This page is part of the FHIR Specification (v0.0.82: DSTU 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
. Page versions: R5 R4B R4 R3 R2
An example of a complex Micro Isolate and Sensitivities
{
"resourceType": "DiagnosticReport",
"text": {
"status": "generated",
"div": "<div>\n <p>\n <b>Generated Narrative</b>\n </p>\n <p>\n <b>name</b>: \n <span title=\"Codes: {http://loinc.org 632-0}\">Culture, MRSA</span>\n </p>\n <p>\n <b>status</b>: final_\n </p>\n <p>\n <b>issued</b>: 10-Aug 2009 8:25\n </p>\n <p>\n <b>subject</b>: \n <a href=\"patient-example.html\">MRN = 12345 (usual); Peter James Chalmers (official), Jim ; Male; birthDate: 25-Dec 1974; active</a>\n </p>\n <p>\n <b>performer</b>: Todd Ashby\n </p>\n <p>\n <b>identifier</b>: 290741144\n </p>\n <p>\n <b>requestDetail</b>: Patient/101; 255337816\n </p>\n <p>\n <b>serviceCategory</b>: \n <span title=\"Codes: {http://hl7.org/fhir/v2/0074 MB}\">Microbiology</span>\n </p>\n <p>\n <b>diagnostic[x]</b>: 7-Aug 2009 19:0\n </p>\n </div>"
},
"contained": [
{
"resourceType": "Observation",
"id": "obx1-4",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "ORGANISM"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://acme.org/lab/codes/organisms",
"code": "Staaur"
}
],
"text": "Staphylococcus aureus"
},
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "obx1-5",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "CULTPOSNEG"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://acme.org/lab/codes/flags",
"code": "POS"
}
]
},
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "obx2-1",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60504",
"display": "Ampicillin"
}
]
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "R"
}
]
},
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "obx2-2",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60512",
"display": "Cefazolin"
}
]
},
"valueQuantity": {
"value": 2,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
},
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "obx2-4",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60516",
"display": "Cefoxitin"
}
]
},
"valueQuantity": {
"value": 4,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
},
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "obx2-6",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60527",
"display": "Clindamycin"
}
]
},
"valueQuantity": {
"value": 0.5,
"comparator": ">="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
},
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "obx2-8",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "61203",
"display": "Daptomycin"
}
]
},
"valueQuantity": {
"value": 1,
"comparator": ">="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
},
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "obx2-10",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60532",
"display": "Doxycycline"
}
]
},
"valueQuantity": {
"value": 0.5,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
},
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "obx2-12",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60533",
"display": "Erythromycin"
}
]
},
"valueQuantity": {
"value": 8,
"comparator": ">="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "R"
}
]
},
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "obx2-14",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60536",
"display": "Gentamicin"
}
]
},
"valueQuantity": {
"value": 2,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
},
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "obx2-16",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 61007",
"display": "Levofloxacin"
}
]
},
"valueQuantity": {
"value": 0.5,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
},
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "obx2-18",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60699",
"display": "Linezolid"
}
]
},
"valueQuantity": {
"value": 4
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
},
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "obx2-20",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 61204",
"display": "Moxifloxacin"
}
]
},
"valueQuantity": {
"value": 0.5,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
},
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "obx2-22",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60551",
"display": "Oxacillin"
}
]
},
"valueQuantity": {
"value": 0.5
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
},
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "obx2-24",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60552",
"display": "Penicillin"
}
]
},
"valueQuantity": {
"value": 2,
"comparator": ">="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "R"
}
]
},
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "obx2-26",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60697",
"display": "Quinupristin/Dalfopristin"
}
]
},
"valueQuantity": {
"value": 0.5
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
},
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "obx2-28",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60555",
"display": "Rifampin"
}
]
},
"valueQuantity": {
"value": 0.5,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
},
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "obx2-30",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60558",
"display": "Tetracycline"
}
]
},
"valueQuantity": {
"value": 0.5,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
},
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "obx2-32",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60561",
"display": "Trimethoprim/Sulfamethoxazole"
}
]
},
"valueQuantity": {
"value": 0.0526,
"comparator": "<="
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
},
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "obx2-34",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60563",
"display": "Vancomycin"
}
]
},
"valueQuantity": {
"value": 1
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
},
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "nte-1",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "2099930",
"display": "D-Test"
}
]
},
"valueString": "D-Test: Negative - This isolate does not demonstrate inducible clindamycin resistance in vitro.",
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "obx3-1",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "60036",
"display": "Oxacillin"
}
]
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
},
"status": "final",
"reliability": "ok"
},
{
"resourceType": "Observation",
"id": "obr-2",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/panels",
"code": "60790",
"display": "Susceptibility - Automated broth dilution (Billed)"
}
]
},
"status": "final",
"reliability": "ok",
"related": [
{
"type": "has-member",
"target": {
"reference": "#obx2-1"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-2"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-4"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-6"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-8"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-10"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-12"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-14"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-16"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-18"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-20"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-22"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-24"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-26"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-28"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-30"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-32"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx2-34"
}
},
{
"type": "has-member",
"target": {
"reference": "#nte-1"
}
}
]
},
{
"resourceType": "Observation",
"id": "obr-3",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/panels",
"code": "60418",
"display": "Susceptibility - Disk diffusion (Billed)"
}
]
},
"status": "final",
"reliability": "ok",
"related": [
{
"type": "has-member",
"target": {
"reference": "#obx3-1"
}
}
]
},
{
"resourceType": "Observation",
"id": "org1",
"name": {
"coding": [
{
"system": "http://acme.org/lab/codes/organisms",
"code": "Staaur"
}
],
"text": "Staphylococcus aureus Panel"
},
"status": "final",
"reliability": "ok",
"related": [
{
"type": "has-member",
"target": {
"reference": "#obx1-4"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx1-5"
}
},
{
"type": "has-member",
"target": {
"reference": "#obr-2"
}
},
{
"type": "has-member",
"target": {
"reference": "#obr-3"
}
}
]
},
{
"resourceType": "DiagnosticOrder",
"id": "req",
"subject": {
"reference": "Patient/101"
},
"identifier": [
{
"value": "255337816"
}
]
}
],
"name": {
"coding": [
{
"system": "http://loinc.org",
"code": "632-0"
}
],
"text": "Culture, MRSA"
},
"status": "final",
"issued": "2009-08-10T08:25:44",
"subject": {
"reference": "Patient/example"
},
"performer": {
"display": "Todd Ashby"
},
"identifier": {
"system": "http://hnam.org/identifiers/orders",
"value": "290741144"
},
"requestDetail": [
{
"reference": "#req"
}
],
"serviceCategory": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0074",
"code": "MB"
}
]
},
"diagnosticDateTime": "2009-08-07T19:00:00"
}