GAO Ballot Package

This page is part of the FHIR Specification (v1.1.0: STU 3 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

This is a frozen snapshot of the FHIR specification created for the purpose of balloting the GAO implementation Guide. It includes draft changes that may be part of the future DSTU 2.1 release but further change is expected. Readers should focus solely on the GAO implementation content, and FHIR DSTU 2 for other purposes.

Diagnosticreport-example-f201-brainct.xml

Raw XML (canonical form)

Real-world patient example (id = "f201")

<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="f201"/>
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f201</p><p><b>status</b>: final</p><p><b>category</b>: Radiology <span>(Details : {SNOMED CT code '394914008' = '394914008', given as 'Radiology'}; {http://hl7.org/fhir/v2
          /0074 code 'RAD' = 'Radiology)</span></p><p><b>code</b>: CT of head-neck <span>(Details : {SNOMED CT code '429858000' = '429858000', given as 'Computed tomography (CT)
           of head and neck'})</span></p><p><b>subject</b>: <a>Roel</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>Blijdorp MC</a></p><p><b>imagingStudy</b>: HEAD and NECK CT DICOM imaging study</p><p><b>conclusion</b>: CT brains: large tumor sphenoid/clivus.</p><p><b>codedDiagnosis</b>: Malignant tumor of craniopharyngeal duct <span>(Details : {SNOMED CT code '188340000' = '188340000', given as 'Malignant tumor of craniopharyngeal
           duct'})</span></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://hl7.org/fhir/v2/0074"/>
      <code value="RAD"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="429858000"/>
      <display value="Computed tomography (CT) of head and neck"/>
    </coding>
    <text value="CT of head-neck"/>
  </code>
  <subject>
    <reference value="Patient/f201"/>
    <display value="Roel"/>
  </subject>
  <effectiveDateTime value="2012-12-01T12:00:00+01:00"/>
  <issued value="2012-12-01T12:00:00+01:00"/>
  <performer>
    <reference value="Organization/f203"/>
    <display value="Blijdorp MC"/>
  </performer>
  <!--    The actual CT imagenot available -  following reference used to demonstrate the usage
   of the element   -->
  <imagingStudy><display value="HEAD and NECK CT DICOM imaging study"/></imagingStudy>
  <conclusion value="CT brains: large tumor sphenoid/clivus."/>
  <codedDiagnosis>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="188340000"/>
      <display value="Malignant tumor of craniopharyngeal duct"/>
    </coding>
  </codedDiagnosis>
</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.