<?xml version=“1.0” encoding=“UTF-8”?><Observation xmlns=“hl7.org/fhir”>

<id value="obs-uslab-example3"/>

<!– FHIR build is generating the narratives <text>

             <status value="generated"/>
             <div xmlns="http://www.w3.org/1999/xhtml">
                     <ul>
                             <li>file: obs-uslab-example3.xml</li>
                             <li>id: uslab-example3</li>
                             <li>Name: USLab Observation Example3</li>
                             <li>Description: USLab Other (String) Observation Profile Canonical Example: S aureus</li>
                     </ul>
             </div>
     </text>
-->

<!– extension for specimen reject goes here - not for this use case

     <extension url="http://hl7.org/fhir/StructureDefinition/uslab-specimenrejectreason">
             <valueCodeableConcept>
                     <coding>
                             <system value="http://hl7.org/fhir/v2/0490"/>
                             <code value="EX"/>
                             <display value="Expired"/>
                     </coding>
             </valueCodeableConcept>
     </extension>
-->

<!– extension for observation kind goes here –>

<text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obs-uslab-example3</p><p><b>identifier</b>: lab test result ID = 3456 (OFFICIAL)</p><p><b>status</b>: final</p><p><b>code</b>: Miscellaneous Culture <span>(Details : {LOINC code &#39;6463-4&#39; = &#39;Bacteria identified in Unspecified specimen by Culture&#39;, given as &#39;Bacteria identified in Unspecified specimen by Culture&#39;}; {urn:oid:2.16.840.1.113883.3.72.5.24 code &#39;MSCBACT&#39; = &#39;??&#39;, given as &#39;Misc Culture&#39;})</span></p><p><b>subject</b>: <a>Todd Lerr</a></p><p><b>effective</b>: 05/12/2014</p><p><b>issued</b>: 06/12/2014 3:42:15 PM</p><p><b>performer</b>: <a>Dr Leonard T Bloodraw Jr</a></p><p><b>value</b>: Moderate Growth of gram-positive cocci bacteria</p><p><b>interpretation</b>: Abnormal <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;A&#39; = &#39;Abnormal)</span></p><p><b>specimen</b>: <a>Blood sample</a></p></div></text><extension url="http://hl7.org/fhir/StructureDefinition/uslab-observationkind">
  <valueCode value="result"/>
</extension>
<identifier>
  <use value="official"/>
  <type>
    <text value="lab test result ID"/>
  </type>
  <system value="http://lis.acmelabs.org/identifiers/labtestresult"/>
  <value value="3456"/>
</identifier>
<status value="final"/>

<!– EH : The local and LOINC test codes go here –>

<code>
<!--    EH: LOINC code goes here   -->
  <coding>
    <system value="http://loinc.org"/>
    <code value="6463-4"/>
    <display value="Bacteria identified in Unspecified specimen by Culture"/>
  <!--    EH: LOCAL code goes here   -->
  </coding>
  <coding>
    <system value="urn:oid:2.16.840.1.113883.3.72.5.24"/>
    <code value="MSCBACT"/>
    <display value="Misc Culture"/>
  </coding>
  <text value="Miscellaneous Culture"/>
</code>
<subject>
  <reference value="Patient/patient-uslab-example1"/>
  <display value="Todd Lerr"/>
</subject>
<effectiveDateTime value="2014-12-05"/>

<!– EH: Showing dateTime to ss with TZO although only needed to Day –>

<issued value="2014-12-06T15:42:15-08:00"/>
<performer>
  <reference value="Practitioner/pract-uslab-example1"/>
  <display value="Dr Leonard T Bloodraw Jr"/>
</performer>

<!– EH : The text result here –>

<valueString value="Moderate Growth of gram-positive cocci bacteria"/>

<!– eH dataabsent reason would go here if valueQuantity was empty e.g.:

      <dataAbsentReason value="error"/>    -->
<interpretation>
  <coding>
    <system value="http://hl7.org/fhir/v2/0078"/>
    <code value="A"/>
  </coding>
</interpretation>
<specimen>
  <reference value="Specimen/spec-uslab-example1"/>
  <display value="Blood sample"/>
</specimen>

</Observation>