Breast Radiology Reporting - 1st for comment ballot

This page is part of the Breast Radiology Report (v0.1.0: Comment Draft) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

Example: BreastRadiologyDocumentExample1


<Composition xmlns="http://hl7.org/fhir">
  <id value="BreastRadiologyDocumentExample1"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/breast-radiology/StructureDefinition/breastrad-BreastRadiologyDocument"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
This is an example Breast Radiology Document.<br/>
<br/>
<b>Id</b>: BreastRadiologyDocumentExample1<br/>
<b>Status</b>: 'Final'<br/>
<b>Type</b>: [http://loinc.org] '10193-1'<br/>
<b>Title</b>: Breast Radiology Document<br/>
<b>Author</b>: 'Reference to document author'<br/>
Section List<br/>
Patient History<br/>
Findings<br/>
&nbsp;&nbsp;&nbsp;&nbsp;Findings Left Breast<br/>
&nbsp;&nbsp;&nbsp;&nbsp;Findings Right Breast<br/>
Impressions<br/>
Recommendations<br/>
Patient Risk<br/>
Prior Reports<br/>
</div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/breast-radiology/StructureDefinition/breastrad-SummaryBiRadCode-extension">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-BiRadCodeCS"/>
        <code value="BIRAD1Negative"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/breast-radiology/StructureDefinition/breastrad-BreastExamTechnique-extension">
    <valueCodeableConcept>
      <coding>
        <system value="http://loinc.org"/>
        <code value="34117-2"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <status value="final"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="10193-1"/>
    </coding>
  </type>
  <subject>
    <display value="Reference to document subject"/>
  </subject>
  <date value="2019-01-01T00:00:00+00:00"/>
  <author>
    <display value="Reference to document author"/>
  </author>
  <title value="Breast Radiology Document"/>
  <section>
    <title value="Patient History"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="34117-2"/>
      </coding>
    </code>
    <entry>
      <display value="Reference to Patient History Observation"/>
    </entry>
  </section>
  <section>
    <title value="Findings"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="32422-8"/>
      </coding>
    </code>
    <section>
      <title value="Findings Left Breast"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="26215-4"/>
        </coding>
      </code>
      <entry>
        <display
                 value="Reference to BreastAbnormality Observation for left breast"/>
      </entry>
    </section>
    <section>
      <title value="Findings Right Breast"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="26216-2"/>
        </coding>
      </code>
      <entry>
        <display
                 value="Reference to BreastAbnormality Observation for right breast"/>
      </entry>
    </section>
  </section>
  <section>
    <title value="Impressions"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="19005-8"/>
      </coding>
    </code>
    <entry>
      <display value="Reference to Impression Condition"/>
    </entry>
  </section>
  <section>
    <title value="Recommendations"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="18783-1"/>
      </coding>
    </code>
    <entry>
      <display value="Reference to Recommendation ActionRequest"/>
    </entry>
  </section>
  <section>
    <title value="Patient Risk"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="76546-1"/>
      </coding>
    </code>
    <entry>
      <display value="Reference to patientRisk Resource"/>
    </entry>
  </section>
  <section>
    <title value="Prior Reports"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="76546-1"/>
      </coding>
    </code>
    <entry>
      <display value="Reference to prior BreastRadiologyReport"/>
    </entry>
  </section>
</Composition>