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Diagnosticreport-micro1.json

Example DiagnosticReport/micro (JSON)

Maturity Level : N/A
Responsible Owner: Orders and Observations Work Group Ballot Standards Status : Informative Compartments : Device , Encounter , Group , Patient , Practitioner

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

An example of a complex Micro Isolate and Sensitivities Sensitivities.

{
  "resourceType": "DiagnosticReport",
  "id": "micro",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: micro</p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: 290741144</p><p><b>basedOn</b>: id: req; 255337816; status: active; intent: original-order; Culture, MRSA <span>(Details : {LOINC code '632-0' = 'Bacteria identified in Wound by Aerobe culture)</span>; ????</p><p><b>status</b>: final</p><p><b>category</b>: Microbiology <span>(Details : {http://hl7.org/fhir/v2/0074 code 'MB' = 'Microbiology)</span></p><p><b>code</b>: Culture, MRSA <span>(Details : {LOINC code '632-0' = 'Bacteria identified in Wound by Aerobe culture)</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>issued</b>: 10/08/2009 8:25:44 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td>Todd Ashby</td></tr></table><p><b>result</b>: id: org1; status: final; Staphylococcus aureus Panel <span>(Details : {http://acme.org/lab/codes/organisms code 'Staaur' = 'Staaur)</span>; ????</p></div>"

  "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><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"
      }]
    }

  },
  "contained": [
    {
      "resourceType": "Observation",
      "id": "obx1-4",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "ORGANISM"
          }
        ]

  {
    "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><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>"

      },
      "subject": {
        "reference": "Patient/example"

      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "ORGANISM"
        }]

      },
      "performer": [
        {
          "display": "Todd Ashby"
        }
      ],
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/organisms",
            "code": "Staaur"
          }
        ],
        "text": "Staphylococcus aureus"

      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/organisms",
          "code" : "Staaur"
        }],
        "text" : "Staphylococcus aureus"

      }
    },
    {
      "resourceType": "Observation",
      "id": "obx1-5",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "CULTPOSNEG"
          }
        ]

    }
  },
  {
    "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><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>"

      },
      "subject": {
        "reference": "Patient/example"

      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "CULTPOSNEG"
        }]

      },
      "performer": [
        {
          "display": "Todd Ashby"
        }
      ],
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/flags",
            "code": "POS"
          }
        ]

      "subject" : {
        "reference" : "Patient/example"
      },
      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/flags",
          "code" : "POS"
        }]

      }
    },
    {
      "resourceType": "Observation",
      "id": "obx2-1",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "60504",
            "display": "Ampicillin"
          }
        ]

    }
  },
  {
    "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><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>"

      },
      "subject": {
        "reference": "Patient/example"

      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60504",
          "display" : "Ampicillin"
        }]

      },
      "performer": [
        {
          "display": "Todd Ashby"
        }
      ],
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "R"
          }
        ]
      }
    },
    {
      "resourceType": "Observation",
      "id": "obx2-2",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "60512",
            "display": "Cefazolin"
          }
        ]

      "subject" : {
        "reference" : "Patient/example"

      },
      "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><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>"

      },
      "performer": [
        {
          "display": "Todd Ashby"
        }
      ],
      "valueQuantity": {
        "value": 2,
        "comparator": "<="

      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60512",
          "display" : "Cefazolin"
        }]

      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      }
    },
    {
      "resourceType": "Observation",
      "id": "obx2-4",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "60516",
            "display": "Cefoxitin"
          }
        ]

      "subject" : {
        "reference" : "Patient/example"

      },
      "subject": {
        "reference": "Patient/example"

      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 2,
        "comparator" : "<="

      },
      "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/obx2-4",
    "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><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>"

      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      }
    },
    {
      "resourceType": "Observation",
      "id": "obx2-6",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "60527",
            "display": "Clindamycin"
          }
        ]

      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60516",
          "display" : "Cefoxitin"
        }]

      },
      "subject": {
        "reference": "Patient/example"

      "subject" : {
        "reference" : "Patient/example"

      },
      "performer": [
        {
          "display": "Todd Ashby"
        }
      ],
      "valueQuantity": {
        "value": 0.5,
        "comparator": ">="

      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 4,
        "comparator" : "<="

      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      }
    },
    {
      "resourceType": "Observation",
      "id": "obx2-8",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "61203",
            "display": "Daptomycin"
          }
        ]

      "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><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>"

      },
      "subject": {
        "reference": "Patient/example"

      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60527",
          "display" : "Clindamycin"
        }]

      },
      "performer": [
        {
          "display": "Todd Ashby"
        }
      ],
      "valueQuantity": {
        "value": 1,
        "comparator": ">="

      "subject" : {
        "reference" : "Patient/example"

      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      }
    },
    {
      "resourceType": "Observation",
      "id": "obx2-10",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "60532",
            "display": "Doxycycline"
          }
        ]

      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 0.5,
        "comparator" : ">="

      },
      "subject": {
        "reference": "Patient/example"

      "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><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>"

      },
      "performer": [
        {
          "display": "Todd Ashby"
        }
      ],
      "valueQuantity": {
        "value": 0.5,
        "comparator": "<="

      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "61203",
          "display" : "Daptomycin"
        }]

      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      }
    },
    {
      "resourceType": "Observation",
      "id": "obx2-12",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "60533",
            "display": "Erythromycin"
          }
        ]

      "subject" : {
        "reference" : "Patient/example"

      },
      "subject": {
        "reference": "Patient/example"

      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 1,
        "comparator" : ">="

      },
      "performer": [
        {
          "display": "Todd Ashby"
        }
      ],
      "valueQuantity": {
        "value": 8,
        "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><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>"

      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "R"
          }
        ]
      }
    },
    {
      "resourceType": "Observation",
      "id": "obx2-14",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "60536",
            "display": "Gentamicin"
          }
        ]

      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60532",
          "display" : "Doxycycline"
        }]

      },
      "subject": {
        "reference": "Patient/example"

      "subject" : {
        "reference" : "Patient/example"

      },
      "performer": [
        {
          "display": "Todd Ashby"
        }
      ],
      "valueQuantity": {
        "value": 2,
        "comparator": "<="

      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 0.5,
        "comparator" : "<="

      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      }
    },
    {
      "resourceType": "Observation",
      "id": "obx2-16",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "61007",
            "display": "Levofloxacin"
          }
        ]

      "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><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>"

      },
      "subject": {
        "reference": "Patient/example"

      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60533",
          "display" : "Erythromycin"
        }]

      },
      "performer": [
        {
          "display": "Todd Ashby"
        }
      ],
      "valueQuantity": {
        "value": 0.5,
        "comparator": "<="

      "subject" : {
        "reference" : "Patient/example"

      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      }
    },
    {
      "resourceType": "Observation",
      "id": "obx2-18",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "60699",
            "display": "Linezolid"
          }
        ]

      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 8,
        "comparator" : ">="

      },
      "subject": {
        "reference": "Patient/example"

      "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><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>"

      },
      "performer": [
        {
          "display": "Todd Ashby"
        }
      ],
      "valueQuantity": {
        "value": 4

      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60536",
          "display" : "Gentamicin"
        }]

      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      }
    },
    {
      "resourceType": "Observation",
      "id": "obx2-20",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "61204",
            "display": "Moxifloxacin"
          }
        ]

      "subject" : {
        "reference" : "Patient/example"

      },
      "subject": {
        "reference": "Patient/example"

      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 2,
        "comparator" : "<="

      },
      "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/obx2-16",
    "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><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>"

      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      }
    },
    {
      "resourceType": "Observation",
      "id": "obx2-22",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "60551",
            "display": "Oxacillin"
          }
        ]

      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "61007",
          "display" : "Levofloxacin"
        }]

      },
      "subject": {
        "reference": "Patient/example"

      "subject" : {
        "reference" : "Patient/example"

      },
      "performer": [
        {
          "display": "Todd Ashby"
        }
      ],
      "valueQuantity": {
        "value": 0.5

      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 0.5,
        "comparator" : "<="

      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      }
    },
    {
      "resourceType": "Observation",
      "id": "obx2-24",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "60552",
            "display": "Penicillin"
          }
        ]

      "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><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>"

      },
      "subject": {
        "reference": "Patient/example"

      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60699",
          "display" : "Linezolid"
        }]

      },
      "performer": [
        {
          "display": "Todd Ashby"
        }
      ],
      "valueQuantity": {
        "value": 2,
        "comparator": ">="

      "subject" : {
        "reference" : "Patient/example"

      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "R"
          }
        ]
      }
    },
    {
      "resourceType": "Observation",
      "id": "obx2-26",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "60697",
            "display": "Quinupristin/Dalfopristin"
          }
        ]

      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 4

      },
      "subject": {
        "reference": "Patient/example"

      "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><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>"

      },
      "performer": [
        {
          "display": "Todd Ashby"
        }
      ],
      "valueQuantity": {
        "value": 0.5

      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "61204",
          "display" : "Moxifloxacin"
        }]

      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      }
    },
    {
      "resourceType": "Observation",
      "id": "obx2-28",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "60555",
            "display": "Rifampin"
          }
        ]

      "subject" : {
        "reference" : "Patient/example"

      },
      "subject": {
        "reference": "Patient/example"

      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 0.5,
        "comparator" : "<="

      },
      "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><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>"

      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      }
    },
    {
      "resourceType": "Observation",
      "id": "obx2-30",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "60558",
            "display": "Tetracycline"
          }
        ]

      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60551",
          "display" : "Oxacillin"
        }]

      },
      "subject": {
        "reference": "Patient/example"

      "subject" : {
        "reference" : "Patient/example"

      },
      "performer": [
        {
          "display": "Todd Ashby"
        }
      ],
      "valueQuantity": {
        "value": 0.5,
        "comparator": "<="

      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 0.5

      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      }
    },
    {
      "resourceType": "Observation",
      "id": "obx2-32",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "60561",
            "display": "Trimethoprim/Sulfamethoxazole"
          }
        ]

      "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><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>"

      },
      "subject": {
        "reference": "Patient/example"

      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60552",
          "display" : "Penicillin"
        }]

      },
      "performer": [
        {
          "display": "Todd Ashby"
        }
      ],
      "valueQuantity": {
        "value": 0.0526,
        "comparator": "<="

      "subject" : {
        "reference" : "Patient/example"

      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      }
    },
    {
      "resourceType": "Observation",
      "id": "obx2-34",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "60563",
            "display": "Vancomycin"
          }
        ]

      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 2,
        "comparator" : ">="

      },
      "subject": {
        "reference": "Patient/example"

      "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><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>"

      },
      "performer": [
        {
          "display": "Todd Ashby"
        }
      ],
      "valueQuantity": {
        "value": 1

      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60697",
          "display" : "Quinupristin/Dalfopristin"
        }]

      },
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      }
    },
    {
      "resourceType": "Observation",
      "id": "nte-1",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "2099930",
            "display": "D-Test"
          }
        ]

      "subject" : {
        "reference" : "Patient/example"

      },
      "subject": {
        "reference": "Patient/example"

      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 0.5

      },
      "performer": [
        {
          "display": "Todd Ashby"
        }
      ],
      "valueString": "D-Test:  Negative - This isolate does not demonstrate inducible clindamycin resistance in vitro."
    },
    {
      "resourceType": "Observation",
      "id": "obx3-1",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/tests",
            "code": "60036",
            "display": "Oxacillin"
          }
        ]

      "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><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>"

      },
      "subject": {
        "reference": "Patient/example"

      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60555",
          "display" : "Rifampin"
        }]

      },
      "performer": [
        {
          "display": "Todd Ashby"
        }
      ],
      "interpretation": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0078",
            "code": "S"
          }
        ]
      }
    },
    {
      "resourceType": "Observation",
      "id": "obr-2",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/panels",
            "code": "60790",
            "display": "Susceptibility - Automated broth dilution (Billed)"
          }
        ]

      "subject" : {
        "reference" : "Patient/example"

      },
      "subject": {
        "reference": "Patient/example"

      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 0.5,
        "comparator" : "<="

      },
      "performer": [
        {
          "display": "Todd Ashby"
        }
      ],
      "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",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/panels",
            "code": "60418",
            "display": "Susceptibility - Disk diffusion (Billed)"
          }
        ]

      "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><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>"

      },
      "subject": {
        "reference": "Patient/example"

      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://acme.org/lab/codes/tests",
          "code" : "60558",
          "display" : "Tetracycline"
        }]

      },
      "related": [
        {
          "type": "has-member",
          "target": {
            "reference": "#obx3-1"
          }
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "org1",
      "status": "final",
      "code": {
        "coding": [
          {
            "system": "http://acme.org/lab/codes/organisms",
            "code": "Staaur"
          }
        ],
        "text": "Staphylococcus aureus Panel"

      "subject" : {
        "reference" : "Patient/example"

      },
      "subject": {
        "reference": "Patient/example"

      "performer" : [{
        "display" : "Todd Ashby"
      }],
      "valueQuantity" : {
        "value" : 0.5,
        "comparator" : "<="

      },
      "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": "ProcedureRequest",
      "id": "req",
      "identifier": [
        {
          "value": "255337816"
        }
      ],
      "status": "active",
      "intent": "original-order",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "632-0"
          }
        ],
        "text": "Culture, MRSA"

      "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><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>"

      },
      "subject": {
        "reference": "Patient/example"
      }

      "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"
        }]
      }]

    }
  ],
  "identifier": [
    {
      "system": "http://hnam.org/identifiers/orders",
      "value": "290741144"

  },
  {
    "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><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"
        }]
      }]

    }
  ],
  "basedOn": [
    {
      "reference": "#req"

  },
  {
    "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><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."

    }
  ],
  "status": "final",
  "category": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/v2/0074",
        "code": "MB"
      }
    ]

  },
  "code": {
    "coding": [

  {
    "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><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><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\">Observation/obx2-1</a></li><li><a href=\"broken-link.html\">Observation/obx2-2</a></li><li><a href=\"broken-link.html\">Observation/obx2-4</a></li><li><a href=\"broken-link.html\">Observation/obx2-6</a></li><li><a href=\"broken-link.html\">Observation/obx2-8</a></li><li><a href=\"broken-link.html\">Observation/obx2-10</a></li><li><a href=\"broken-link.html\">Observation/obx2-12</a></li><li><a href=\"broken-link.html\">Observation/obx2-14</a></li><li><a href=\"broken-link.html\">Observation/obx2-16</a></li><li><a href=\"broken-link.html\">Observation/obx2-18</a></li><li><a href=\"broken-link.html\">Observation/obx2-20</a></li><li><a href=\"broken-link.html\">Observation/obx2-22</a></li><li><a href=\"broken-link.html\">Observation/obx2-24</a></li><li><a href=\"broken-link.html\">Observation/obx2-26</a></li><li><a href=\"broken-link.html\">Observation/obx2-28</a></li><li><a href=\"broken-link.html\">Observation/obx2-30</a></li><li><a href=\"broken-link.html\">Observation/obx2-32</a></li><li><a href=\"broken-link.html\">Observation/obx2-34</a></li><li><a href=\"broken-link.html\">Observation/nte-1</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"
      },

      {
        "system": "http://loinc.org",
        "code": "632-0"
      }
    ],
    "text": "Culture, MRSA"

        "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"
      }]
    }

  },
  "subject": {
    "reference": "Patient/example"

  {
    "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><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\">Observation/obx3-1</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"
      }]
    }

  },
  "issued": "2009-08-10T08:25:44+10:00",
  "performer": [
    {
      "actor": {
        "display": "Todd Ashby"
      }

  {
    "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><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\">Observation/obx1-4</a></li><li><a href=\"broken-link.html\">Observation/obx1-5</a></li><li><a href=\"broken-link.html\">Observation/obr-2</a></li><li><a href=\"broken-link.html\">Observation/obr-3</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"
      }]

    }
  ],
  "result": [
    {
      "reference": "#org1"

  },
  {
    "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><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.