PATH-R4-25: Observation Example - Aerobic Blood Culture

An example of a narrative test result:

  • Aerobic blood culture: No growth detected after 5 days incubation

<Observation xmlns="http://hl7.org/fhir">
    <id value="Pathology-Observation-Aerobic-Culture-Example" />
    <meta>
        <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
    </meta>
    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
        <value value="60b90d3d-2967-4b10-a208-27a5336c9a81" />
    </identifier>
    <status value="final" />
    <category>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
            <code value="laboratory" />
            <display value="Laboratory" />
        </coding>
    </category>
    <code>
        <coding>
            <!--  From PBCL observable entity reference set  -->
            <system value="http://snomed.info/sct" />
            <code value="1009761000000105" />
            <display value="Aerobic culture" />
        </coding>
    </code>
    <subject>
        <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
        <display value="MOXEY, Judy" />
    </subject>
    <issued value="2022-04-14T11:17:00+00:00" />
    <performer>
        <reference value="urn:uuid:d687c3ef-f4f1-4149-930d-f7fdb0acb7aa" />
        <display value="TD008362 PATH LAB 001" />
    </performer>
    <valueString value="No growth detected after 5 days incubation" />
    <specimen>
        <reference value="urn:uuid:2bd8336b-ad88-42fb-b66d-d1ad3e6ea7fb" />
    </specimen>
</Observation>

{
    "resourceType": "Observation",
    "id": "Pathology-Observation-Aerobic-Culture-Example",
    "meta": {
        "profile":  [
            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab"
        ]
    },
    "identifier":  [
        {
            "system": "https://tools.ietf.org/html/rfc4122",
            "value": "60b90d3d-2967-4b10-a208-27a5336c9a81"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "laboratory",
                    "display": "Laboratory"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "1009761000000105",
                "display": "Aerobic culture"
            }
        ]
    },
    "subject": {
        "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
        "display": "MOXEY, Judy"
    },
    "issued": "2022-04-14T11:17:00+00:00",
    "performer":  [
        {
            "reference": "urn:uuid:d687c3ef-f4f1-4149-930d-f7fdb0acb7aa",
            "display": "TD008362 PATH LAB 001"
        }
    ],
    "valueString": "No growth detected after 5 days incubation",
    "specimen": {
        "reference": "urn:uuid:2bd8336b-ad88-42fb-b66d-d1ad3e6ea7fb"
    }
}
Observation
Observation.id[0]Pathology-Observation-Aerobic-Culture-Example
Observation.meta[0].profile[0]https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab
Observation.identifier[0].system[0]https://tools.ietf.org/html/rfc4122
Observation.identifier[0].value[0]60b90d3d-2967-4b10-a208-27a5336c9a81
Observation.status[0]final
Observation.category[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/observation-category
Observation.category[0].coding[0].code[0]laboratory
Observation.category[0].coding[0].display[0]Laboratory
Observation.code[0].coding[0].system[0]http://snomed.info/sct
Observation.code[0].coding[0].code[0]1009761000000105
Observation.code[0].coding[0].display[0]Aerobic culture
Observation.subject[0].reference[0]urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Observation.subject[0].display[0]MOXEY, Judy
Observation.issued[0]2022-04-14T11:17:00+00:00
Observation.performer[0].reference[0]urn:uuid:d687c3ef-f4f1-4149-930d-f7fdb0acb7aa
Observation.performer[0].display[0]TD008362 PATH LAB 001
Observation.value[0]No growth detected after 5 days incubation
Observation.specimen[0].reference[0]urn:uuid:2bd8336b-ad88-42fb-b66d-d1ad3e6ea7fb