Diagnostics
This page is part of the FHIR Specification (v1.6.0:
STU
3 Ballot 4). The current version which supercedes this version is
5.0.0
.
For
a
full
list
of
available
versions,
see
the
Directory
of
published
versions
. For a full list of available versions, see the
Directory of published versions 
.
Page
versions:
. Page versions:
R5
R4B
R4
R3
R2
Raw JSON
(
canonical
form
canonical form
)
An
example
of
a
complex
Micro
Isolate
and
Sensitivities
)
An example of a complex Micro Isolate and Sensitivities
{
"resourceType": "DiagnosticReport",
"id": "micro",
"text": {
"status": "generated",
"div": "<div><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>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>effective</b>: 07/08/2009 7:00:00 PM</p><p><b>issued</b>: 10/08/2009 8:25:44 AM</p><p><b>performer</b>: Todd Ashby</p><p><b>request</b>: id: req; Patient/example; 255337816</p><p><b>result</b>: id: org1; status: final; Staphylococcus aureus Panel <span>(Details : {http://acme.org/lab/codes/organisms code 'Staaur' = '??)</span>; Patient/example</p></div>"
"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>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>effective</b>: 07/08/2009 7:00:00 PM</p><p><b>issued</b>: 10/08/2009 8:25:44 AM</p><p><b>performer</b>: Todd Ashby</p><p><b>request</b>: id: req; 255337816; Original Order <span>(Details : {http://hl7.org/fhir/request-stage code 'original-order' = 'Original Order)</span>; Culture, MRSA <span>(Details : {LOINC code '632-0' = 'Bacteria identified in Wound by Aerobe culture)</span>; ????</p><p><b>result</b>: id: org1; status: final; Staphylococcus aureus Panel <span>(Details : {http://acme.org/lab/codes/organisms code 'Staaur' = '??)</span>; ????</p></div>"
},
"contained": [
{
"resourceType": "Observation",
"id": "obx1-4",
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": "ORGANISM"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueCodeableConcept": {
"coding": [
{
"fhir_comments": [
" CE "
],
"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"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"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"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"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": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 2,
"comparator": "<="
},
"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": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 4,
"comparator": "<="
},
"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"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5,
"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"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 1,
"comparator": ">="
},
"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"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5,
"comparator": "<="
},
"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": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 8,
"comparator": ">="
},
"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"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 2,
"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"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5,
"comparator": "<="
},
"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"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 4
},
"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": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5,
"comparator": "<="
},
"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"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5
},
"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"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 2,
"comparator": ">="
},
"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"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5
},
"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": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5,
"comparator": "<="
},
"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"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.5,
"comparator": "<="
},
"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"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 0.0526,
"comparator": "<=",
"_comparator": {
"fhir_comments": [
" not sure what to do with <=1/19 "
]
}
"comparator": "<="
},
"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"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"valueQuantity": {
"value": 1
},
"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": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"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"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
}
},
{
"resourceType": "Observation",
"id": "obr-2",
"status": "final",
"code": {
"fhir_comments": [
" OBR 2 "
],
"coding": [
{
"system": "http://acme.org/lab/codes/panels",
"code": "60790",
"display": "Susceptibility - Automated broth dilution (Billed)"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"performer": [
{
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
}
],
"related": [
{
"fhir_comments": [
" now, references to the OBXs. for reader convenience, we take keep the OBX identification, though this is not required in practice. Note that many of the oBX segments are pairs that get collapsed "
],
"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": {
"fhir_comments": [
" OBR 3 "
],
"coding": [
{
"system": "http://acme.org/lab/codes/panels",
"code": "60418",
"display": "Susceptibility - Disk diffusion (Billed)"
}
]
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"related": [
{
"type": "has-member",
"target": {
"reference": "#obx3-1"
}
}
]
},
{
"resourceType": "Observation",
"id": "org1",
"status": "final",
"code": {
"fhir_comments": [
" OBR 1 "
],
"coding": [
{
"system": "http://acme.org/lab/codes/organisms",
"code": "Staaur"
}
],
"text": "Staphylococcus aureus Panel"
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"related": [
{
"type": "has-member",
"target": {
"reference": "#obx1-4"
}
},
{
"type": "has-member",
"target": {
"reference": "#obx1-5"
}
},
{
"fhir_comments": [
" group - automated broth dilution. This is unusual - usually, there's just one level of group, and this group would be skipped "
],
"type": "has-member",
"target": {
"reference": "#obr-2"
}
},
{
"fhir_comments": [
" group - Disk diffusion "
],
"type": "has-member",
"target": {
"reference": "#obr-3"
}
}
]
},
{
"resourceType": "DiagnosticOrder",
"resourceType": "DiagnosticRequest",
"id": "req",
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"identifier": [
{
"value": "255337816"
}
]
],
"stage": {
"coding": [
{
"system": "http://hl7.org/fhir/request-stage",
"code": "original-order"
}
]
},
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "632-0"
}
],
"text": "Culture, MRSA"
},
"subject": {
"reference": "Patient/example"
}
}
],
"identifier": [
{
"system": "http://hnam.org/identifiers/orders",
"value": "290741144",
"_value": {
"fhir_comments": [
" seems like a likely choice "
]
}
"value": "290741144"
}
],
"status": "final",
"category": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0074",
"code": "MB"
}
]
},
"code": {
"fhir_comments": [
" start of the main resource "
],
"coding": [
{
"system": "http://loinc.org",
"code": "632-0"
}
],
"text": "Culture, MRSA"
},
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"effectiveDateTime": "2009-08-07T19:00:00+10:00",
"issued": "2009-08-10T08:25:44+10:00",
"performer": {
"fhir_comments": [
" of course, in practive, this would be a real reference "
],
"display": "Todd Ashby"
},
"performer": [
{
"display": "Todd Ashby"
}
],
"request": [
{
"reference": "#req"
}
],
"result": [
{
"reference": "#org1"
}
]
}
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.
©
HL7.org
2011+.
FHIR
DSTU2
(v1.0.2-7202)
generated
on
Sat,
Oct
24,
2015
07:44+1100.
Links:
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.
© HL7.org 2011+. FHIR STU3 Ballot (v1.6.0-9663) generated on Thu, Aug 11, 2016 17:06+1000.
QA Page
Links:
Search
|
Version
History
|
Table
of
Contents
|
Compare
to
DSTU1
|
|
Version History
|
Table of Contents
|
Compare to DSTU2
|
|
Propose
a
change
|
Propose a change