PATH-R4-22: Observation Example - Organism Susceptibility to Nitrofurantoin

An example of a semi-quantitative test result:

  • Organism susceptibility to nitrofurantoin: RESISTANT

<Observation xmlns="http://hl7.org/fhir">
<id value="Pathology-Observation-Nitrofurantoin-Susceptibility-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="a8cde339-9608-4e33-b465-e06a711f11a5" />
</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 PaLM observable entity reference set -->
<system value="http://snomed.info/sct" />
<code value="53851000237109" />
<display value="Organism susceptibility to nitrofurantoin" />
</coding>
</code>
<subject>
<reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
<display value="MOXEY, Judy" />
</subject>
<issued value="2022-02-25T13:47:00+00:00" />
<performer>
<reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
<display value="TD008362 PATH LAB 001" />
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct" />
<code value="30714006" />
<display value="Resistant" />
</coding>
</valueCodeableConcept>
<specimen>
<reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" />
</specimen>
</Observation>
{
"resourceType": "Observation",
"id": "Pathology-Observation-Nitrofurantoin-Susceptibility-Example",
"meta": {
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab"
]
},
"identifier": [
{
"system": "https://tools.ietf.org/html/rfc4122",
"value": "a8cde339-9608-4e33-b465-e06a711f11a5"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "53851000237109",
"display": "Organism susceptibility to nitrofurantoin"
}
]
},
"subject": {
"reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
"display": "MOXEY, Judy"
},
"issued": "2022-02-25T13:47:00+00:00",
"performer": [
{
"reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
"display": "TD008362 PATH LAB 001"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "30714006",
"display": "Resistant"
}
]
},
"specimen": {
"reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d"
}
}
Observation
Observation.id[0]Pathology-Observation-Nitrofurantoin-Susceptibility-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]a8cde339-9608-4e33-b465-e06a711f11a5
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]53851000237109
Observation.code[0].coding[0].display[0]Organism susceptibility to nitrofurantoin
Observation.subject[0].reference[0]urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Observation.subject[0].display[0]MOXEY, Judy
Observation.issued[0]2022-02-25T13:47:00+00:00
Observation.performer[0].reference[0]urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Observation.performer[0].display[0]TD008362 PATH LAB 001
Observation.value[0].coding[0].system[0]http://snomed.info/sct
Observation.value[0].coding[0].code[0]30714006
Observation.value[0].coding[0].display[0]Resistant
Observation.specimen[0].reference[0]urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d