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Example DiagnosticReport/micro (JSON)

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

Raw JSON (canonical form + also see JSON Format Specification)

An example of a complex Micro Isolate and Sensitivities.

{
  "resourceType" : "Bundle",
  "id" : "micro",
  "type" : "collection",
  "entry" : [{
    "fullUrl" : "https://example.com/base/DiagnosticReport/micro",
    "resource" : {
      "resourceType" : "DiagnosticReport",
      "id" : "micro",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (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>"
      },
      "identifier" : [{
        "system" : "http://hnam.org/identifiers/orders",
        "value" : "290741144"
      }],
      "basedOn" : [{
        "reference" : "ServiceRequest/req"
      }],
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code" : "MB"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "632-0",
          "display" : "Bacteria identified in Wound by Aerobe culture"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "issued" : "2009-08-10T08:25:44+10:00",
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "result" : [{
        "reference" : "Observation/org1"
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obx1-4",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obx1-4",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (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>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "ORGANISM"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/organisms",
          "code" : "Staaur"
        }],
        "text" : "Staphylococcus aureus"
      }
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obx1-5",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obx1-5",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (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>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "CULTPOSNEG"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/flags",
          "code" : "POS"
        }]
      }
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obx2-1",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obx2-1",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (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>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60504",
          "display" : "Ampicillin"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "R"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obx2-2",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obx2-2",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &lt;=2</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}\">Susceptible</span></p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60512",
          "display" : "Cefazolin"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 2,
        "comparator" : "<="
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "S"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obx2-4",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obx2-4",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &lt;=4</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}\">Susceptible</span></p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60516",
          "display" : "Cefoxitin"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 4,
        "comparator" : "<="
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "S"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obx2-6",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obx2-6",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &gt;=0.5</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}\">Susceptible</span></p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60527",
          "display" : "Clindamycin"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 0.5,
        "comparator" : ">="
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "S"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obx2-8",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obx2-8",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &gt;=1</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}\">Susceptible</span></p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "61203",
          "display" : "Daptomycin"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 1,
        "comparator" : ">="
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "S"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obx2-10",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obx2-10",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &lt;=0.5</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}\">Susceptible</span></p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60532",
          "display" : "Doxycycline"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 0.5,
        "comparator" : "<="
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "S"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obx2-12",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obx2-12",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &gt;=8</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation R}\">Resistant</span></p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60533",
          "display" : "Erythromycin"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 8,
        "comparator" : ">="
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "R"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obx2-14",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obx2-14",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &lt;=2</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}\">Susceptible</span></p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60536",
          "display" : "Gentamicin"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 2,
        "comparator" : "<="
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "S"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obx2-16",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obx2-16",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &lt;=0.5</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}\">Susceptible</span></p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "61007",
          "display" : "Levofloxacin"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 0.5,
        "comparator" : "<="
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "S"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obx2-18",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obx2-18",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (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>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60699",
          "display" : "Linezolid"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 4
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "S"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obx2-20",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obx2-20",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &lt;=0.5</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}\">Susceptible</span></p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "61204",
          "display" : "Moxifloxacin"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 0.5,
        "comparator" : "<="
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "S"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obx2-22",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obx2-22",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (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>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60551",
          "display" : "Oxacillin"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 0.5
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "S"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obx2-24",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obx2-24",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &gt;=2</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation R}\">Resistant</span></p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60552",
          "display" : "Penicillin"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 2,
        "comparator" : ">="
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "R"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obx2-26",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obx2-26",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (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>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60697",
          "display" : "Quinupristin/Dalfopristin"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 0.5
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "S"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obx2-28",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obx2-28",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &lt;=0.5</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}\">Susceptible</span></p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60555",
          "display" : "Rifampin"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 0.5,
        "comparator" : "<="
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "S"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obx2-30",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obx2-30",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &lt;=0.5</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}\">Susceptible</span></p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60558",
          "display" : "Tetracycline"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 0.5,
        "comparator" : "<="
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "S"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obx2-32",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obx2-32",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</a></p><p><b>performer</b>: Todd Ashby</p><p><b>value</b>: &lt;=0.0526</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation S}\">Susceptible</span></p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60561",
          "display" : "Trimethoprim/Sulfamethoxazole"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 0.0526,
        "comparator" : "<="
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "S"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obx2-34",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obx2-34",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (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>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60563",
          "display" : "Vancomycin"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 1
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "S"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/nte-1",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "nte-1",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (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>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "2099930",
          "display" : "D-Test"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueString" : "D-Test:  Negative - This isolate does not demonstrate inducible clindamycin resistance in vitro."
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obx3-1",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obx3-1",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (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>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60036",
          "display" : "Oxacillin"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "S"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obr-2",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obr-2",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (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>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/panels",
          "code" : "60790",
          "display" : "Susceptibility - Automated broth dilution (Billed)"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "hasMember" : [{
        "reference" : "Observation/obx2-1"
      },
      {
        "reference" : "Observation/obx2-2"
      },
      {
        "reference" : "Observation/obx2-4"
      },
      {
        "reference" : "Observation/obx2-6"
      },
      {
        "reference" : "Observation/obx2-8"
      },
      {
        "reference" : "Observation/obx2-10"
      },
      {
        "reference" : "Observation/obx2-12"
      },
      {
        "reference" : "Observation/obx2-14"
      },
      {
        "reference" : "Observation/obx2-16"
      },
      {
        "reference" : "Observation/obx2-18"
      },
      {
        "reference" : "Observation/obx2-20"
      },
      {
        "reference" : "Observation/obx2-22"
      },
      {
        "reference" : "Observation/obx2-24"
      },
      {
        "reference" : "Observation/obx2-26"
      },
      {
        "reference" : "Observation/obx2-28"
      },
      {
        "reference" : "Observation/obx2-30"
      },
      {
        "reference" : "Observation/obx2-32"
      },
      {
        "reference" : "Observation/obx2-34"
      },
      {
        "reference" : "Observation/nte-1"
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/obr-3",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obr-3",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</a></p><p><b>hasMember</b>: <a href=\"broken-link.html\">??</a></p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/panels",
          "code" : "60418",
          "display" : "Susceptibility - Disk diffusion (Billed)"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "hasMember" : [{
        "reference" : "Observation/obx3-1"
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/Observation/org1",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "org1",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (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>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/organisms",
          "code" : "Staaur"
        }],
        "text" : "Staphylococcus aureus Panel"
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "hasMember" : [{
        "reference" : "Observation/obx1-4"
      },
      {
        "reference" : "Observation/obx1-5"
      },
      {
        "reference" : "Observation/obr-2"
      },
      {
        "reference" : "Observation/obr-3"
      }]
    }
  },
  {
    "fullUrl" : "https://example.com/base/ServiceRequest/req",
    "resource" : {
      "resourceType" : "ServiceRequest",
      "id" : "req",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p 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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</a></p></div>"
      },
      "identifier" : [{
        "value" : "255337816"
      }],
      "status" : "active",
      "intent" : "original-order",
      "code" : {
        "concept" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "632-0"
          }],
          "text" : "Culture, MRSA"
        }
      },
      "subject" : {
        "reference" : "Patient/example"
      }
    }
  }]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.