This page is part of the FHIR Specification (v4.6.0: R5 Draft Ballot). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Raw XML (canonical form + also see XML Format Specification)
DICOM Ultrasound Image (id = "1.2.840.11361907579238403408700.3.1.04.19970327150033")
<?xml version="1.0" encoding="UTF-8"?> <DocumentReference xmlns="http://hl7.org/fhir"> <id value="1.2.840.11361907579238403408700.3.1.04.19970327150033"/> <!-- This example demonstrates how to represent an image originally sourced by a DICOM acquisition device as a DocumentReference resource. Whether this is appropriate depends on the complexity of the image - the DocumentReference resource only contains crude metadata, and plain png/jpg (typically) pixels. This is suitable for the bulk of simple images shared as summaries with consumers, but not at all suitable for other kinds of images, or for internal radiology reporting usage --> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> Ultrasound Image on patient "James Chalmers":<br/> <img alt="WADO reference to image" src="http://imaging.acme.com/wado/server?requestType=WADO&contentType=application%2Fdicom&studyUi d=1.2.840.113619.2.21.848.34082.0.538976288.3&seriesUid=1.2.840.113619.2.21.3408.700.0.757923840. 3.0&objectUid=1.2.840.11361907579238403408700.3.1.04.19970327150033"/> </div> </text> <!-- this is added to demonstrate the use of DICOM extensions. 0002,0010 is the DICOM transfer syntax of the referenced image --> <extension url="http://nema.org/fhir/extensions#0002-0010"> <valueUri value="urn:oid:1.2.840.10008.1.2.1"/> </extension> <identifier> <type> <text value="accessionNo"/> </type> <!-- the imaging department accession number. (they recycle numbers each year) --> <system value="http://acme-imaging.com/accession/2012"/> <value value="1234567"/> </identifier> <identifier> <type> <text value="studyId"/> </type> <system value="urn:dicom:uid"/> <value value="urn:oid:1.2.840.113619.2.21.848.34082.0.538976288.3"/> </identifier> <identifier> <type> <text value="seriesId"/> </type> <system value="urn:dicom:uid"/> <value value="urn:oid:1.2.840.113619.2.21.3408.700.0.757923840.3.0"/> </identifier> <status value="current"/> <subject> <reference value="Patient/example"/> </subject> <event> <!-- modality --> <coding> <system value="http://dicom.nema.org/resources/ontology/DCM"/> <code value="US"/> </coding> </event> <event> <!-- view --> <coding> <system value="http://snomed.info/sct"/> <code value="399067008"/> <display value="Lateral projection"/> </coding> </event> <author> <display value="G.E. Medical Systems"/> </author> <!-- and a reference to the image data --> <content> <attachment> <contentType value="application/dicom"/> <!-- The actual image could be anywhere. This is a WADO example --> <url value="http://imaging.acme.com/wado/server?requestType=WADO&contentType=application%2Fdicom&studyUi d=1.2.840.113619.2.21.848.34082.0.538976288.3&seriesUid=1.2.840.113619.2.21.3408.700.0.757923840. 3.0&objectUid=1.2.840.11361907579238403408700.3.1.04.19970327150033"/> <height value="480"/> <width value="640"/> </attachment> <identifier> <use value="official"/> <type> <text value="InstanceUID"/> </type> <system value="urn:dicom:uid"/> <value value="urn:oid:1.2.840.11361907579238403408700.3.1.04.19970327150033"/> </identifier> </content> </DocumentReference>
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.