY' = 'MNY', given as 'Many'})</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Gram Stain <span>(Details : {LOINC code '664-3' = 'Microscopic observation [Identifier] in Unspecified specimen by Gram stain', given as 'Gram Stn XXX'})</span></p><p><b>value</b>: Gram Negative Rods <span>(Details : {https://acme.org/codes code 'GNR' = 'GNR', given as 'Gram Negative Rods'})</span></p></blockquote></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "gramstain4" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:664-3;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "664-3" ];
       fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "GMST" ];
       fhir:Coding.display [ fhir:value "Gram Stain" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.component [
     fhir:index 0;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:664-3;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "664-3" ];
         fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
         fhir:Coding.code [ fhir:value "MNY" ];
         fhir:Coding.display [ fhir:value "Many" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Many" ]
     ]
  ], [
     fhir:index 1;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:664-3;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "664-3" ];
         fhir:Coding.display [ fhir:value "Gram Stn XXX" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Stain" ]
     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
         fhir:Coding.code [ fhir:value "GNR" ];
         fhir:Coding.display [ fhir:value "Gram Negative Rods" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Gram Negative Rods" ]
     ]
  ] .

<http://test.fhir.org/r4/Observation/lri-growth1> a fhir:Observation;
  fhir:Resource.id [ fhir:value "growth1"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: growth1</p><p><b>identifier</b>: growth1</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'MB' = 'Microbiology', given as 'microbiology'})</span>, Result <span>(Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span></p><p><b>code</b>: Aerobic Respiratory Culture, Sputum <span>(Details : {LOINC code '624-7' = 'Bacteria identified in Sputum by Respiratory culture', given as 'Bacteria Spt Resp Cul'}; {https://acme.org/codes code 'GROWTH' = 'GROWTH', given as 'Growth'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Aug 18, 2016</p><p><b>issued</b>: Aug 18, 2016 11:06:32 PM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: Moderate Growth <span>(Details : {SNOMED CT code '263812008' = 'Moderate growth', given as 'Moderate Growth'})</span></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "growth1" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:624-7;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "624-7" ];
       fhir:Coding.display [ fhir:value "Bacteria Spt Resp Cul" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "GROWTH" ];
       fhir:Coding.display [ fhir:value "Growth" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Aerobic Respiratory Culture, Sputum" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:263812008;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "263812008" ];
       fhir:Coding.display [ fhir:value "Moderate Growth" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Moderate Growth" ]
  ] .

<http://test.fhir.org/r4/Observation/lri-growth2> a fhir:Observation;
  fhir:Resource.id [ fhir:value "growth2"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: growth2</p><p><b>identifier</b>: growth2</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'MB' = 'Microbiology', given as 'microbiology'})</span>, Result <span>(Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span></p><p><b>code</b>: Aerobic Respiratory Culture, Sputum <span>(Details : {LOINC code '624-7' = 'Bacteria identified in Sputum by Respiratory culture', given as 'Bacteria Spt Resp Cul'}; {https://acme.org/codes code 'GROWTH' = 'GROWTH', given as 'Growth'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Aug 18, 2016</p><p><b>issued</b>: Aug 18, 2016 11:06:32 PM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: Heavy growth <span>(Details : {SNOMED CT code '263776006' = 'Heavy growth', given as 'Heavy growth'})</span></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "growth2" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:624-7;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "624-7" ];
       fhir:Coding.display [ fhir:value "Bacteria Spt Resp Cul" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "GROWTH" ];
       fhir:Coding.display [ fhir:value "Growth" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Aerobic Respiratory Culture, Sputum" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:263776006;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "263776006" ];
       fhir:Coding.display [ fhir:value "Heavy growth" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Heavy growth" ]
  ] .

<http://test.fhir.org/r4/Observation/lri-growth3> a fhir:Observation;
  fhir:Resource.id [ fhir:value "growth3"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: growth3</p><p><b>identifier</b>: growth3</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'MB' = 'Microbiology', given as 'microbiology'})</span>, Result <span>(Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span></p><p><b>code</b>: Aerobic Respiratory Culture, Sputum <span>(Details : {LOINC code '624-7' = 'Bacteria identified in Sputum by Respiratory culture', given as 'Bacteria Spt Resp Cul'}; {https://acme.org/codes code 'GROWTH' = 'GROWTH', given as 'Growth'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Aug 18, 2016</p><p><b>issued</b>: Aug 18, 2016 11:06:32 PM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: Heavy growth <span>(Details : {SNOMED CT code '263776006' = 'Heavy growth', given as 'Heavy growth'})</span></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "growth3" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:624-7;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "624-7" ];
       fhir:Coding.display [ fhir:value "Bacteria Spt Resp Cul" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "GROWTH" ];
       fhir:Coding.display [ fhir:value "Growth" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Aerobic Respiratory Culture, Sputum" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:263776006;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "263776006" ];
       fhir:Coding.display [ fhir:value "Heavy growth" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Heavy growth" ]
  ] .

<http://test.fhir.org/r4/Observation/lri-org2-amp> a fhir:Observation;
  fhir:Resource.id [ fhir:value "org2-amp"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: org2-amp</p><p><b>identifier</b>: org2-amp</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'MB' = 'Microbiology', given as 'microbiology'})</span>, Result <span>(Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span></p><p><b>code</b>: Ampicilin MIC <span>(Details : {LOINC code '28-1' = 'Ampicillin [Susceptibility] by Minimum inhibitory concentration (MIC)', given as 'Ampicilin Islt MIC'}; {https://acme.org/codes code 'AMPMIC' = 'AMPMIC', given as 'Ampicilin MIC'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Aug 18, 2016</p><p><b>issued</b>: Aug 18, 2016 11:06:32 PM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: &lt;0.06 ug/ml<span> (Details: UCUM code ug/mL = 'ug/mL')</span></p><p><b>interpretation</b>: Susceptible <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S' = 'Susceptible', given as 'Susceptible'})</span></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "org2-amp" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:28-1;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "28-1" ];
       fhir:Coding.display [ fhir:value "Ampicilin Islt MIC" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "AMPMIC" ];
       fhir:Coding.display [ fhir:value "Ampicilin MIC" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Ampicilin MIC" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "0.06"^^xsd:decimal ];
     fhir:Quantity.comparator [ fhir:value "<" ];
     fhir:Quantity.unit [ fhir:value "ug/ml" ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "ug/mL" ]
  ];
  fhir:Observation.interpretation [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ];
       fhir:Coding.code [ fhir:value "S" ];
       fhir:Coding.display [ fhir:value "Susceptible" ]
     ]
  ] .

<http://test.fhir.org/r4/Observation/lri-org2-cip> a fhir:Observation;
  fhir:Resource.id [ fhir:value "org2-cip"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: org2-cip</p><p><b>identifier</b>: org2-cip</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'MB' = 'Microbiology', given as 'microbiology'})</span>, Result <span>(Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span></p><p><b>code</b>: Ciprofloxacin MIC <span>(Details : {LOINC code '185-9' = 'Ciprofloxacin [Susceptibility] by Minimum inhibitory concentration (MIC)', given as 'Ciprofloxacin Islt MIC'}; {https://acme.org/codes code 'CIPMIC' = 'CIPMIC', given as 'Ciprofloxacin MIC'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Aug 18, 2016</p><p><b>issued</b>: Aug 18, 2016 11:06:32 PM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: &lt;0.05 ug/ml<span> (Details: UCUM code ug/mL = 'ug/mL')</span></p><p><b>interpretation</b>: Susceptible <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S' = 'Susceptible', given as 'Susceptible'})</span></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "org2-cip" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:185-9;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "185-9" ];
       fhir:Coding.display [ fhir:value "Ciprofloxacin Islt MIC" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "CIPMIC" ];
       fhir:Coding.display [ fhir:value "Ciprofloxacin MIC" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Ciprofloxacin MIC" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "0.05"^^xsd:decimal ];
     fhir:Quantity.comparator [ fhir:value "<" ];
     fhir:Quantity.unit [ fhir:value "ug/ml" ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "ug/mL" ]
  ];
  fhir:Observation.interpretation [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ];
       fhir:Coding.code [ fhir:value "S" ];
       fhir:Coding.display [ fhir:value "Susceptible" ]
     ]
  ] .

<http://test.fhir.org/r4/Observation/lri-org2-gent> a fhir:Observation;
  fhir:Resource.id [ fhir:value "org2-gent"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: org2-gent</p><p><b>identifier</b>: org2-gent</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'MB' = 'Microbiology', given as 'microbiology'})</span>, Result <span>(Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span></p><p><b>code</b>: Gentamicin MIC <span>(Details : {LOINC code '267-5' = 'Gentamicin [Susceptibility] by Minimum inhibitory concentration (MIC)', given as 'Gentamicin Islt MIC'}; {https://acme.org/codes code 'CIPMIC' = 'CIPMIC', given as 'Gentamicin MIC'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Aug 18, 2016</p><p><b>issued</b>: Aug 18, 2016 11:06:32 PM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: &lt;0.05 ug/ml<span> (Details: UCUM code ug/mL = 'ug/mL')</span></p><p><b>interpretation</b>: Susceptible <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S' = 'Susceptible', given as 'Susceptible'})</span></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "org2-gent" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:267-5;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "267-5" ];
       fhir:Coding.display [ fhir:value "Gentamicin Islt MIC" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "CIPMIC" ];
       fhir:Coding.display [ fhir:value "Gentamicin MIC" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Gentamicin MIC" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "0.05"^^xsd:decimal ];
     fhir:Quantity.comparator [ fhir:value "<" ];
     fhir:Quantity.unit [ fhir:value "ug/ml" ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "ug/mL" ]
  ];
  fhir:Observation.interpretation [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ];
       fhir:Coding.code [ fhir:value "S" ];
       fhir:Coding.display [ fhir:value "Susceptible" ]
     ]
  ] .

<http://test.fhir.org/r4/Observation/lri-org3-amp> a fhir:Observation;
  fhir:Resource.id [ fhir:value "org3-amp"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: org3-amp</p><p><b>identifier</b>: org3-amp</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'MB' = 'Microbiology', given as 'microbiology'})</span>, Result <span>(Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span></p><p><b>code</b>: Ampicilin MIC <span>(Details : {LOINC code '28-1' = 'Ampicillin [Susceptibility] by Minimum inhibitory concentration (MIC)', given as 'Ampicilin Islt MIC'}; {https://acme.org/codes code 'AMPMIC' = 'AMPMIC', given as 'Ampicilin MIC'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Aug 18, 2016</p><p><b>issued</b>: Aug 18, 2016 11:06:32 PM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: &lt;0.06 ug/ml<span> (Details: UCUM code ug/mL = 'ug/mL')</span></p><p><b>interpretation</b>: Susceptible <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S' = 'Susceptible', given as 'Susceptible'})</span></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "org3-amp" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:28-1;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "28-1" ];
       fhir:Coding.display [ fhir:value "Ampicilin Islt MIC" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "AMPMIC" ];
       fhir:Coding.display [ fhir:value "Ampicilin MIC" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Ampicilin MIC" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "0.06"^^xsd:decimal ];
     fhir:Quantity.comparator [ fhir:value "<" ];
     fhir:Quantity.unit [ fhir:value "ug/ml" ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "ug/mL" ]
  ];
  fhir:Observation.interpretation [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ];
       fhir:Coding.code [ fhir:value "S" ];
       fhir:Coding.display [ fhir:value "Susceptible" ]
     ]
  ] .

<http://test.fhir.org/r4/Observation/lri-org3-cip> a fhir:Observation;
  fhir:Resource.id [ fhir:value "org3-cip"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: org3-cip</p><p><b>identifier</b>: org3-cip</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'MB' = 'Microbiology', given as 'microbiology'})</span>, Result <span>(Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span></p><p><b>code</b>: Ciprofloxacin MIC <span>(Details : {LOINC code '185-9' = 'Ciprofloxacin [Susceptibility] by Minimum inhibitory concentration (MIC)', given as 'Ciprofloxacin Islt MIC'}; {https://acme.org/codes code 'CIPMIC' = 'CIPMIC', given as 'Ciprofloxacin MIC'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Aug 18, 2016</p><p><b>issued</b>: Aug 18, 2016 11:06:32 PM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: &lt;0.05 ug/ml<span> (Details: UCUM code ug/mL = 'ug/mL')</span></p><p><b>interpretation</b>: Susceptible <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S' = 'Susceptible', given as 'Susceptible'})</span></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "org3-cip" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:185-9;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "185-9" ];
       fhir:Coding.display [ fhir:value "Ciprofloxacin Islt MIC" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "CIPMIC" ];
       fhir:Coding.display [ fhir:value "Ciprofloxacin MIC" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Ciprofloxacin MIC" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "0.05"^^xsd:decimal ];
     fhir:Quantity.comparator [ fhir:value "<" ];
     fhir:Quantity.unit [ fhir:value "ug/ml" ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "ug/mL" ]
  ];
  fhir:Observation.interpretation [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ];
       fhir:Coding.code [ fhir:value "S" ];
       fhir:Coding.display [ fhir:value "Susceptible" ]
     ]
  ] .

<http://test.fhir.org/r4/Observation/lri-org3-gent> a fhir:Observation;
  fhir:Resource.id [ fhir:value "org3-gent"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: org3-gent</p><p><b>identifier</b>: org3-gent</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'MB' = 'Microbiology', given as 'microbiology'})</span></p><p><b>code</b>: Gentamicin MIC <span>(Details : {LOINC code '267-5' = 'Gentamicin [Susceptibility] by Minimum inhibitory concentration (MIC)', given as 'Gentamicin Islt MIC'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Aug 18, 2016</p><p><b>issued</b>: Aug 18, 2016 11:06:32 PM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: &lt;0.05 ug/ml<span> (Details: UCUM code ug/mL = 'ug/mL')</span></p><p><b>interpretation</b>: Susceptible <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'S' = 'Susceptible', given as 'Susceptible'})</span></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "org3-gent" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:267-5;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "267-5" ];
       fhir:Coding.display [ fhir:value "Gentamicin Islt MIC" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Gentamicin MIC" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "0.05"^^xsd:decimal ];
     fhir:Quantity.comparator [ fhir:value "<" ];
     fhir:Quantity.unit [ fhir:value "ug/ml" ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "ug/mL" ]
  ];
  fhir:Observation.interpretation [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ];
       fhir:Coding.code [ fhir:value "S" ];
       fhir:Coding.display [ fhir:value "Susceptible" ]
     ]
  ] .

<http://test.fhir.org/r4/Observation/lri-organism1> a fhir:Observation;
  fhir:Resource.id [ fhir:value "organism1"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: organism1</p><p><b>identifier</b>: organism1</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'MB' = 'Microbiology', given as 'microbiology'})</span>, Result <span>(Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span></p><p><b>code</b>: Aerobic Respiratory Culture, Sputum <span>(Details : {LOINC code '624-7' = 'Bacteria identified in Sputum by Respiratory culture', given as 'Bacteria Spt Resp Cul'}; {https://acme.org/codes code 'CULTID' = 'CULTID', given as 'Culture ID'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Aug 18, 2016</p><p><b>issued</b>: Aug 18, 2016 11:06:32 PM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: Normal flora <span>(Details : {SNOMED CT code '23506009' = 'Normal flora', given as 'Normal flora'})</span></p><p><b>hasMember</b>: <a>Moderate growth</a></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "organism1" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:624-7;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "624-7" ];
       fhir:Coding.display [ fhir:value "Bacteria Spt Resp Cul" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "CULTID" ];
       fhir:Coding.display [ fhir:value "Culture ID" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Aerobic Respiratory Culture, Sputum" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:23506009;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "23506009" ];
       fhir:Coding.display [ fhir:value "Normal flora" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Normal flora" ]
  ];
  fhir:Observation.hasMember [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Observation/growth1>;
     fhir:Reference.reference [ fhir:value "Observation/growth1" ];
     fhir:Reference.display [ fhir:value "Moderate growth" ]
  ] .

<http://hl7.org/fhir/Observation/growth1> a fhir:Observation .

<http://test.fhir.org/r4/Observation/lri-organism2> a fhir:Observation;
  fhir:Resource.id [ fhir:value "organism2"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: organism2</p><p><b>identifier</b>: organism2</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'MB' = 'Microbiology', given as 'microbiology'})</span>, Result <span>(Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span></p><p><b>code</b>: Aerobic Respiratory Culture, Sputum <span>(Details : {LOINC code '624-7' = 'Bacteria identified in Sputum by Respiratory culture', given as 'Bacteria Spt Resp Cul'}; {https://acme.org/codes code 'CULTID' = 'CULTID', given as 'Culture ID'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Aug 18, 2016</p><p><b>issued</b>: Aug 18, 2016 11:06:32 PM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: Klebsiella pneumonia <span>(Details : {SNOMED CT code '56415008' = 'Klebsiella pneumoniae', given as '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>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "organism2" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:624-7;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "624-7" ];
       fhir:Coding.display [ fhir:value "Bacteria Spt Resp Cul" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "CULTID" ];
       fhir:Coding.display [ fhir:value "Culture ID" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Aerobic Respiratory Culture, Sputum" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:56415008;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "56415008" ];
       fhir:Coding.display [ fhir:value "Klebsiella pneumonia" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Klebsiella pneumonia" ]
  ];
  fhir:Observation.hasMember [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Observation/growth2>;
     fhir:Reference.reference [ fhir:value "Observation/growth2" ];
     fhir:Reference.display [ fhir:value "Heavy growth" ]
  ], [
     fhir:index 1;
     fhir:link <http://hl7.org/fhir/Observation/org2-amp>;
     fhir:Reference.reference [ fhir:value "Observation/org2-amp" ];
     fhir:Reference.display [ fhir:value "Ampicillin MIC - Susceptible" ]
  ], [
     fhir:index 2;
     fhir:link <http://hl7.org/fhir/Observation/org2-cip>;
     fhir:Reference.reference [ fhir:value "Observation/org2-cip" ];
     fhir:Reference.display [ fhir:value "Ciprofloxacin MIC - Susceptible" ]
  ], [
     fhir:index 3;
     fhir:link <http://hl7.org/fhir/Observation/org2-gent>;
     fhir:Reference.reference [ fhir:value "Observation/org2-gent" ];
     fhir:Reference.display [ fhir:value "Gentamicin MIC  - Susceptible" ]
  ] .

<http://hl7.org/fhir/Observation/growth2> a fhir:Observation .

<http://hl7.org/fhir/Observation/org2-amp> a fhir:Observation .

<http://hl7.org/fhir/Observation/org2-cip> a fhir:Observation .

<http://hl7.org/fhir/Observation/org2-gent> a fhir:Observation .

<http://test.fhir.org/r4/Observation/lri-organism3> a fhir:Observation;
  fhir:Resource.id [ fhir:value "organism3"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: organism3</p><p><b>identifier</b>: organism3</p><p><b>status</b>: final</p><p><b>category</b>: Micro <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'MB' = 'Microbiology', given as 'microbiology'})</span>, Result <span>(Details : {urn:oid:2.16.840.1.113883.9.195.4.61 code 'RSLT' = 'RSLT', given as 'Result'})</span></p><p><b>code</b>: Aerobic Respiratory Culture, Sputum <span>(Details : {LOINC code '624-7' = 'Bacteria identified in Sputum by Respiratory culture', given as 'Bacteria Spt Resp Cul'}; {https://acme.org/codes code 'CULTID' = 'CULTID', given as 'Culture ID'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Aug 18, 2016</p><p><b>issued</b>: Aug 18, 2016 11:06:32 PM</p><p><b>performer</b>: <a>Organization/example</a></p><p><b>value</b>: Staphlyococcuc aureus <span>(Details : {SNOMED CT code '3092008' = 'Staphylococcus aureus', given as '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>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "organism3" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "MB" ];
       fhir:Coding.display [ fhir:value "microbiology" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Micro" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.9.195.4.61" ];
       fhir:Coding.code [ fhir:value "RSLT" ];
       fhir:Coding.display [ fhir:value "Result" ]
     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:624-7;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "624-7" ];
       fhir:Coding.display [ fhir:value "Bacteria Spt Resp Cul" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "https://acme.org/codes" ];
       fhir:Coding.code [ fhir:value "CULTID" ];
       fhir:Coding.display [ fhir:value "Culture ID" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Aerobic Respiratory Culture, Sputum" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2016-08-18"^^xsd:date];
  fhir:Observation.issued [ fhir:value "2016-08-18T23:06:32Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/example>;
     fhir:Reference.reference [ fhir:value "Organization/example" ]
  ];
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:3092008;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "3092008" ];
       fhir:Coding.display [ fhir:value "Staphlyococcuc aureus" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Staphlyococcuc aureus" ]
  ];
  fhir:Observation.hasMember [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Observation/growth3>;
     fhir:Reference.reference [ fhir:value "Observation/growth3" ];
     fhir:Reference.display [ fhir:value "Heavy growth" ]
  ], [
     fhir:index 1;
     fhir:link <http://hl7.org/fhir/Observation/org3-amp>;
     fhir:Reference.reference [ fhir:value "Observation/org3-amp" ];
     fhir:Reference.display [ fhir:value "Ampicillin MIC - Susceptible" ]
  ], [
     fhir:index 2;
     fhir:link <http://hl7.org/fhir/Observation/org3-cip>;
     fhir:Reference.reference [ fhir:value "Observation/org3-cip" ];
     fhir:Reference.display [ fhir:value "Ciprofloxacin MIC - Susceptible" ]
  ], [
     fhir:index 3;
     fhir:link <http://hl7.org/fhir/Observation/org3-gent>;
     fhir:Reference.reference [ fhir:value "Observation/org3-gent" ];
     fhir:Reference.display [ fhir:value "Gentamicin MIC  - Susceptible" ]
  ] .

<http://hl7.org/fhir/Observation/growth3> a fhir:Observation .

<http://hl7.org/fhir/Observation/org3-amp> a fhir:Observation .

<http://hl7.org/fhir/Observation/org3-cip> a fhir:Observation .

<http://hl7.org/fhir/Observation/org3-gent> a fhir:Observation .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Bundle/lri-example.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/Bundle/lri-example.ttl> .

# -------------------------------------------------------------------------------------


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.