DSTU2
This
page
is
part
of
the
FHIR
Specification
(v0.0.82:
(v1.0.2:
DSTU
1).
2).
The
current
version
which
supercedes
this
version
is
5.0.0
.
For
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see
the
Directory
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versions:
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R4B
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R3
R2
An example of a complex Micro Isolate and Sensitivities
{
"resourceType": "DiagnosticReport",
"id": "micro",
"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>"
"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>"
},
"contained": [
{
"resourceType": "Observation",
"id": "obx1-4",
"name": {
"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"
},
"status": "final",
"reliability": "ok"
}
},
{
"resourceType": "Observation",
"id": "obx1-5",
"name": {
"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"
}
]
},
"status": "final",
"reliability": "ok"
}
},
{
"resourceType": "Observation",
"id": "obx2-1",
"name": {
"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"
}
]
},
"status": "final",
"reliability": "ok"
}
},
{
"resourceType": "Observation",
"id": "obx2-2",
"name": {
"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"
}
]
},
"status": "final",
"reliability": "ok"
}
},
{
"resourceType": "Observation",
"id": "obx2-4",
"name": {
"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"
}
]
},
"status": "final",
"reliability": "ok"
}
},
{
"resourceType": "Observation",
"id": "obx2-6",
"name": {
"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"
}
]
},
"status": "final",
"reliability": "ok"
}
},
{
"resourceType": "Observation",
"id": "obx2-8",
"name": {
"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"
}
]
},
"status": "final",
"reliability": "ok"
}
},
{
"resourceType": "Observation",
"id": "obx2-10",
"name": {
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60532",
"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"
}
]
},
"status": "final",
"reliability": "ok"
}
},
{
"resourceType": "Observation",
"id": "obx2-12",
"name": {
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60533",
"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"
}
]
},
"status": "final",
"reliability": "ok"
}
},
{
"resourceType": "Observation",
"id": "obx2-14",
"name": {
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60536",
"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"
}
]
},
"status": "final",
"reliability": "ok"
}
},
{
"resourceType": "Observation",
"id": "obx2-16",
"name": {
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 61007",
"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"
}
]
},
"status": "final",
"reliability": "ok"
}
},
{
"resourceType": "Observation",
"id": "obx2-18",
"name": {
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60699",
"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"
}
]
},
"status": "final",
"reliability": "ok"
}
},
{
"resourceType": "Observation",
"id": "obx2-20",
"name": {
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 61204",
"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"
}
]
},
"status": "final",
"reliability": "ok"
}
},
{
"resourceType": "Observation",
"id": "obx2-22",
"name": {
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60551",
"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"
}
]
},
"status": "final",
"reliability": "ok"
}
},
{
"resourceType": "Observation",
"id": "obx2-24",
"name": {
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60552",
"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"
}
]
},
"status": "final",
"reliability": "ok"
}
},
{
"resourceType": "Observation",
"id": "obx2-26",
"name": {
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60697",
"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"
}
]
},
"status": "final",
"reliability": "ok"
}
},
{
"resourceType": "Observation",
"id": "obx2-28",
"name": {
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60555",
"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"
}
]
},
"status": "final",
"reliability": "ok"
}
},
{
"resourceType": "Observation",
"id": "obx2-30",
"name": {
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60558",
"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"
}
]
},
"status": "final",
"reliability": "ok"
}
},
{
"resourceType": "Observation",
"id": "obx2-32",
"name": {
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60561",
"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": "<=",
"_comparator": {
"fhir_comments": [
" not sure what to do with <=1/19 "
]
}
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "S"
}
]
},
"status": "final",
"reliability": "ok"
}
},
{
"resourceType": "Observation",
"id": "obx2-34",
"name": {
"status": "final",
"code": {
"coding": [
{
"system": "http://acme.org/lab/codes/tests",
"code": " 60563",
"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"
}
]
},
"status": "final",
"reliability": "ok"
}
},
{
"resourceType": "Observation",
"id": "nte-1",
"name": {
"status": "final",
"code": {
"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"
"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",
"name": {
"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"
}
]
},
"status": "final",
"reliability": "ok"
}
},
{
"resourceType": "Observation",
"id": "obr-2",
"name": {
"status": "final",
"code": {
"fhir_comments": [
" OBR 2 "
],
"coding": [
{
"system": "http://acme.org/lab/codes/panels",
"code": "60790",
"display": "Susceptibility - Automated broth dilution (Billed)"
}
]
},
"status": "final",
"reliability": "ok",
"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",
"name": {
"status": "final",
"code": {
"fhir_comments": [
" OBR 3 "
],
"coding": [
{
"system": "http://acme.org/lab/codes/panels",
"code": "60418",
"display": "Susceptibility - Disk diffusion (Billed)"
}
]
},
"status": "final",
"reliability": "ok",
"subject": {
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"related": [
{
"type": "has-member",
"target": {
"reference": "#obx3-1"
}
}
]
},
{
"resourceType": "Observation",
"id": "org1",
"name": {
"status": "final",
"code": {
"fhir_comments": [
" OBR 1 "
],
"coding": [
{
"system": "http://acme.org/lab/codes/organisms",
"code": "Staaur"
}
],
"text": "Staphylococcus aureus Panel"
},
"status": "final",
"reliability": "ok",
"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",
"id": "req",
"subject": {
"reference": "Patient/101"
"fhir_comments": [
" patient chosen at random "
],
"reference": "Patient/example"
},
"identifier": [
{
"value": "255337816"
}
]
}
],
"name": {
"identifier": [
{
"system": "http://hnam.org/identifiers/orders",
"value": "290741144",
"_value": {
"fhir_comments": [
" seems like a likely choice "
]
}
}
],
"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"
},
"status": "final",
"issued": "2009-08-10T08:25:44",
"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"
},
"identifier": {
"system": "http://hnam.org/identifiers/orders",
"value": "290741144"
},
"requestDetail": [
"request": [
{
"reference": "#req"
}
],
"serviceCategory": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0074",
"code": "MB"
}
]
},
"diagnosticDateTime": "2009-08-07T19:00:00"
"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
DSTU
(v0.0.82.2943)
DSTU2
(v1.0.2-7202)
generated
on
Tue,
Sep
30,
2014
18:09+1000.
Sat,
Oct
24,
2015
07:44+1100.
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