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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)
Abdominal Ultrasound example (id = "ultrasound")
<?xml version="1.0" encoding="UTF-8"?> <DiagnosticReport xmlns="http://hl7.org/fhir"> <id value="ultrasound"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : ultrasound</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Radiology <span> (Details : {SNOMED CT code '394914008' = 'Radiology - speciality', given as 'Radiology'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'RAD' = 'Radiology)</span> </p> <p> <b> code</b> : Abdominal Ultrasound <span> (Details : {SNOMED CT code '45036003' = 'Ultrasonography of abdomen', given as 'Ultrasonography of abdomen'})</span> </p> <p> <b> subject</b> : <a> Patient/example</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> Practitioner/example</a> </p> <h3> Media</h3> <table> <tr> <td> -</td> <td> <b> Comment</b> </td> <td> <b> Link</b> </td> </tr> <tr> <td> *</td> <td> A comment about the image</td> <td> <a> WADO example image</a> </td> </tr> </table> <p> <b> conclusion</b> : Unremarkable study</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://terminology.hl7.org/CodeSystem/v2-0074"/> <code value="RAD"/> </coding> </category> <code> <coding> <system value="http://snomed.info/sct"/> <code value="45036003"/> <display value="Ultrasonography of abdomen"/> </coding> <text value="Abdominal Ultrasound"/> </code> <subject> <reference value="Patient/example"/> </subject> <effectiveDateTime value="2012-12-01T12:00:00+01:00"/> <issued value="2012-12-01T12:00:00+01:00"/> <performer> <reference value="Practitioner/example"/> </performer> <media> <comment value="A comment about the image"/> <link> <reference value="Media/1.2.840.11361907579238403408700.3.1.04.19970327150033"/> <display value="WADO example image"/> </link> </media> <conclusion value="Unremarkable study"/> </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.