Imaging Example (Bone Density DXA)

@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
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@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n			<h2>DXA BONE DENSITOMETRY</h2>\n			<table>\n				<tr>\n					<td>NAME</td>\n					<td>XXXXXXX</td>\n				</tr>\n				<tr>\n					<td>DOB</td>\n					<td>10/02/1974</td>\n				</tr>\n				<tr>\n					<td>REFERRING DR</td>\n					<td>Smith, Jane</td>\n				</tr>\n				<tr>\n					<td>INDICATIONS</td>\n					<td>Early menopause on estrogen levels. No period  for 18 months</td>\n				</tr>\n				<tr>\n					<td>PROCEDURE</td>\n					<td>Dual energy x-ray absorptiometry (DEXA)</td>\n				</tr>\n			</table>\n			<h3>Bone Mineral Density</h3>\n			<table>\n				<tr>\n					<td>Scan Type</td>\n					<td>Region</td>\n					<td>Measured</td>\n					<td>Age</td>\n					<td>BMD</td>\n					<td>T-Score</td>\n					<td>Z-Score</td>\n					<td>?BMD(g/cm2)</td>\n					<td>?BMD(%)</td>\n				</tr>\n				<tr>\n					<td>AP Spine</td>\n					<td>L1-L4</td>\n					<td>17/06/2008</td>\n					<td>34.4</td>\n					<td>1.148 g/cm²</td>\n					<td>-0.4</td>\n					<td>-0.5</td>\n					<td>-</td>\n					<td>-</td>\n				</tr>\n				<tr>\n					<td>Left Femur</td>\n					<td>Neck</td>\n					<td>17/06/2008</td>\n					<td>34.4</td>\n					<td>0.891 g/cm²</td>\n					<td>-1.0</td>\n					<td>-0.9</td>\n					<td>-</td>\n					<td>-</td>\n				</tr>\n				<tr>\n					<td>Left Femur</td>\n					<td>Total</td>\n					<td>17/06/2008</td>\n					<td>34.4</td>\n					<td>0.887 g/cm²</td>\n					<td>-1.2</td>\n					<td>-1.3</td>\n					<td>-</td>\n					<td>-</td>\n				</tr>\n				<tr>\n					<td>Right Femur</td>\n					<td>Neck</td>\n					<td>17/06/2008</td>\n					<td>34.4</td>\n					<td>0.885 g/cm²</td>\n					<td>-1.0</td>\n					<td>-1.0</td>\n					<td>-</td>\n					<td>-</td>\n				</tr>\n				<tr>\n					<td>Right Femur</td>\n					<td>Total</td>\n					<td>17/06/2008</td>\n					<td>34.4</td>\n					<td>0.867 g/cm²</td>\n					<td>-1.4</td>\n					<td>-1.4</td>\n					<td>-</td>\n					<td>-</td>\n				</tr>\n			</table>\n			<p>Assessment:</p>\n			<ul>\n				<li>The Spine L1-L4 BMD is normal.</li>\n				<li>The Left Femur Neck BMD is in the osteopenic range. Relative fracture risk is about 2.</li>\n				<li>The Left Femur Total BMD is in the osteopenic range. Relative fracture risk is about 2.</li>\n				<li>The Right Femur Neck BMD is in the osteopenic range. Relative fracture risk is about 2.</li>\n				<li>The Right Femur Total BMD is in the osteopenic range. Relative fracture risk is about 2.</li>\n			</ul>\n			<p>\n				<b>COMMENT</b>\n			</p>\n			<p>Osteopenia on measured BMD. The estimated 10-year probability of fracture based on present age, gender and measured BMD is less than 10%. This absolute fracture risk remains low. A follow-up assessment may be considered in 2 to 3 years to monitor the trend in BMD.</p>\n			<p>Thank you for your referral.  Dr Henry Seven  17/06/2008</p>\n			<pre>\nNote:\nWHO classification of osteoporosis (WHO Technical Report Series 1994: 843)\n- Normal: T-score equal to -1.0 s.d. or higher\n- Osteopenia: T-score  between -1.0 and -2.5 s.d.\n- Osteoporosis: T-score equal to -2.5 s.d. or lower\n- Severe/Established osteoporosis: Osteoporosis with one or more fragility fracture.\nT-score: The number of s.d. from the mean BMD for a gender-matched young adult population.\nZ-score: The number of s.d. from the mean BMD for an age-, weight- and gender-matched population.\nReference for 10-year probability of fracture risk: Kanis JA, Johnell O, Oden A, Dawson A,  De Laet C, Jonsson B. Ten year probabilities of osteoporotic fractures according to BMD and diagnostic thresholds. Osteoporos.Int. 2001;12(12):989-995.\nGE LUNAR PRODIGY DENSITOMETER\n</pre>\n		</div>"
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