plan_executor 1.0.2

data/fixtures/observation/obs-407.xml

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+<?xml version="1.0" encoding="UTF-8"?>
+<Observation xmlns="http://hl7.org/fhir">
+  <id value="obs-407"/>
+  <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-407</p>
+      <p>
+        <b>identifier</b>: obs-407</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-407"/>
+  </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-408"/>
+      <display value="Trimethoprim+Sulfamethoxazole MIC"/>
+    </target>
+  </related>
+</Observation>

data/fixtures/observation/obs-408.xml

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+<?xml version="1.0" encoding="UTF-8"?>
+<Observation xmlns="http://hl7.org/fhir">
+  <id value="obs-408"/>
+  <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-408</p>
+      <p>
+        <b>identifier</b>: obs-408</p>
+      <p>
+        <b>status</b>: final</p>
+      <p>
+        <b>code</b>: Trimethoprim+Sulfamethoxazole (MIC) 
+        <span style="background: LightGoldenRodYellow ">(Details : {LOINC code "516-5" := "516-5", given as "Trimethoprim+Sulfamethoxazole [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;=10ug/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-408"/>
+  </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="516-5"/>
+      <display value="Trimethoprim+Sulfamethoxazole [Susceptibility] by Minimum inhibitory concentration (MIC)"/>
+      <!--    EH: Local code goes here   -->
+    </coding>
+    <text value="Trimethoprim+Sulfamethoxazole (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="10"/>
+    <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-uslab-example5.xml

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+<?xml version="1.0" encoding="UTF-8"?><Observation xmlns="http://hl7.org/fhir">
+  <id value="obs-uslab-example5"/>
+<!--    FHIR build is generating the narratives
+<text>
+		<status value="generated"/>
+		<div xmlns="http://www.w3.org/1999/xhtml">
+			<ul>
+				<li> obs-uslab-example5.xml</li>
+				<li> id: uslab-example5</li>
+				<li> Name: USLab Observation Example5</li>
+				<li>Description: USLab Quantitative Observation Profile Canonical Example: Blood Lead</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 kindt 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-example5</p><p><b>identifier</b>: lab test result ID = 1234 (OFFICIAL)</p><p><b>status</b>: final</p><p><b>code</b>: Blood Lead <span>(Details : {LOINC code &#39;5671-3&#39; = &#39;Lead [Mass/volume] in Blood&#39;, given as &#39;Lead [Mass/volume] in Blood&#39;}; {urn:oid:2.16.840.1.113883.3.72.5.24 code &#39;BLDLD&#39; = &#39;??&#39;, given as &#39;Blood Lead&#39;})</span></p><p><b>subject</b>: <a>Todd Lerr</a></p><p><b>effective</b>: Dec 5, 2014</p><p><b>issued</b>: Dec 6, 2014 3:42:15 PM</p><p><b>performer</b>: <a>Dr Leonard T Bloodraw Jr</a></p><p><b>value</b>: 65 microgram per deciliter<span> (Details: http://unitsofmeasure.org code ug/dL = &#39;??&#39;)</span></p><p><b>interpretation</b>: High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></p><p><b>specimen</b>: <a>Blood sample</a></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>High</b></td></tr><tr><td>*</td><td>5.0 microgram per deciliter<span> (Details: http://unitsofmeasure.org code ug/dL = &#39;??&#39;)</span></td></tr></table></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="1234"/>
+  </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="5671-3"/>
+      <display value="Lead [Mass/volume] in Blood"/>
+    <!--    EH: LOINC code goes here   -->
+    </coding>
+    <coding>
+      <system value="urn:oid:2.16.840.1.113883.3.72.5.24"/>
+      <code value="BLDLD"/>
+      <display value="Blood Lead"/>
+    </coding>
+    <text value="Blood Lead"/>
+  </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>
+<!--    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="65"/>
+    <unit value="microgram per deciliter"/>
+    <system value="http://unitsofmeasure.org"/>
+    <code value="ug/dL"/>
+  </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="H"/>
+    </coding>
+  </interpretation>
+  <specimen>
+    <reference value="Specimen/spec-uslab-example1"/>
+    <display value="Blood sample"/>
+  </specimen>
+  <referenceRange>
+    <high>
+      <value value="5.0"/>
+      <unit value="microgram per deciliter"/>
+      <system value="http://unitsofmeasure.org"/>
+      <code value="ug/dL"/>
+    </high>
+  </referenceRange>
+</Observation>

data/fixtures/order/order-100.xml

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+<?xml version="1.0" encoding="UTF-8"?>
+<Order xmlns="http://hl7.org/fhir">
+  <id value="order-100"/>
+  <text>
+    <status value="generated"/>
+    <div xmlns="http://www.w3.org/1999/xhtml">
+      <p>
+        <b>Generated Narrative with Details</b>
+      </p>
+      <p>
+        <b>id</b>: order-100</p>
+      <p>
+        <b>identifier</b>: PLAC = order-100</p>
+      <p>
+        <b>date</b>: 12/15/2015 7:36:25 AM</p>
+      <p>
+        <b>subject</b>: 
+        <a href="Patient/patient-uslab-example1">Todd G. Lerr</a>
+      </p>
+      <p>
+        <b>source</b>: 
+        <a href="Practitioner/pract-uslab-example1">Leonard T Bloodraw</a>
+      </p>
+      <p>
+        <b>detail</b>: 
+        <a href="DiagnosticOrder/do-100">DiagnosticOrder/do-100</a>
+      </p>
+    </div>
+  </text>
+  <identifier>
+    <type>
+      <coding>
+        <code value="http://hl7.org/fhir/identifier-type"/>
+        <display value="PLAC"/>
+      </coding>
+    </type>
+    <system value="http://goodhealth.org/identifiers"/>
+    <value value="order-100"/>
+  </identifier>
+  <date value="2015-12-15T07:36:25Z"/>
+  <subject>
+    <reference value="Patient/patient-uslab-example1"/>
+    <display value="Todd G. Lerr"/>
+  </subject>
+  <source>
+    <reference value="Practitioner/pract-uslab-example1"/>
+    <display value="Leonard T Bloodraw"/>
+  </source>
+  <!--  Institution local code meaning "do this today"  -->
+  <when>
+    <code>
+      <coding>
+        <system value="http://goodhealth.org/codes"/>
+        <code value="routine"/>
+      </coding>
+    </code>
+  </when>
+  <detail>
+    <reference value="DiagnosticOrder/do-100"/>
+  </detail>
+</Order>

data/fixtures/order/order-200.xml

@@ -0,0 +1,61 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<Order xmlns="http://hl7.org/fhir">
+  <id value="order-200"/>
+  <text>
+    <status value="generated"/>
+    <div xmlns="http://www.w3.org/1999/xhtml">
+      <p>
+        <b>Generated Narrative with Details</b>
+      </p>
+      <p>
+        <b>id</b>: order-200</p>
+      <p>
+        <b>identifier</b>: PLAC = order-200</p>
+      <p>
+        <b>date</b>: 12/15/2015 7:36:25 AM</p>
+      <p>
+        <b>subject</b>: 
+        <a href="Patient/patient-uslab-example1">Todd G. Lerr</a>
+      </p>
+      <p>
+        <b>source</b>: 
+        <a href="Practitioner/pract-uslab-example1">Leonard T Bloodraw</a>
+      </p>
+      <p>
+        <b>detail</b>: 
+        <a href="DiagnosticOrder/do-200">DiagnosticOrder/do-200</a>
+      </p>
+    </div>
+  </text>
+  <identifier>
+    <type>
+      <coding>
+        <code value="http://hl7.org/fhir/identifier-type"/>
+        <display value="PLAC"/>
+      </coding>
+    </type>
+    <system value="http://goodhealth.org/identifiers"/>
+    <value value="order-200"/>
+  </identifier>
+  <date value="2015-12-15T07:36:25Z"/>
+  <subject>
+    <reference value="Patient/patient-uslab-example1"/>
+    <display value="Todd G. Lerr"/>
+  </subject>
+  <source>
+    <reference value="Practitioner/pract-uslab-example1"/>
+    <display value="Leonard T Bloodraw"/>
+  </source>
+  <!--  Institution local code meaning "do this today"  -->
+  <when>
+    <code>
+      <coding>
+        <system value="http://goodhealth.org/codes"/>
+        <code value="routine"/>
+      </coding>
+    </code>
+  </when>
+  <detail>
+    <reference value="DiagnosticOrder/do-200"/>
+  </detail>
+</Order>

data/fixtures/order/order-300.xml

@@ -0,0 +1,61 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<Order xmlns="http://hl7.org/fhir">
+  <id value="order-300"/>
+  <text>
+    <status value="generated"/>
+    <div xmlns="http://www.w3.org/1999/xhtml">
+      <p>
+        <b>Generated Narrative with Details</b>
+      </p>
+      <p>
+        <b>id</b>: order-300</p>
+      <p>
+        <b>identifier</b>: PLAC = order-300</p>
+      <p>
+        <b>date</b>: 12/15/2015 7:36:25 AM</p>
+      <p>
+        <b>subject</b>: 
+        <a href="Patient/patient-uslab-example1">Todd G. Lerr</a>
+      </p>
+      <p>
+        <b>source</b>: 
+        <a href="Practitioner/pract-uslab-example1">Leonard T Bloodraw</a>
+      </p>
+      <p>
+        <b>detail</b>: 
+        <a href="DiagnosticOrder/do-300">DiagnosticOrder/do-300</a>
+      </p>
+    </div>
+  </text>
+  <identifier>
+    <type>
+      <coding>
+        <code value="http://hl7.org/fhir/identifier-type"/>
+        <display value="PLAC"/>
+      </coding>
+    </type>
+    <system value="http://goodhealth.org/identifiers"/>
+    <value value="order-300"/>
+  </identifier>
+  <date value="2015-12-15T07:36:25Z"/>
+  <subject>
+    <reference value="Patient/patient-uslab-example1"/>
+    <display value="Todd G. Lerr"/>
+  </subject>
+  <source>
+    <reference value="Practitioner/pract-uslab-example1"/>
+    <display value="Leonard T Bloodraw"/>
+  </source>
+  <!--  Institution local code meaning "do this today"  -->
+  <when>
+    <code>
+      <coding>
+        <system value="http://goodhealth.org/codes"/>
+        <code value="routine"/>
+      </coding>
+    </code>
+  </when>
+  <detail>
+    <reference value="DiagnosticOrder/do-300"/>
+  </detail>
+</Order>

data/fixtures/order/order-400.xml

@@ -0,0 +1,61 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<Order xmlns="http://hl7.org/fhir">
+  <id value="order-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>: order-400</p>
+      <p>
+        <b>identifier</b>: PLAC = order-400</p>
+      <p>
+        <b>date</b>: 12/15/2015 7:36:25 AM</p>
+      <p>
+        <b>subject</b>: 
+        <a href="Patient/patient-uslab-example1">Todd G. Lerr</a>
+      </p>
+      <p>
+        <b>source</b>: 
+        <a href="Practitioner/pract-uslab-example1">Leonard T Bloodraw</a>
+      </p>
+      <p>
+        <b>detail</b>: 
+        <a href="DiagnosticOrder/do-400">DiagnosticOrder/do-400</a>
+      </p>
+    </div>
+  </text>
+  <identifier>
+    <type>
+      <coding>
+        <code value="http://hl7.org/fhir/identifier-type"/>
+        <display value="PLAC"/>
+      </coding>
+    </type>
+    <system value="http://goodhealth.org/identifiers"/>
+    <value value="order-400"/>
+  </identifier>
+  <date value="2015-12-15T07:36:25Z"/>
+  <subject>
+    <reference value="Patient/patient-uslab-example1"/>
+    <display value="Todd G. Lerr"/>
+  </subject>
+  <source>
+    <reference value="Practitioner/pract-uslab-example1"/>
+    <display value="Leonard T Bloodraw"/>
+  </source>
+  <!--  Institution local code meaning "do this today"  -->
+  <when>
+    <code>
+      <coding>
+        <system value="http://goodhealth.org/codes"/>
+        <code value="routine"/>
+      </coding>
+    </code>
+  </when>
+  <detail>
+    <reference value="DiagnosticOrder/do-400"/>
+  </detail>
+</Order>

data/fixtures/order_response/ordresp-100.xml

@@ -0,0 +1,79 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<OrderResponse xmlns="http://hl7.org/fhir">
+  <id value="ordresp-100"/>
+  <text>
+    <status value="generated"/>
+    <div xmlns="http://www.w3.org/1999/xhtml">
+      <p>
+        <b>Generated Narrative with Details</b>
+      </p>
+      <p>
+        <b>id</b>: ordresp-100</p>
+      <p>
+        <b>identifier</b>: FILL = ordresp-100</p>
+      <p>
+        <b>request</b>: 
+        <a href="Order/order-100">Order/order-100</a>
+      </p>
+      <p>
+        <b>date</b>: 12/15/2015 7:36:25 AM</p>
+      <p>
+        <b>who</b>: 
+        <a href="Organization/org-uslab-example3">Acme Labs</a>
+      </p>
+      <p>
+        <b>orderStatus</b>: accepted</p>
+    </div>
+  </text>
+  <identifier>
+    <type>
+      <coding>
+        <code value="http://hl7.org/fhir/identifier-type"/>
+        <display value="FILL"/>
+      </coding>
+    </type>
+    <system value="http://lis.acmelabs.org/identifiers"/>
+    <value value="ordresp-100"/>
+  </identifier>
+  <!--  
+    this should be a response to the example request, 
+	but we don't yet have all the resource types in 
+	place to make this happen
+	
+	So for now, although the Order message referred to 
+	here contains a prescription resource, this example
+	response contains lab reports
+   -->
+  <request>
+    <reference value="Order/order-100"/>
+  </request>
+  <date value="2015-12-15T07:36:25Z"/>
+  <!--  made by the lab  -->
+  <who>
+    <reference value="Organization/org-uslab-example3"/>
+    <display value="Acme Labs"/>
+  </who>
+  <!--  
+    there's a loose relationship between the status of 
+    the order, and status information on the fulfillment
+    resources. For instance, in the case of a lab, it probably
+    wouldn't make sense to claim that the response is anything
+    but completed when the report is marked as "final" (as it is 
+    in this case). However due to the diversity of business 
+    practices in the order/fulfillment cycle, there's no formal
+    rules about what is allowed
+   -->
+  <orderStatus value="accepted"/>
+  <!--  
+    the lab report that the lab provides as a token of its 
+    fulfillment for this order 
+
+    In the case of a lab order, the report is usually the real/only
+    outcome. However in a case such as a medication administration,
+    the actual administration is the fulfillment - the MedicationAdministration
+    resource is only a token of the fulfillment of the order
+   -->
+  <!--<fulfillment>
+		<reference value="DiagnosticReport/101"/>
+	</fulfillment>-->
+</OrderResponse>

data/fixtures/order_response/ordresp-110.xml

@@ -0,0 +1,79 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<OrderResponse xmlns="http://hl7.org/fhir">
+  <id value="ordresp-110"/>
+  <text>
+    <status value="generated"/>
+    <div xmlns="http://www.w3.org/1999/xhtml">
+      <p>
+        <b>Generated Narrative with Details</b>
+      </p>
+      <p>
+        <b>id</b>: ordresp-110</p>
+      <p>
+        <b>identifier</b>: FILL = ordresp-110</p>
+      <p>
+        <b>request</b>: 
+        <a href="Order/order-100">Order/order-100</a>
+      </p>
+      <p>
+        <b>date</b>: 12/15/2015 7:36:25 AM</p>
+      <p>
+        <b>who</b>: 
+        <a href="Organization/org-uslab-example3">Acme Labs</a>
+      </p>
+      <p>
+        <b>orderStatus</b>: completed</p>
+    </div>
+  </text>
+  <identifier>
+    <type>
+      <coding>
+        <code value="http://hl7.org/fhir/identifier-type"/>
+        <display value="FILL"/>
+      </coding>
+    </type>
+    <system value="http://lis.acmelabs.org/identifiers"/>
+    <value value="ordresp-110"/>
+  </identifier>
+  <!--  
+    this should be a response to the example request, 
+	but we don't yet have all the resource types in 
+	place to make this happen
+	
+	So for now, although the Order message referred to 
+	here contains a prescription resource, this example
+	response contains lab reports
+   -->
+  <request>
+    <reference value="Order/order-100"/>
+  </request>
+  <date value="2015-12-15T07:36:25Z"/>
+  <!--  made by the lab  -->
+  <who>
+    <reference value="Organization/org-uslab-example3"/>
+    <display value="Acme Labs"/>
+  </who>
+  <!--  
+    there's a loose relationship between the status of 
+    the order, and status information on the fulfillment
+    resources. For instance, in the case of a lab, it probably
+    wouldn't make sense to claim that the response is anything
+    but completed when the report is marked as "final" (as it is 
+    in this case). However due to the diversity of business 
+    practices in the order/fulfillment cycle, there's no formal
+    rules about what is allowed
+   -->
+  <orderStatus value="completed"/>
+  <!--  
+    the lab report that the lab provides as a token of its 
+    fulfillment for this order 
+
+    In the case of a lab order, the report is usually the real/only
+    outcome. However in a case such as a medication administration,
+    the actual administration is the fulfillment - the MedicationAdministration
+    resource is only a token of the fulfillment of the order
+   -->
+  <!--<fulfillment>
+		<reference value="DiagnosticReport/101"/>
+	</fulfillment>-->
+</OrderResponse>