HL7 FHIR Implementation Guide Laboratory Report
0.1.0 - ballot Italy flag

This page is part of the HL7 FHIR Implementation Guide Laboratory Report (v0.1.0: Release 1 Ballot 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Example Bundle: Microbiologia - DiagnosticReport - Observation - Specimen

Bundle Bundle-Lab-Esempio-2 of type transaction


Entry 1 - fullUrl = /DiagnosticReport

Request:

POST /DiagnosticReport

Resource DiagnosticReport:

Coltura e suscettibilità batterica aerobica e anaerobica (Laboratory)

SubjectMaria Rossi female, DoB: 1971-05-01 ( id: RSSMRA71E01F205E)
When For2022-10-25 13:35:00+0100

Report Details

CodeValue
Gram Stain
Coltura Aerobica
Coltura AnaerobiNo growth


Entry 2 - fullUrl = /Observation/1

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "20e0ab9e-2ce4-431a-adfb-6a727bd49355"

Profile: Observation - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: Ciprofloxacin [Susceptibility] (LOINC#18906-8)

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

value: <=0.5 ug/mL (Details: UCUM code ug/mL = 'ug/mL')

interpretation: Susceptible (ObservationInterpretation#S)


Entry 3 - fullUrl = /Observation/2

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "25c5aa73-387d-4b80-9245-8e1adfa470f5"

Profile: Observation - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: Microscopic observation [Identifier] in Specimen by Gram stain (LOINC#664-3)

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

value: Gram-negative rods (SNOMED CT#87172008)

hasMember: See above (Observation/f2e48d96-a153-46b3-a15b-58b5aa761853)


Entry 4 - fullUrl = /Observation/3

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "297c84f2-28d6-41b5-a270-6f563ef0fdfc"

Profile: Observation battery - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: Coltura Aerobica (LOINC#17898-8)

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

hasMember:


Entry 5 - fullUrl = /Observation/4

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "2b209d21-dc7b-4267-a089-d3b61667945a"

Profile: Observation - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: Leukocytes [Presence] in Specimen by Gram stain (LOINC#72163-9)

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

value: Non osservati. (SNOMED CT#2667000 "Absent")


Entry 6 - fullUrl = /Observation/5

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "333b62b2-47b0-43b5-9745-abec1f0c4656"

Profile: Observation battery - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: Gram Stain (LOINC#664-3)

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

hasMember:


Entry 7 - fullUrl = /Observation/6

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "31747c3c-0a07-4937-9529-378140609e96"

Profile: Observation - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: Bacterial susceptibility panel (LOINC#29576-6)

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

hasMember:


Entry 8 - fullUrl = /Observation/7

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "424aba49-cc38-4207-b9a0-c484062ecb26"

Profile: Observation - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: Bacteria identified in Specimen by Aerobe culture (LOINC#634-6)

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

value: Klebsiella oxytoca (SNOMED CT#40886007)

hasMember:


Entry 9 - fullUrl = /Observation/8

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "4bc004e5-e77b-46c7-b0d5-3dfa127b48b4"

Profile: Observation - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: Bacterial susceptibility panel (LOINC#29576-6)

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

hasMember:


Entry 10 - fullUrl = /Observation/9

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "4edf70e9-b332-4804-a3bf-5d1c14e9f892"

Profile: Observation - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: Ampicillin [Susceptibility] (LOINC#18864-9)

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

value: >16 ug/mL (Details: UCUM code ug/mL = 'ug/mL')

interpretation: Resistant (ObservationInterpretation#R)


Entry 11 - fullUrl = /Observation/10

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "516884c4-8a1f-4e5b-8492-a7dd190f1fb0"

Profile: Observation - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: Microscopic observation [Identifier] in Specimen by Gram stain (LOINC#664-3)

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

value: Gram-positive cocci in clusters (SNOMED CT#70003006)

hasMember: See above (Observation/9018b020-6e21-4afa-9131-5832132092c1)


Entry 12 - fullUrl = /Observation/11

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "60f23552-dfb9-4142-95a2-911a41180c78"

Profile: Observation - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: Oxacillin [Susceptibility] (LOINC#18961-3)

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

value: 0.5 ug/mL (Details: UCUM code ug/mL = 'ug/mL')

interpretation: Susceptible (ObservationInterpretation#S)


Entry 13 - fullUrl = /Observation/12

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "652d16a5-91d9-40fb-9c5c-3950683e5d9f"

Profile: Observation - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: Cephalothin [Susceptibility] (LOINC#18900-1)

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

value: <=2 ug/mL (Details: UCUM code ug/mL = 'ug/mL')

interpretation: Susceptible (ObservationInterpretation#S)


Entry 14 - fullUrl = /Observation/13

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "6b103ad8-1870-45bb-884a-86675ad404f1"

Profile: Observation - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: Bacteria identified in Specimen by Aerobe culture (LOINC#634-6)

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

value: Staphylococcus aureus (SNOMED CT#3092008)

hasMember:


Entry 15 - fullUrl = /Observation/14

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "848e01c5-1565-4708-92c3-304418a43a40"

Profile: Observation - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: Vancomycin [Susceptibility] (LOINC#19000-9)

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

value: <=1 ug/mL (Details: UCUM code ug/mL = 'ug/mL')

interpretation: Susceptible (ObservationInterpretation#S)


Entry 16 - fullUrl = /Observation/15

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "9018b020-6e21-4afa-9131-5832132092c1"

Profile: Observation - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: Quantità osservata ()

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

value: + (SNOMED CT#441614007 "Present + out of +++")


Entry 17 - fullUrl = /Observation/16

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "a99f7742-c77d-4650-918b-1e9a6e28cefd"

Profile: Observation - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: Crescita di microrganismi ()

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

value: ++ (SNOMED CT#441517005 "Present ++ out of +++")


Entry 18 - fullUrl = /Observation/17

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "f2831756-1436-11ee-be56-0242ac120002"

Profile: Observation - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: Imipenem [Susceptibility] (LOINC#18932-4)

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

value: <=1 ug/mL (Details: UCUM code ug/mL = 'ug/mL')

interpretation: Susceptible (ObservationInterpretation#S)


Entry 19 - fullUrl = /Observation/18

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "ccf32a29-d9f5-435a-9c67-e59d7104adff"

Profile: Observation - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: levoFLOXacin [Susceptibility] (LOINC#20629-2)

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

value: >4 ug/mL (Details: UCUM code ug/mL = 'ug/mL')

interpretation: Resistant (ObservationInterpretation#R)


Entry 20 - fullUrl = /Observation/19

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "e271a348-4f54-4667-86ed-d9ecfb7430f6"

Profile: Observation - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: Coltura Anaerobi (LOINC#635-3)

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

value: No growth (SNOMED CT#264868006)


Entry 21 - fullUrl = /Observation/20

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "ed8a917b-2e94-4aa9-b824-5dceee2deb90"

Profile: Observation - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: Crescita di microrganismi ()

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

value: Scanty growth (SNOMED CT#263866000)


Entry 22 - fullUrl = /Observation/21

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "f2e48d96-a153-46b3-a15b-58b5aa761853"

Profile: Observation - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: Quantità osservata ()

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

value: ++ (SNOMED CT#441517005 "Present ++ out of +++")


Entry 23 - fullUrl = /Observation/22

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "f2e48d96-a153-46b3-a15b-58b5aa761853"

Profile: Observation - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: Quantità osservata ()

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

value: ++ (SNOMED CT#441517005 "Present ++ out of +++")


Entry 24 - fullUrl = /Observation/23

Request:

POST /Observation

Resource Observation:

Generated Narrative: Observation

Resource Observation "20e0ab9e-2ce4-431b-adfb-6a727bd49355"

Profile: Observation - Lab Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Microbiology (diagnosticServiceSectionId#MB)

code: Gentamicin [Susceptibility] (LOINC#18928-2)

subject: Patient/Paziente-SSN " ROSSI"

encounter: Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c

value: >8 ug/mL (Details: UCUM code ug/mL = 'ug/mL')

interpretation: Resistant (ObservationInterpretation#R)