Release 4

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Diagnosticreport-example-ultrasound.xml

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner

Raw XML (canonical form + also see XML Format Specification)

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Abdominal Ultrasound example (id = "ultrasound")

<?xml version="1.0" encoding="UTF-8"?>

<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="ultrasound"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : ultrasound</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Radiology <span> (Details : {SNOMED CT code '394914008' = 'Radiology - speciality', given as 'Radiology'};
           {http://terminology.hl7.org/CodeSystem/v2-0074 code 'RAD' = 'Radiology)</span> </p> <p> <b> code</b> : Abdominal Ultrasound <span> (Details : {SNOMED CT code '45036003' = 'Ultrasonography of abdomen', given as 'Ultrasonography
           of abdomen'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> effective</b> : 01/12/2012 12:00:00 PM</p> <p> <b> issued</b> : 01/12/2012 12:00:00 PM</p> <p> <b> performer</b> : <a> Practitioner/example</a> </p> <h3> Media</h3> <table> <tr> <td> -</td> <td> <b> Comment</b> </td> <td> <b> Link</b> </td> </tr> <tr> <td> *</td> <td> A comment about the image</td> <td> <a> WADO example image</a> </td> </tr> </table> <p> <b> conclusion</b> : Unremarkable study</p> </div> </text> <status value="final"/> <!--    No identifier or request details were available    --><category> <!--    The request was honored by the Department of Radiology    --><coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="394914008"/> 
      <display value="Radiology"/> 
    </coding> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
      <code value="RAD"/> 
    </coding> 
  </category> 
  <code> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="45036003"/> 
      <display value="Ultrasonography of abdomen"/> 
    </coding> 
    <text value="Abdominal Ultrasound"/> 
  </code> 
  <subject> 
    <reference value="Patient/example"/> 
  </subject> 
  <effectiveDateTime value="2012-12-01T12:00:00+01:00"/> 
  <issued value="2012-12-01T12:00:00+01:00"/> 
  <performer> 
    <reference value="Practitioner/example"/> 
  </performer> 
  <media> 
    <comment value="A comment about the image"/> 
    <link> 
      <reference value="Media/1.2.840.11361907579238403408700.3.1.04.19970327150033"/> 
      <display value="WADO example image"/> 
    </link> 
  </media> 
  <conclusion value="Unremarkable study"/> 
</DiagnosticReport> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.