Breast Radiology Reporting - 1st STU ballot
0.2.0 - STU 1 Ballot 2020May

Breast Radiology Reporting - 1st STU ballot - Local Development build (v0.2.0). See the Directory of published versions

'Composition' example. - XML Representation

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<Composition xmlns="http://hl7.org/fhir">
  <id value="Index"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/breast-radiology/StructureDefinition/BreastRadComposition"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: Index</p><p><b>meta</b>: </p><p><b>contained</b>: , , , </p><p><b>status</b>: final</p><p><b>type</b>: US Breast screening <span style="background: LightGoldenRodYellow">(Details : {LOINC code '42132-1' = 'US Breast screening)</span></p><p><b>encounter</b>: unknown resource contained</p><p><b>date</b>: Mar 29, 2020 8:54:06 PM</p><p><b>author</b>: unknown resource contained</p><p><b>title</b>: Simple Narrative Only Breast Radiology Report</p></div>
  </text>
  <contained>
    <Patient>
      <id value="Patient.Patient1"/>
      <name>
        <family value="Moose"/>
        <given value="Bullwinkle"/>
      </name>
    </Patient>
  </contained>
  <contained>
    <Encounter>
      <id value="Encounter.Encounter1"/>
      <status value="finished"/>
      <class>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
        <code value="CASH"/>
      </class>
    </Encounter>
  </contained>
  <contained>
    <Device>
      <id value="Device.Device1"/>
      <deviceName>
        <name value="Test Author"/>
        <type value="user-friendly-name"/>
      </deviceName>
    </Device>
  </contained>
  <contained>
    <DiagnosticReport>
      <id value="DiagnosticReport.Report"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/breast-radiology/StructureDefinition/BreastRadReport"/>
      </meta>
      <status value="final"/>
      <category>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/observation-category"/>
          <code value="imaging"/>
        </coding>
      </category>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="10193-1"/>
        </coding>
      </code>
      <subject>
        <reference value="#Patient.Patient1"/>
      </subject>
      <encounter>
        <reference value="#Encounter.Encounter1"/>
      </encounter>
      <conclusion value="Report Narrative conclusion."/>
      <conclusionCode>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/breast-radiology/CodeSystem/BiRadsAssessmentCategoriesCS"/>
          <code value="Category2"/>
        </coding>
        <text value="Category 2 (Benign)"/>
      </conclusionCode>
    </DiagnosticReport>
  </contained>
  <status value="final"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="42132-1"/>
    </coding>
    <text value="US Breast screening"/>
  </type>
  <subject>
    <reference value="#Patient.Patient1"/>
  </subject>
  <encounter>
    <reference value="#Encounter.Encounter1"/>
  </encounter>
  <date value="2020-03-29T15:54:06.019806-05:00"/>
  <author>
    <reference value="#Device.Device1"/>
  </author>
  <title value="Simple Narrative Only Breast Radiology Report"/>
  <section>
    <title value="Breast Radiology Report"/>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/breast-radiology/CodeSystem/CompositionSectionSliceCodes"/>
        <code value="sectionReport"/>
      </coding>
    </code>
    <entry>
      <reference value="#DiagnosticReport.Report"/>
    </entry>
  </section>
  <section>
    <title value="Admin"/>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/breast-radiology/CodeSystem/CompositionSectionSliceCodes"/>
        <code value="sectionCodeAdmin"/>
      </coding>
    </code>
    <entry>
      <reference value="#Patient.Patient1"/>
    </entry>
    <entry>
      <reference value="#Encounter.Encounter1"/>
    </entry>
    <entry>
      <reference value="#Device.Device1"/>
    </entry>
  </section>
</Composition>