This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions
Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner |
Raw XML (canonical form + also see XML Format Specification)
An example of a complex Micro Isolate and Sensitivities. (id = "micro")
<?xml version="1.0" encoding="UTF-8"?> <Bundle xmlns="http://hl7.org/fhir"> <id value="micro"/> <type value="collection"/> <entry> <fullUrl value="https://example.com/base/DiagnosticReport/micro"/> <resource> <DiagnosticReport> <!-- start of the main resource --> <id value="micro"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: DiagnosticReport micro</b> </p> <a name="micro"> </a> <a name="hcmicro"> </a> <a name="micro-en-US"> </a> <h2> <span title="Codes:{http://loinc.org 632-0}">Bacteria identified in Wound by Aerobe culture</span> (<span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 MB}">Microbiology</span> ) </h2> <table class="grid"><tr> <td> Subject</td> <td> Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</td> </tr> <tr> <td> Reported</td> <td> 2009-08-10T08:25:44+10:00</td> </tr> <tr> <td> Performer</td> <td> Todd Ashby</td> </tr> <tr> <td> Identifier</td> <td> <code> http://hnam.org/identifiers/orders</code> /290741144</td> </tr> </table> <p> <b> Report Details</b> </p> <table class="grid"><tr> <td> <b> Code</b> </td> <td> <b> Value</b> </td> </tr> <tr> <td colspan="2"><i> Observation</i> </td> </tr> </table> </div> </text> <identifier> <system value="http://hnam.org/identifiers/orders"/> <!-- seems like a likely choice --> <value value="290741144"/> </identifier> <basedOn> <reference value="ServiceRequest/req"/> </basedOn> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> <code value="MB"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="632-0"/> <display value="Bacteria identified in Wound by Aerobe culture"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <issued value="2009-08-10T08:25:44+10:00"/> <performer> <display value="Todd Ashby"/> </performer> <result> <reference value="Observation/org1"/> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obx1-4"/> <resource> <Observation> <id value="obx1-4"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obx1-4</b> </p> <a name="obx1-4"> </a> <a name="hcobx1-4"> </a> <a name="obx1-4-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests ORGANISM}">ORGANISM</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : <span title="Codes:{http://acme.org/lab/codes/organisms Staaur}">Staphylococcus aureus</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="ORGANISM"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <valueCodeableConcept> <!-- CE --> <coding> <system value="http://acme.org/lab/codes/organisms"/> <code value="Staaur"/> </coding> <text value="Staphylococcus aureus"/> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obx1-5"/> <resource> <Observation> <id value="obx1-5"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obx1-5</b> </p> <a name="obx1-5"> </a> <a name="hcobx1-5"> </a> <a name="obx1-5-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests CULTPOSNEG}">CULTPOSNEG</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : <span title="Codes:{http://acme.org/lab/codes/flags POS}">POS</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="CULTPOSNEG"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <valueCodeableConcept> <coding> <system value="http://acme.org/lab/codes/flags"/> <code value="POS"/> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obx2-1"/> <resource> <Observation> <id value="obx2-1"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obx2-1</b> </p> <a name="obx2-1"> </a> <a name="hcobx2-1"> </a> <a name="obx2-1-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests 60504}">Ampicillin</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> interpretation</b> : <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation R}">Resistant</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="60504"/> <display value="Ampicillin"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="R"/> </coding> </interpretation> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obx2-2"/> <resource> <Observation> <id value="obx2-2"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obx2-2</b> </p> <a name="obx2-2"> </a> <a name="hcobx2-2"> </a> <a name="obx2-2-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests 60512}">Cefazolin</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : <=2</p> <p> <b> interpretation</b> : <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}">Susceptible</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="60512"/> <display value="Cefazolin"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <valueQuantity> <value value="2"/> <comparator value="<="/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="S"/> </coding> </interpretation> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obx2-4"/> <resource> <Observation> <id value="obx2-4"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obx2-4</b> </p> <a name="obx2-4"> </a> <a name="hcobx2-4"> </a> <a name="obx2-4-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests 60516}">Cefoxitin</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : <=4</p> <p> <b> interpretation</b> : <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}">Susceptible</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="60516"/> <display value="Cefoxitin"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <valueQuantity> <value value="4"/> <comparator value="<="/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="S"/> </coding> </interpretation> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obx2-6"/> <resource> <Observation> <id value="obx2-6"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obx2-6</b> </p> <a name="obx2-6"> </a> <a name="hcobx2-6"> </a> <a name="obx2-6-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests 60527}">Clindamycin</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : >=0.5</p> <p> <b> interpretation</b> : <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}">Susceptible</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="60527"/> <display value="Clindamycin"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <valueQuantity> <value value="0.5"/> <comparator value=">="/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="S"/> </coding> </interpretation> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obx2-8"/> <resource> <Observation> <id value="obx2-8"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obx2-8</b> </p> <a name="obx2-8"> </a> <a name="hcobx2-8"> </a> <a name="obx2-8-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests 61203}">Daptomycin</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : >=1</p> <p> <b> interpretation</b> : <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}">Susceptible</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="61203"/> <display value="Daptomycin"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <valueQuantity> <value value="1"/> <comparator value=">="/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="S"/> </coding> </interpretation> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obx2-10"/> <resource> <Observation> <id value="obx2-10"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obx2-10</b> </p> <a name="obx2-10"> </a> <a name="hcobx2-10"> </a> <a name="obx2-10-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests 60532}">Doxycycline</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : <=0.5</p> <p> <b> interpretation</b> : <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}">Susceptible</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="60532"/> <display value="Doxycycline"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <valueQuantity> <value value="0.5"/> <comparator value="<="/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="S"/> </coding> </interpretation> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obx2-12"/> <resource> <Observation> <id value="obx2-12"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obx2-12</b> </p> <a name="obx2-12"> </a> <a name="hcobx2-12"> </a> <a name="obx2-12-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests 60533}">Erythromycin</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : >=8</p> <p> <b> interpretation</b> : <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation R}">Resistant</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="60533"/> <display value="Erythromycin"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <valueQuantity> <value value="8"/> <comparator value=">="/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="R"/> </coding> </interpretation> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obx2-14"/> <resource> <Observation> <id value="obx2-14"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obx2-14</b> </p> <a name="obx2-14"> </a> <a name="hcobx2-14"> </a> <a name="obx2-14-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests 60536}">Gentamicin</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : <=2</p> <p> <b> interpretation</b> : <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}">Susceptible</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="60536"/> <display value="Gentamicin"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <valueQuantity> <value value="2"/> <comparator value="<="/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="S"/> </coding> </interpretation> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obx2-16"/> <resource> <Observation> <id value="obx2-16"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obx2-16</b> </p> <a name="obx2-16"> </a> <a name="hcobx2-16"> </a> <a name="obx2-16-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests 61007}">Levofloxacin</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : <=0.5</p> <p> <b> interpretation</b> : <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}">Susceptible</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="61007"/> <display value="Levofloxacin"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <valueQuantity> <value value="0.5"/> <comparator value="<="/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="S"/> </coding> </interpretation> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obx2-18"/> <resource> <Observation> <id value="obx2-18"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obx2-18</b> </p> <a name="obx2-18"> </a> <a name="hcobx2-18"> </a> <a name="obx2-18-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests 60699}">Linezolid</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : 4</p> <p> <b> interpretation</b> : <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}">Susceptible</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="60699"/> <display value="Linezolid"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <valueQuantity> <value value="4"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="S"/> </coding> </interpretation> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obx2-20"/> <resource> <Observation> <id value="obx2-20"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obx2-20</b> </p> <a name="obx2-20"> </a> <a name="hcobx2-20"> </a> <a name="obx2-20-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests 61204}">Moxifloxacin</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : <=0.5</p> <p> <b> interpretation</b> : <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}">Susceptible</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="61204"/> <display value="Moxifloxacin"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <valueQuantity> <value value="0.5"/> <comparator value="<="/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="S"/> </coding> </interpretation> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obx2-22"/> <resource> <Observation> <id value="obx2-22"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obx2-22</b> </p> <a name="obx2-22"> </a> <a name="hcobx2-22"> </a> <a name="obx2-22-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests 60551}">Oxacillin</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : 0.5</p> <p> <b> interpretation</b> : <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}">Susceptible</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="60551"/> <display value="Oxacillin"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <valueQuantity> <value value="0.5"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="S"/> </coding> </interpretation> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obx2-24"/> <resource> <Observation> <id value="obx2-24"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obx2-24</b> </p> <a name="obx2-24"> </a> <a name="hcobx2-24"> </a> <a name="obx2-24-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests 60552}">Penicillin</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : >=2</p> <p> <b> interpretation</b> : <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation R}">Resistant</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="60552"/> <display value="Penicillin"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <valueQuantity> <value value="2"/> <comparator value=">="/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="R"/> </coding> </interpretation> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obx2-26"/> <resource> <Observation> <id value="obx2-26"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obx2-26</b> </p> <a name="obx2-26"> </a> <a name="hcobx2-26"> </a> <a name="obx2-26-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests 60697}">Quinupristin/Dalfopristin</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : 0.5</p> <p> <b> interpretation</b> : <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}">Susceptible</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="60697"/> <display value="Quinupristin/Dalfopristin"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <valueQuantity> <value value="0.5"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="S"/> </coding> </interpretation> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obx2-28"/> <resource> <Observation> <id value="obx2-28"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obx2-28</b> </p> <a name="obx2-28"> </a> <a name="hcobx2-28"> </a> <a name="obx2-28-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests 60555}">Rifampin</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : <=0.5</p> <p> <b> interpretation</b> : <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}">Susceptible</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="60555"/> <display value="Rifampin"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <valueQuantity> <value value="0.5"/> <comparator value="<="/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="S"/> </coding> </interpretation> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obx2-30"/> <resource> <Observation> <id value="obx2-30"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obx2-30</b> </p> <a name="obx2-30"> </a> <a name="hcobx2-30"> </a> <a name="obx2-30-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests 60558}">Tetracycline</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : <=0.5</p> <p> <b> interpretation</b> : <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}">Susceptible</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="60558"/> <display value="Tetracycline"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <valueQuantity> <value value="0.5"/> <comparator value="<="/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="S"/> </coding> </interpretation> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obx2-32"/> <resource> <Observation> <id value="obx2-32"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obx2-32</b> </p> <a name="obx2-32"> </a> <a name="hcobx2-32"> </a> <a name="obx2-32-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests 60561}">Trimethoprim/Sulfamethoxazole</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : <=0.0526</p> <p> <b> interpretation</b> : <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}">Susceptible</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="60561"/> <display value="Trimethoprim/Sulfamethoxazole"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <valueQuantity> <value value="0.0526"/> <!-- not sure what to do with <=1/19 --> <comparator value="<="/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="S"/> </coding> </interpretation> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obx2-34"/> <resource> <Observation> <id value="obx2-34"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obx2-34</b> </p> <a name="obx2-34"> </a> <a name="hcobx2-34"> </a> <a name="obx2-34-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests 60563}">Vancomycin</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : 1</p> <p> <b> interpretation</b> : <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}">Susceptible</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="60563"/> <display value="Vancomycin"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <valueQuantity> <value value="1"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="S"/> </coding> </interpretation> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/nte-1"/> <resource> <Observation> <id value="nte-1"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation nte-1</b> </p> <a name="nte-1"> </a> <a name="hcnte-1"> </a> <a name="nte-1-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests 2099930}">D-Test</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> value</b> : D-Test: Negative - This isolate does not demonstrate inducible clindamycin resistance in vitro.</p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="2099930"/> <display value="D-Test"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <valueString value="D-Test: Negative - This isolate does not demonstrate inducible clindamycin resistance in vitro."/> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obx3-1"/> <resource> <Observation> <id value="obx3-1"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obx3-1</b> </p> <a name="obx3-1"> </a> <a name="hcobx3-1"> </a> <a name="obx3-1-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/tests 60036}">Oxacillin</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> interpretation</b> : <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}">Susceptible</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://acme.org/lab/codes/tests"/> <code value="60036"/> <display value="Oxacillin"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="S"/> </coding> </interpretation> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obr-2"/> <resource> <Observation> <id value="obr-2"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obr-2</b> </p> <a name="obr-2"> </a> <a name="hcobr-2"> </a> <a name="obr-2-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/panels 60790}">Susceptibility - Automated broth dilution (Billed)</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> performer</b> : Todd Ashby</p> <p> <b> hasMember</b> : </p> <ul> <li> <a href="broken-link.html">??</a> </li> <li> <a href="broken-link.html">??</a> </li> <li> <a href="broken-link.html">??</a> </li> <li> <a href="broken-link.html">??</a> </li> <li> <a href="broken-link.html">??</a> </li> <li> <a href="broken-link.html">??</a> </li> <li> <a href="broken-link.html">??</a> </li> <li> <a href="broken-link.html">??</a> </li> <li> <a href="broken-link.html">??</a> </li> <li> <a href="broken-link.html">??</a> </li> <li> <a href="broken-link.html">??</a> </li> <li> <a href="broken-link.html">??</a> </li> <li> <a href="broken-link.html">??</a> </li> <li> <a href="broken-link.html">??</a> </li> <li> <a href="broken-link.html">??</a> </li> <li> <a href="broken-link.html">??</a> </li> <li> <a href="broken-link.html">??</a> </li> <li> <a href="broken-link.html">??</a> </li> <li> <a href="broken-link.html">??</a> </li> </ul> </div> </text> <status value="final"/> <!-- OBR 2 --> <code> <coding> <system value="http://acme.org/lab/codes/panels"/> <code value="60790"/> <display value="Susceptibility - Automated broth dilution (Billed)"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <!-- of course, in practive, this would be a real reference --> <performer> <display value="Todd Ashby"/> </performer> <!-- 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 --> <hasMember> <reference value="Observation/obx2-1"/> </hasMember> <hasMember> <reference value="Observation/obx2-2"/> </hasMember> <hasMember> <reference value="Observation/obx2-4"/> </hasMember> <hasMember> <reference value="Observation/obx2-6"/> </hasMember> <hasMember> <reference value="Observation/obx2-8"/> </hasMember> <hasMember> <reference value="Observation/obx2-10"/> </hasMember> <hasMember> <reference value="Observation/obx2-12"/> </hasMember> <hasMember> <reference value="Observation/obx2-14"/> </hasMember> <hasMember> <reference value="Observation/obx2-16"/> </hasMember> <hasMember> <reference value="Observation/obx2-18"/> </hasMember> <hasMember> <reference value="Observation/obx2-20"/> </hasMember> <hasMember> <reference value="Observation/obx2-22"/> </hasMember> <hasMember> <reference value="Observation/obx2-24"/> </hasMember> <hasMember> <reference value="Observation/obx2-26"/> </hasMember> <hasMember> <reference value="Observation/obx2-28"/> </hasMember> <hasMember> <reference value="Observation/obx2-30"/> </hasMember> <hasMember> <reference value="Observation/obx2-32"/> </hasMember> <hasMember> <reference value="Observation/obx2-34"/> </hasMember> <hasMember> <reference value="Observation/nte-1"/> </hasMember> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/obr-3"/> <resource> <Observation> <id value="obr-3"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation obr-3</b> </p> <a name="obr-3"> </a> <a name="hcobr-3"> </a> <a name="obr-3-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/panels 60418}">Susceptibility - Disk diffusion (Billed)</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> hasMember</b> : <a href="broken-link.html">??</a> </p> </div> </text> <status value="final"/> <!-- OBR 3 --> <code> <coding> <system value="http://acme.org/lab/codes/panels"/> <code value="60418"/> <display value="Susceptibility - Disk diffusion (Billed)"/> </coding> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <hasMember> <reference value="Observation/obx3-1"/> </hasMember> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/org1"/> <resource> <Observation> <id value="org1"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: Observation org1</b> </p> <a name="org1"> </a> <a name="hcorg1"> </a> <a name="org1-en-US"> </a> <p> <b> status</b> : final</p> <p> <b> code</b> : <span title="Codes:{http://acme.org/lab/codes/organisms Staaur}">Staphylococcus aureus Panel</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> <p> <b> hasMember</b> : </p> <ul> <li> <a href="broken-link.html">??</a> </li> <li> <a href="broken-link.html">??</a> </li> <li> <a href="broken-link.html">??</a> </li> <li> <a href="broken-link.html">??</a> </li> </ul> </div> </text> <status value="final"/> <!-- OBR 1 --> <code> <coding> <system value="http://acme.org/lab/codes/organisms"/> <code value="Staaur"/> </coding> <text value="Staphylococcus aureus Panel"/> </code> <!-- patient chosen at random --> <subject> <reference value="Patient/example"/> </subject> <hasMember> <reference value="Observation/obx1-4"/> </hasMember> <hasMember> <reference value="Observation/obx1-5"/> </hasMember> <!-- group - automated broth dilution. This is unusual - usually, there's just one level of group, and this group would be skipped --> <hasMember> <reference value="Observation/obr-2"/> </hasMember> <!-- group - Disk diffusion --> <hasMember> <reference value="Observation/obr-3"/> </hasMember> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/ServiceRequest/req"/> <resource> <ServiceRequest> <id value="req"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b> Generated Narrative: ServiceRequest req</b> </p> <a name="req"> </a> <a name="hcreq"> </a> <a name="req-en-US"> </a> <p> <b> identifier</b> : 255337816</p> <p> <b> status</b> : active</p> <p> <b> intent</b> : original-order</p> <h3> Codes</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Concept</b> </td> </tr> <tr> <td style="display: none">*</td> <td> <span title="Codes:{http://loinc.org 632-0}">Culture, MRSA</span> </td> </tr> </table> <p> <b> subject</b> : <a href="patient-example.html">Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a> </p> </div> </text> <identifier> <value value="255337816"/> </identifier> <status value="active"/> <intent value="original-order"/> <code> <concept> <coding> <system value="http://loinc.org"/> <code value="632-0"/> </coding> <text value="Culture, MRSA"/> </concept> </code> <subject> <reference value="Patient/example"/> </subject> </ServiceRequest> </resource> </entry> </Bundle>
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot2 generated on Mon, Nov 4, 2024 06:44+0000.
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