This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). 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
Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner |
Raw XML (canonical form + also see XML Format Specification)
Real-world patient example (id = "f201")
<?xml version="1.0" encoding="UTF-8"?> <DiagnosticReport xmlns="http://hl7.org/fhir"> <id value="f201"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><h2> <span title="Codes: {http://snomed.info/sct 429858000}">CT of head-neck</span> (<span title="Codes: {http://snomed.info/sct 394914008}, {http://terminology.hl7.org/CodeSystem/v2-0074 RAD}">Radiology</span> ) </h2> <table class="grid"><tr> <td> Subject</td> <td> <b> Roel(OFFICIAL)</b> male, DoB: 1960-03-13 ( BSN: 123456789 (OFFICIAL))</td> </tr> <tr> <td> When For</td> <td> 2012-12-01T12:00:00+01:00</td> </tr> <tr> <td> Reported</td> <td> 2012-12-01T12:00:00+01:00</td> </tr> </table> <p> <b> Report Details</b> </p> <p> CT brains: large tumor sphenoid/clivus.</p> <p> <b> Coded Conclusions :</b> </p> <ul> <li> <span title="Codes: {http://snomed.info/sct 188340000}">Malignant tumor of craniopharyngeal duct</span> </li> </ul> </div> </text> <contained> <ImagingStudy> <id value="is1"/> <status value="available"/> <subject> <reference value="Patient/f201"/> </subject> <description value="HEAD and NECK CT DICOM imaging study"/> </ImagingStudy> </contained> <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="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 --> <study> <reference value="#is1"/> </study> <conclusion value="CT brains: large tumor sphenoid/clivus."/> <conclusionCode> <coding> <system value="http://snomed.info/sct"/> <code value="188340000"/> <display value="Malignant tumor of craniopharyngeal duct"/> </coding> </conclusionCode> </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.