plan_executor 1.0.2

data/fixtures/observation/obs-400.xml

@@ -0,0 +1,87 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<Observation xmlns="http://hl7.org/fhir">
+  <id value="obs-400"/>
+  <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-400</p>
+      <p>
+        <b>identifier</b>: obs-400</p>
+      <p>
+        <b>status</b>: final</p>
+      <p>
+        <b>code</b>: Hematocrit 
+        <span style="background: LightGoldenRodYellow ">(Details : {LOINC code "20570-8" := "20570-8", given as "Hematocrit [Volume Fraction] of Blood"})</span>
+      </p>
+      <p>
+        <b>subject</b>: 
+        <a href="Patient/patient-uslab-example1">Todd Lerr</a>
+      </p>
+      <p>
+        <b>effective</b>: 12/5/2014</p>
+      <p>
+        <b>issued</b>: 12/6/2014 3:42:15 PM</p>
+      <p>
+        <b>value</b>: 41%
+        <span style="background: LightGoldenRodYellow ">(Details: http://unitsofmeasure.org code % := "%")</span>
+      </p>
+      <p>
+        <b>interpretation</b>: Normal 
+        <span style="background: LightGoldenRodYellow ">(Details : {http://hl7.org/fhir/v2/0078 code "N" := "Normal)</span>
+      </p>
+      <p>
+        <b>specimen</b>: 
+        <a href="Specimen/spec-uslab-example1">Blood sample</a>
+      </p>
+    </div>
+  </text>
+  <identifier>
+    <system value="http://lis.acmelabs.org/identifiers/labtestresult"/>
+    <value value="obs-400"/>
+  </identifier>
+  <status value="final"/>
+  <!--   EH :  The local and /or LOINC test codes go here    -->
+  <code>
+    <!--    EH: LOINC code goes here   -->
+    <coding>
+      <system value="http://loinc.org"/>
+      <code value="625-4"/>
+      <display value="Bacteria identified in Stool by Culture"/>
+      <!--    EH: Local code goes here   -->
+    </coding>
+    <text value="Stool 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"/>
+  <!--    In FHIR, units may be represented twice. Once in the    agreed human representation, and once in a coded form.    Both is best, since it's not always possible to infer    one from the other in code.    When a computable unit is provided, UCUM (http://unitsofmeasure.org)    is always preferred, but it doesn't provide notional units (such as    "tablet"), etc. For these, something else is required (e.g. Snomed-CT)      -->
+  <valueCodeableConcept>
+  <coding>
+   <system value="http://snomed.info/sct"/>
+      <code value="103429008"/>
+      <display value="Enterohemorrhagic Escherichia coli, serotype O157:H7"/>
+      <!--    EH: Local code goes here   -->
+    </coding>
+    <text value="Shiga toxin producing E. coli O157:H7 isolated"/>
+  </valueCodeableConcept>
+  <!--     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>

data/fixtures/observation/obs-401.xml

@@ -0,0 +1,95 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<Observation xmlns="http://hl7.org/fhir">
+  <id value="obs-401"/>
+  <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-401</p>
+      <p>
+        <b>identifier</b>: obs-401</p>
+      <p>
+        <b>status</b>: final</p>
+      <p>
+        <b>code</b>: Stool Culture 
+        <span style="background: LightGoldenRodYellow ">(Details : {LOINC code "625-4" := "625-4", given as "Bacteria identified in Stool by Culture"})</span>
+      </p>
+      <p>
+        <b>subject</b>: 
+        <a href="Patient/patient-uslab-example1">Todd Lerr</a>
+      </p>
+      <p>
+        <b>effective</b>: 12/5/2014</p>
+      <p>
+        <b>issued</b>: 12/6/2014 3:42:15 PM</p>
+      <p>
+        <b>value</b>: Salmonella I, group O:4 isolated 
+        <span style="background: LightGoldenRodYellow ">(Details : {SNOMED CT code "398567006" := "398567006", given as "Salmonella I, group O:4"})</span>
+      </p>
+      <p>
+        <b>interpretation</b>: Abnormal 
+        <span style="background: LightGoldenRodYellow ">(Details : {http://hl7.org/fhir/v2/0078 code "A" := "Abnormal)</span>
+      </p>
+      <p>
+        <b>comments</b>: Salmonella gastrointestinal infections usually resolve in 5-7 days and most do not require treatment other than oral fluids. Persons with severe diarrhea may require rehydration with intravenous fluids. Antibiotic therapy can prolong the duration of excretion of non-typhoidal Salmonella and is recommended only for patients with severe illness (e.g., those with severe diarrhea, high fever, bloodstream infection, or who need hospitalization) or those at risk of severe disease or complications, including young infants, older adults (over 65 years old) and immunocompromised persons. Antibiotic resistance is increasing among some Salmonella bacteria; therefore, susceptibility testing can help guide appropriate therapy. Choices for antibiotic therapy for severe infections include fluoroquinolones, third-generation cephalosporins, and ampicillin (for susceptible infections).</p>
+      <p>
+        <b>specimen</b>: 
+        <a href="Specimen/spec-uslab-example1">Blood sample</a>
+      </p>
+    </div>
+  </text>
+  <identifier>
+    <system value="http://lis.acmelabs.org/identifiers/labtestresult"/>
+    <value value="obs-401"/>
+  </identifier>
+  <status value="final"/>
+  <!--   EH :  The local and /or LOINC test codes go here    -->
+  <code>
+    <!--    EH: LOINC code goes here   -->
+    <coding>
+      <system value="http://loinc.org"/>
+      <code value="625-4"/>
+      <display value="Bacteria identified in Stool by Culture"/>
+      <!--    EH: Local code goes here   -->
+    </coding>
+    <text value="Stool 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"/>
+  <!--    In FHIR, units may be represented twice. Once in the    agreed human representation, and once in a coded form.    Both is best, since it's not always possible to infer    one from the other in code.    When a computable unit is provided, UCUM (http://unitsofmeasure.org)    is always preferred, but it doesn't provide notional units (such as    "tablet"), etc. For these, something else is required (e.g. Snomed-CT)      -->
+  <valueCodeableConcept>
+    <coding>
+      <system value="http://snomed.info/sct"/>
+      <code value="398567006"/>
+      <display value="Salmonella I, group O:4"/>
+      <!--    EH: Local code goes here   -->
+    </coding>
+    <text value="Salmonella I, group O:4 isolated"/>
+  </valueCodeableConcept>
+  <!--     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>
+  <comments value="Salmonella gastrointestinal infections usually resolve in 5-7 days and most do not require treatment other than oral fluids. Persons with severe diarrhea may require rehydration with intravenous fluids. Antibiotic therapy can prolong the duration of excretion of non-typhoidal Salmonella and is recommended only for patients with severe illness (e.g., those with severe diarrhea, high fever, bloodstream infection, or who need hospitalization) or those at risk of severe disease or complications, including young infants, older adults (over 65 years old) and immunocompromised persons. Antibiotic resistance is increasing among some Salmonella bacteria; therefore, susceptibility testing can help guide appropriate therapy. Choices for antibiotic therapy for severe infections include fluoroquinolones, third-generation cephalosporins, and ampicillin (for susceptible infections)."/>
+  <specimen>
+    <reference value="Specimen/spec-uslab-example1"/>
+    <display value="Blood sample"/>
+  </specimen>
+  <related>
+    <target>
+      <reference value="Observation/obs-403"/>
+      <display value="Bacterial susceptibility panel (MIC)"/>
+    </target>
+  </related>
+</Observation>

data/fixtures/observation/obs-402.xml

@@ -0,0 +1,95 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<Observation xmlns="http://hl7.org/fhir">
+  <id value="obs-402"/>
+  <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-402</p>
+      <p>
+        <b>identifier</b>: obs-402</p>
+      <p>
+        <b>status</b>: final</p>
+      <p>
+        <b>code</b>: Stool Culture 
+        <span style="background: LightGoldenRodYellow ">(Details : {LOINC code "625-4" := "625-4", given as "Bacteria identified in Stool by Culture"})</span>
+      </p>
+      <p>
+        <b>subject</b>: 
+        <a href="Patient/patient-uslab-example1">Todd Lerr</a>
+      </p>
+      <p>
+        <b>effective</b>: 12/5/2014</p>
+      <p>
+        <b>issued</b>: 12/6/2014 3:42:15 PM</p>
+      <p>
+        <b>value</b>: Shigella flexneri isolated 
+        <span style="background: LightGoldenRodYellow ">(Details : {SNOMED CT code "85729005" := "85729005", given as "Shigella flexneri"})</span>
+      </p>
+      <p>
+        <b>interpretation</b>: Abnormal 
+        <span style="background: LightGoldenRodYellow ">(Details : {http://hl7.org/fhir/v2/0078 code "A" := "Abnormal)</span>
+      </p>
+      <p>
+        <b>comments</b>: Antibiotic treatment is recommended for patients with severe disease, bloody diarrhea, or compromised immune systems. Resistance to traditional first-line drugs like ampicillin and trimethoprim-sulfamethoxazole is common, and resistance to some other antibiotics is increasing. With this in mind, antibiotic susceptibility testing can help guide appropriate therapy. When an ampicillin- or trimethroprim-sulfamethoxazole-resistant strain is isolated, choices for therapy include fluoroquinolones, ceftriaxone, and azithromycin.</p>
+      <p>
+        <b>specimen</b>: 
+        <a href="Specimen/spec-uslab-example1">Blood sample</a>
+      </p>
+    </div>
+  </text>
+  <identifier>
+    <system value="http://lis.acmelabs.org/identifiers/labtestresult"/>
+    <value value="obs-402"/>
+  </identifier>
+  <status value="final"/>
+  <!--   EH :  The local and /or LOINC test codes go here    -->
+  <code>
+    <!--    EH: LOINC code goes here   -->
+    <coding>
+      <system value="http://loinc.org"/>
+      <code value="625-4"/>
+      <display value="Bacteria identified in Stool by Culture"/>
+      <!--    EH: Local code goes here   -->
+    </coding>
+    <text value="Stool 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"/>
+  <!--    In FHIR, units may be represented twice. Once in the    agreed human representation, and once in a coded form.    Both is best, since it's not always possible to infer    one from the other in code.    When a computable unit is provided, UCUM (http://unitsofmeasure.org)    is always preferred, but it doesn't provide notional units (such as    "tablet"), etc. For these, something else is required (e.g. Snomed-CT)      -->
+  <valueCodeableConcept>
+    <coding>
+      <system value="http://snomed.info/sct"/>
+      <code value="85729005"/>
+      <display value="Shigella flexneri"/>
+      <!--    EH: Local code goes here   -->
+    </coding>
+    <text value="Shigella flexneri isolated"/>
+  </valueCodeableConcept>
+  <!--     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>
+  <comments value="Antibiotic treatment is recommended for patients with severe disease, bloody diarrhea, or compromised immune systems. Resistance to traditional first-line drugs like ampicillin and trimethoprim-sulfamethoxazole is common, and resistance to some other antibiotics is increasing. With this in mind, antibiotic susceptibility testing can help guide appropriate therapy. When an ampicillin- or trimethroprim-sulfamethoxazole-resistant strain is isolated, choices for therapy include fluoroquinolones, ceftriaxone, and azithromycin."/>
+  <specimen>
+    <reference value="Specimen/spec-uslab-example1"/>
+    <display value="Blood sample"/>
+  </specimen>
+  <related>
+    <target>
+      <reference value="Observation/obs-407"/>
+      <display value="Bacterial susceptibility panel (MIC)"/>
+    </target>
+  </related>
+</Observation>

data/fixtures/observation/obs-403.xml

@@ -0,0 +1,84 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<Observation xmlns="http://hl7.org/fhir">
+  <id value="obs-403"/>
+  <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-403</p>
+      <p>
+        <b>identifier</b>: obs-403</p>
+      <p>
+        <b>status</b>: final</p>
+      <p>
+        <b>code</b>: Bacteria susceptibility 
+        <span style="background: LightGoldenRodYellow ">(Details : {LOINC code "50545-3" := "50545-3", given as "Bacterial susceptibility panel in Isolate by Minimum inhibitory concentration (MIC)"})</span>
+      </p>
+      <p>
+        <b>subject</b>: 
+        <a href="Patient/patient-uslab-example1">Todd Lerr</a>
+      </p>
+      <p>
+        <b>effective</b>: 12/5/2014</p>
+      <p>
+        <b>issued</b>: 12/6/2014 3:42:15 PM</p>
+      <p>
+        <b>specimen</b>: 
+        <a href="Specimen/spec-uslab-example1">Blood sample</a>
+      </p>
+    </div>
+  </text>
+  <identifier>
+    <system value="http://lis.acmelabs.org/identifiers/labtestresult"/>
+    <value value="obs-403"/>
+  </identifier>
+  <status value="final"/>
+  <!--   EH :  The local and /or LOINC test codes go here    -->
+  <code>
+    <!--    EH: LOINC code goes here   -->
+    <coding>
+      <system value="http://loinc.org"/>
+      <code value="50545-3"/>
+      <display value="Bacterial susceptibility panel in Isolate by Minimum inhibitory concentration (MIC)"/>
+      <!--    EH: Local code goes here   -->
+    </coding>
+    <text value="Bacteria susceptibility"/>
+  </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"/>
+  <!--   no results since is a nested panel    -->
+  <!--     eH dataabsent reason  would go here if valueQuantity was empty e.g.:	<dataAbsentReason value="error"/>    -->
+  <specimen>
+    <reference value="Specimen/spec-uslab-example1"/>
+    <display value="Blood sample"/>
+  </specimen>
+  <related>
+    <type value="has-member"/>
+    <target>
+      <reference value="Observation/obs-404"/>
+      <display value="Ampicillin MIC"/>
+    </target>
+  </related>
+  <related>
+    <type value="has-member"/>
+    <target>
+      <reference value="Observation/obs-405"/>
+      <display value="Gentamicin MIC"/>
+    </target>
+  </related>
+  <related>
+    <type value="has-member"/>
+    <target>
+      <reference value="Observation/obs-406"/>
+      <display value="Ciprofloxacin MIC"/>
+    </target>
+  </related>
+</Observation>

data/fixtures/observation/obs-404.xml

@@ -0,0 +1,84 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<Observation xmlns="http://hl7.org/fhir">
+  <id value="obs-404"/>
+  <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-404</p>
+      <p>
+        <b>identifier</b>: obs-404</p>
+      <p>
+        <b>status</b>: final</p>
+      <p>
+        <b>code</b>: Ampicillin (MIC) 
+        <span style="background: LightGoldenRodYellow ">(Details : {LOINC code "28-1" := "28-1", given as "Ampicillin [Susceptibility] by Minimum inhibitory concentration (MIC)"})</span>
+      </p>
+      <p>
+        <b>subject</b>: 
+        <a href="Patient/patient-uslab-example1">Todd Lerr</a>
+      </p>
+      <p>
+        <b>effective</b>: 12/5/2014</p>
+      <p>
+        <b>issued</b>: 12/6/2014 3:42:15 PM</p>
+      <p>
+        <b>value</b>: &lt;0.06ug/mL
+        <span style="background: LightGoldenRodYellow ">(Details: http://unitsofmeasure.org code ug/mL := "ug/mL")</span>
+      </p>
+      <p>
+        <b>interpretation</b>: Susceptible 
+        <span style="background: LightGoldenRodYellow ">(Details : {http://hl7.org/fhir/v2/0078 code "S" := "Susceptible)</span>
+      </p>
+      <p>
+        <b>specimen</b>: 
+        <a href="Specimen/spec-uslab-example1">Blood sample</a>
+      </p>
+    </div>
+  </text>
+  <identifier>
+    <system value="http://lis.acmelabs.org/identifiers/labtestresult"/>
+    <value value="obs-404"/>
+  </identifier>
+  <status value="final"/>
+  <!--   EH :  The local and /or LOINC test codes go here    -->
+  <code>
+    <!--    EH: LOINC code goes here   -->
+    <coding>
+      <system value="http://loinc.org"/>
+      <code value="28-1"/>
+      <display value="Ampicillin [Susceptibility] by Minimum inhibitory concentration (MIC)"/>
+      <!--    EH: Local code goes here   -->
+    </coding>
+    <text value="Ampicillin (MIC)"/>
+  </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"/>
+  <!--    In FHIR, units may be represented twice. Once in the    agreed human representation, and once in a coded form.    Both is best, since it's not always possible to infer    one from the other in code.    When a computable unit is provided, UCUM (http://unitsofmeasure.org)    is always preferred, but it doesn't provide notional units (such as    "tablet"), etc. For these, something else is required (e.g. Snomed-CT)      -->
+  <valueQuantity>
+    <value value="0.06"/>
+    <comparator value="&lt;"/>
+    <unit value="ug/mL"/>
+    <system value="http://unitsofmeasure.org"/>
+    <code value="ug/mL"/>
+  </valueQuantity>
+  <!--     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="S"/>
+    </coding>
+  </interpretation>
+  <specimen>
+    <reference value="Specimen/spec-uslab-example1"/>
+    <display value="Blood sample"/>
+  </specimen>
+</Observation>

data/fixtures/observation/obs-405.xml

@@ -0,0 +1,83 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<Observation xmlns="http://hl7.org/fhir">
+  <id value="obs-405"/>
+  <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-405</p>
+      <p>
+        <b>identifier</b>: obs-405</p>
+      <p>
+        <b>status</b>: final</p>
+      <p>
+        <b>code</b>: Gentamicin (MIC) 
+        <span style="background: LightGoldenRodYellow ">(Details : {LOINC code "267-5" := "267-5", given as "Gentamicin [Susceptibility] by Minimum inhibitory concentration (MIC)"})</span>
+      </p>
+      <p>
+        <b>subject</b>: 
+        <a href="Patient/patient-uslab-example1">Todd Lerr</a>
+      </p>
+      <p>
+        <b>effective</b>: 12/5/2014</p>
+      <p>
+        <b>issued</b>: 12/6/2014 3:42:15 PM</p>
+      <p>
+        <b>value</b>: 0.05ug/mL
+        <span style="background: LightGoldenRodYellow ">(Details: http://unitsofmeasure.org code ug/mL := "ug/mL")</span>
+      </p>
+      <p>
+        <b>interpretation</b>: Susceptible 
+        <span style="background: LightGoldenRodYellow ">(Details : {http://hl7.org/fhir/v2/0078 code "S" := "Susceptible)</span>
+      </p>
+      <p>
+        <b>specimen</b>: 
+        <a href="Specimen/spec-uslab-example1">Blood sample</a>
+      </p>
+    </div>
+  </text>
+  <identifier>
+    <system value="http://lis.acmelabs.org/identifiers/labtestresult"/>
+    <value value="obs-405"/>
+  </identifier>
+  <status value="final"/>
+  <!--   EH :  The local and /or LOINC test codes go here    -->
+  <code>
+    <!--    EH: LOINC code goes here   -->
+    <coding>
+      <system value="http://loinc.org"/>
+      <code value="267-5"/>
+      <display value="Gentamicin [Susceptibility] by Minimum inhibitory concentration (MIC)"/>
+      <!--    EH: Local code goes here   -->
+    </coding>
+    <text value="Gentamicin (MIC)"/>
+  </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"/>
+  <!--    In FHIR, units may be represented twice. Once in the    agreed human representation, and once in a coded form.    Both is best, since it's not always possible to infer    one from the other in code.    When a computable unit is provided, UCUM (http://unitsofmeasure.org)    is always preferred, but it doesn't provide notional units (such as    "tablet"), etc. For these, something else is required (e.g. Snomed-CT)      -->
+  <valueQuantity>
+    <value value="0.05"/>
+    <unit value="ug/mL"/>
+    <system value="http://unitsofmeasure.org"/>
+    <code value="ug/mL"/>
+  </valueQuantity>
+  <!--     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="S"/>
+    </coding>
+  </interpretation>
+  <specimen>
+    <reference value="Specimen/spec-uslab-example1"/>
+    <display value="Blood sample"/>
+  </specimen>
+</Observation>

data/fixtures/observation/obs-406.xml

@@ -0,0 +1,83 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<Observation xmlns="http://hl7.org/fhir">
+  <id value="obs-406"/>
+  <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-406</p>
+      <p>
+        <b>identifier</b>: obs-406</p>
+      <p>
+        <b>status</b>: final</p>
+      <p>
+        <b>code</b>: Ciprofloxacin (MIC) 
+        <span style="background: LightGoldenRodYellow ">(Details : {LOINC code "185-9" := "185-9", given as "Ciprofloxacin [Susceptibility] by Minimum inhibitory concentration (MIC)"})</span>
+      </p>
+      <p>
+        <b>subject</b>: 
+        <a href="Patient/patient-uslab-example1">Todd Lerr</a>
+      </p>
+      <p>
+        <b>effective</b>: 12/5/2014</p>
+      <p>
+        <b>issued</b>: 12/6/2014 3:42:15 PM</p>
+      <p>
+        <b>value</b>: 0.05ug/mL
+        <span style="background: LightGoldenRodYellow ">(Details: http://unitsofmeasure.org code ug/mL := "ug/mL")</span>
+      </p>
+      <p>
+        <b>interpretation</b>: Susceptible 
+        <span style="background: LightGoldenRodYellow ">(Details : {http://hl7.org/fhir/v2/0078 code "S" := "Susceptible)</span>
+      </p>
+      <p>
+        <b>specimen</b>: 
+        <a href="Specimen/spec-uslab-example1">Blood sample</a>
+      </p>
+    </div>
+  </text>
+  <identifier>
+    <system value="http://lis.acmelabs.org/identifiers/labtestresult"/>
+    <value value="obs-406"/>
+  </identifier>
+  <status value="final"/>
+  <!--   EH :  The local and /or LOINC test codes go here    -->
+  <code>
+    <!--    EH: LOINC code goes here   -->
+    <coding>
+      <system value="http://loinc.org"/>
+      <code value="185-9"/>
+      <display value="Ciprofloxacin [Susceptibility] by Minimum inhibitory concentration (MIC)"/>
+      <!--    EH: Local code goes here   -->
+    </coding>
+    <text value="Ciprofloxacin (MIC)"/>
+  </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"/>
+  <!--    In FHIR, units may be represented twice. Once in the    agreed human representation, and once in a coded form.    Both is best, since it's not always possible to infer    one from the other in code.    When a computable unit is provided, UCUM (http://unitsofmeasure.org)    is always preferred, but it doesn't provide notional units (such as    "tablet"), etc. For these, something else is required (e.g. Snomed-CT)      -->
+  <valueQuantity>
+    <value value="0.05"/>
+    <unit value="ug/mL"/>
+    <system value="http://unitsofmeasure.org"/>
+    <code value="ug/mL"/>
+  </valueQuantity>
+  <!--     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="S"/>
+    </coding>
+  </interpretation>
+  <specimen>
+    <reference value="Specimen/spec-uslab-example1"/>
+    <display value="Blood sample"/>
+  </specimen>
+</Observation>