HL7 BE Laboratory WG Implementation Guide
1.0.0 - STU

This page is part of the HL7 Belgium FHIR Implementation Guide - Lab related profiles (v1.0.0: Trial Use) 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

: Structured Antibiogram in collection bundle - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="antibiogramAsBundleNN"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:0c3151bd-1cbf-4d99-b04d-cd9187a4c6e0"/>
  </identifier>
  <type value="collection"/>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d34"/>
    <resource>
      <DiagnosticReport>
        <id value="diagnosticreport50"/>
        <meta>
          <versionId value="1"/>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-laboratory-report"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="empty"/>
          <div xmlns="http://www.w3.org/1999/xhtml">empty</div>
        </text>
        <identifier>
          <system
                  value="https://www.ehealth.fgov.be/lab-report/diagnostic-report-id"/>
          <value value="11530231003.2015110413180000000"/>
        </identifier>
        <basedOn>
          <reference value="ServiceRequest/servicerequest50"/>
        </basedOn>
        <status value="final"/>
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
            <code value="LAB"/>
            <display value="Laboratory"/>
          </coding>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
            <code value="MB"/>
            <display value="Microbiology"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="18769-0"/>
            <display value="Microbial susceptibility tests Set"/>
          </coding>
          <text value="Microbial susceptibility tests"/>
        </code>
        <subject>
          <reference value="Patient/patient1"/>
        </subject>
        <effectiveDateTime value="2015-11-03T13:18:00+01:00"/>
        <issued value="2015-11-04T13:18:00+01:00"/>
        <performer>
          <reference value="Organization/organization10"/>
        </performer>
        <resultsInterpreter>
          <reference value="Practitioner/practitioner11"/>
        </resultsInterpreter>
        <specimen>
          <reference value="Specimen/specimen50"/>
        </specimen>
        <result>
          <reference value="Observation/org51"/>
        </result>
        <result>
          <reference value="Observation/org52"/>
        </result>
        <result>
          <reference value="Observation/dr50-mrsa"/>
        </result>
        <result>
          <reference value="Observation/dr50-mrgn"/>
        </result>
        <conclusion value="This is our conclusion"/>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d36"/>
    <resource>
      <Specimen>
        <id value="specimen50"/>
        <meta>
          <versionId value="1"/>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-specimen-laboratory"/>
        </meta>
        <text>
          <status value="empty"/>
          <div xmlns="http://www.w3.org/1999/xhtml">empty</div>
        </text>
        <identifier>
          <system value="https://www.GTL-LABO.be/"/>
          <value value="1"/>
        </identifier>
        <status value="available"/>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="258529004"/>
            <display value="Throat swab"/>
          </coding>
          <text value="A string can be added to nuance or explain."/>
        </type>
        <receivedTime value="2015-11-04"/>
        <note>
          <text value="Some extra relevant information concerning the specimen"/>
        </note>
      </Specimen>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d37"/>
    <resource>
      <Observation>
        <id value="org51"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"/>
        </meta>
        <text>
          <status value="empty"/>
          <div xmlns="http://www.w3.org/1999/xhtml">empty</div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="73960-7"/>
            <display value="Bacteria identified in Mouth by Culture"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/patient1"/>
        </subject>
        <effectiveDateTime value="2015-11-04T09:16:00-05:00"/>
        <issued value="2015-11-04T09:16:00-05:00"/>
        <performer>
          <reference value="Practitioner/practitioner11"/>
        </performer>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="243301005"/>
            <display value="Morganella morganii"/>
          </coding>
        </valueCodeableConcept>
        <specimen>
          <reference value="Specimen/specimen50"/>
        </specimen>
        <hasMember>
          <reference value="Observation/org51-ampicilin"/>
        </hasMember>
        <hasMember>
          <reference value="Observation/org51-trimethoprim-sulfamethoxazole"/>
        </hasMember>
        <hasMember>
          <reference value="Observation/org51-nitrofurantoin"/>
        </hasMember>
        <hasMember>
          <reference value="Observation/org51-cefuroxime"/>
        </hasMember>
        <hasMember>
          <reference value="Observation/org51-gentamicin"/>
        </hasMember>
        <hasMember>
          <reference value="Observation/org51-colistin"/>
        </hasMember>
        <hasMember>
          <reference value="Observation/org51-temocillin"/>
        </hasMember>
        <hasMember>
          <reference value="Observation/org51-fosfomycin"/>
        </hasMember>
        <hasMember>
          <reference value="Observation/org51-levofloxacin"/>
        </hasMember>
        <hasMember>
          <reference value="Observation/org51-ofloxacin"/>
        </hasMember>
        <hasMember>
          <reference value="Observation/org51-amoxicillin-clavulanate"/>
        </hasMember>
        <hasMember>
          <reference value="Observation/org51-amikacin"/>
        </hasMember>
        <hasMember>
          <reference value="Observation/org51-piperacillin-tazobactam"/>
        </hasMember>
        <hasMember>
          <reference value="Observation/org51-ceftriaxone"/>
        </hasMember>
        <hasMember>
          <reference value="Observation/org51-cefotaxime"/>
        </hasMember>
        <hasMember>
          <reference value="Observation/org51-ceftazidime"/>
        </hasMember>
        <hasMember>
          <reference value="Observation/org51-meropenem"/>
        </hasMember>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae01-48abcadd8d38"/>
    <resource>
      <Observation>
        <id value="org51-ampicilin"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"/>
        </meta>
        <text>
          <status value="empty"/>
          <div xmlns="http://www.w3.org/1999/xhtml">empty</div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="29-9"/>
            <display value="Ampicillin [Susceptibility] by Disk diffusion (KB)"/>
          </coding>
          <text value="Ampicillin"/>
        </code>
        <subject>
          <reference value="Patient/patient1"/>
        </subject>
        <effectiveDateTime value="2015-11-04T09:16:00-05:00"/>
        <issued value="2015-11-04T09:16:00-05:00"/>
        <performer>
          <reference value="Practitioner/practitioner11"/>
        </performer>
        <interpretation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
            <code value="R"/>
            <display value="Resistant"/>
          </coding>
        </interpretation>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae02-48abcadd8d39"/>
    <resource>
      <Observation>
        <id value="org51-trimethoprim-sulfamethoxazole"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"/>
        </meta>
        <text>
          <status value="empty"/>
          <div xmlns="http://www.w3.org/1999/xhtml">empty</div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="516-5"/>
            <display
                     value="Trimethoprim+Sulfamethoxazole [Susceptibility] by Minimum inhibitory concentration (MIC)"/>
          </coding>
          <text value="Trimethoprim+Sulfamethoxazole"/>
        </code>
        <subject>
          <reference value="Patient/patient1"/>
        </subject>
        <effectiveDateTime value="2015-11-04T09:16:00-05:00"/>
        <issued value="2015-11-04T09:16:00-05:00"/>
        <performer>
          <reference value="Practitioner/practitioner11"/>
        </performer>
        <interpretation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
            <code value="S"/>
            <display value="Susceptible"/>
          </coding>
        </interpretation>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae03-48abcadd8d40"/>
    <resource>
      <Observation>
        <id value="org51-nitrofurantoin"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"/>
        </meta>
        <text>
          <status value="empty"/>
          <div xmlns="http://www.w3.org/1999/xhtml">empty</div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="363-2"/>
            <display
                     value="Nitrofurantoin [Susceptibility] by Minimum inhibitory concentration (MIC)"/>
          </coding>
          <text value="Nitrofurantoin"/>
        </code>
        <subject>
          <reference value="Patient/patient1"/>
        </subject>
        <effectiveDateTime value="2015-11-04T09:16:00-05:00"/>
        <issued value="2015-11-04T09:16:00-05:00"/>
        <performer>
          <reference value="Practitioner/practitioner11"/>
        </performer>
        <interpretation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
            <code value="R"/>
            <display value="Resistant"/>
          </coding>
        </interpretation>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae04-48abcadd8d41"/>
    <resource>
      <Observation>
        <id value="org51-cefuroxime"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"/>
        </meta>
        <text>
          <status value="empty"/>
          <div xmlns="http://www.w3.org/1999/xhtml">empty</div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="51774-8"/>
            <display
                     value="Cefuroxime [Susceptibility] by Minimum inhibitory concentration (MIC)"/>
          </coding>
          <text value="Cefuroxime"/>
        </code>
        <subject>
          <reference value="Patient/patient1"/>
        </subject>
        <effectiveDateTime value="2015-11-04T09:16:00-05:00"/>
        <issued value="2015-11-04T09:16:00-05:00"/>
        <performer>
          <reference value="Practitioner/practitioner11"/>
        </performer>
        <interpretation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
            <code value="R"/>
            <display value="Resistant"/>
          </coding>
        </interpretation>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae05-48abcadd8d42"/>
    <resource>
      <Observation>
        <id value="org51-gentamicin"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"/>
        </meta>
        <text>
          <status value="empty"/>
          <div xmlns="http://www.w3.org/1999/xhtml">empty</div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="267-5"/>
            <display
                     value="Gentamicin [Susceptibility] by Minimum inhibitory concentration (MIC)"/>
          </coding>
          <text value="Gentamicin"/>
        </code>
        <subject>
          <reference value="Patient/patient1"/>
        </subject>
        <effectiveDateTime value="2015-11-04T09:16:00-05:00"/>
        <issued value="2015-11-04T09:16:00-05:00"/>
        <performer>
          <reference value="Practitioner/practitioner11"/>
        </performer>
        <interpretation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
            <code value="S"/>
            <display value="Susceptible"/>
          </coding>
        </interpretation>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae06-48abcadd8d43"/>
    <resource>
      <Observation>
        <id value="org51-colistin"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"/>
        </meta>
        <text>
          <status value="empty"/>
          <div xmlns="http://www.w3.org/1999/xhtml">empty</div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="205-5"/>
            <display
                     value="Colistin [Susceptibility] by Minimum inhibitory concentration (MIC)"/>
          </coding>
          <text value="Colistin"/>
        </code>
        <subject>
          <reference value="Patient/patient1"/>
        </subject>
        <effectiveDateTime value="2015-11-04T09:16:00-05:00"/>
        <issued value="2015-11-04T09:16:00-05:00"/>
        <performer>
          <reference value="Practitioner/practitioner11"/>
        </performer>
        <interpretation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
            <code value="R"/>
            <display value="Resistant"/>
          </coding>
        </interpretation>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae07-48abcadd8d44"/>
    <resource>
      <Observation>
        <id value="org51-temocillin"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"/>
        </meta>
        <text>
          <status value="empty"/>
          <div xmlns="http://www.w3.org/1999/xhtml">empty</div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="492-9"/>
            <display
                     value="Temocillin [Susceptibility] by Minimum inhibitory concentration (MIC)"/>
          </coding>
          <text value="Temocillin"/>
        </code>
        <subject>
          <reference value="Patient/patient1"/>
        </subject>
        <effectiveDateTime value="2015-11-04T09:16:00-05:00"/>
        <issued value="2015-11-04T09:16:00-05:00"/>
        <performer>
          <reference value="Practitioner/practitioner11"/>
        </performer>
        <interpretation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
            <code value="S"/>
            <display value="Susceptible"/>
          </coding>
        </interpretation>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae08-48abcadd8d45"/>
    <resource>
      <Observation>
        <id value="org51-fosfomycin"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"/>
        </meta>
        <text>
          <status value="empty"/>
          <div xmlns="http://www.w3.org/1999/xhtml">empty</div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="25653-7"/>
            <display
                     value="Fosfomycin [Susceptibility] by Minimum inhibitory concentration (MIC)"/>
          </coding>
          <text value="Fosfomycin"/>
        </code>
        <subject>
          <reference value="Patient/patient1"/>
        </subject>
        <effectiveDateTime value="2015-11-04T09:16:00-05:00"/>
        <issued value="2015-11-04T09:16:00-05:00"/>
        <performer>
          <reference value="Practitioner/practitioner11"/>
        </performer>
        <interpretation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
            <code value="S"/>
            <display value="Susceptible"/>
          </coding>
        </interpretation>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae09-48abcadd8d46"/>
    <resource>
      <Observation>
        <id value="org51-levofloxacin"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"/>
        </meta>
        <text>
          <status value="empty"/>
          <div xmlns="http://www.w3.org/1999/xhtml">empty</div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="20396-8"/>
            <display
                     value="levoFLOXacin [Susceptibility] by Minimum inhibitory concentration (MIC)"/>
          </coding>
          <text value="Levofloxacin"/>
        </code>
        <subject>
          <reference value="Patient/patient1"/>
        </subject>
        <effectiveDateTime value="2015-11-04T09:16:00-05:00"/>
        <issued value="2015-11-04T09:16:00-05:00"/>
        <performer>
          <reference value="Practitioner/practitioner11"/>
        </performer>
        <interpretation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
            <code value="S"/>
            <display value="Susceptible"/>
          </coding>
        </interpretation>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae09-48abcadd8d47"/>
    <resource>
      <Observation>
        <id value="org51-ofloxacin"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"/>
        </meta>
        <text>
          <status value="empty"/>
          <div xmlns="http://www.w3.org/1999/xhtml">empty</div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="375-6"/>
            <display
                     value="Ofloxacin [Susceptibility] by Minimum inhibitory concentration (MIC)"/>
          </coding>
          <text value="Ofloxacin"/>
        </code>
        <subject>
          <reference value="Patient/patient1"/>
        </subject>
        <effectiveDateTime value="2015-11-04T09:16:00-05:00"/>
        <issued value="2015-11-04T09:16:00-05:00"/>
        <performer>
          <reference value="Practitioner/practitioner11"/>
        </performer>
        <interpretation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
            <code value="S"/>
            <display value="Susceptible"/>
          </coding>
        </interpretation>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae09-48abcadd8d48"/>
    <resource>
      <Observation>
        <id value="org51-amoxicillin-clavulanate"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"/>
        </meta>
        <text>
          <status value="empty"/>
          <div xmlns="http://www.w3.org/1999/xhtml">empty</div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="20-8"/>
            <display
                     value="Amoxicillin+Clavulanate [Susceptibility] by Minimum inhibitory concentration (MIC)"/>
          </coding>
          <text value="Amoxicillin+Clavulanate"/>
        </code>
        <subject>
          <reference value="Patient/patient1"/>
        </subject>
        <effectiveDateTime value="2015-11-04T09:16:00-05:00"/>
        <issued value="2015-11-04T09:16:00-05:00"/>
        <performer>
          <reference value="Practitioner/practitioner11"/>
        </performer>
        <interpretation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
            <code value="R"/>
            <display value="Resistant"/>
          </coding>
        </interpretation>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae09-48abcadd8d49"/>
    <resource>
      <Observation>
        <id value="org51-amikacin"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"/>
        </meta>
        <text>
          <status value="empty"/>
          <div xmlns="http://www.w3.org/1999/xhtml">empty</div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="12-5"/>
            <display
                     value="Amikacin [Susceptibility] by Minimum inhibitory concentration (MIC)"/>
          </coding>
          <text value="Amikacin"/>
        </code>
        <subject>
          <reference value="Patient/patient1"/>
        </subject>
        <effectiveDateTime value="2015-11-04T09:16:00-05:00"/>
        <issued value="2015-11-04T09:16:00-05:00"/>
        <performer>
          <reference value="Practitioner/practitioner11"/>
        </performer>
        <interpretation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
            <code value="S"/>
            <display value="Susceptible"/>
          </coding>
        </interpretation>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae09-48abcadd8d50"/>
    <resource>
      <Observation>
        <id value="org51-piperacillin-tazobactam"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"/>
        </meta>
        <text>
          <status value="empty"/>
          <div xmlns="http://www.w3.org/1999/xhtml">empty</div>
        </text>
        <status value="final"/>
        <code>
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