STU 3 Ballot

This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). 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

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' = 'Radiology - specialty (qualifier value)', 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' = 'Computed tomography of head and neck (procedure)',
           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' = 'Malignant tumor of craniopharyngeal duct (disorder)',
           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.