International Patient Summary Implementation Guide
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This page is part of the International Patient Summary Implementation Guide (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

: Observation: imaging Chest X-ray - PA and lateral, with additional sub-observation including numeric range - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="ips-example-imaging-5"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation ips-example-imaging-5</b></p><a name="ips-example-imaging-5"> </a><a name="hcips-example-imaging-5"> </a><a name="ips-example-imaging-5-en-US"> </a><p><b>partOf</b>: <a href="ImagingStudy-TII-ImagingStudy-5-1.html">ImagingStudy: identifier = urn:dicom:uid#DICOM Unique Id#urn:oid:2.16.840.1.113883.2.9.999.1.12345; status = available; procedureCode = SPECT Heart perfusion and wall motion at rest and W stress and W Tl-201 IV and W Tc-99m Sestamibi IV; reasonCode = </a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category imaging}">Imaging</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 42272-5}">Chest X-ray - PA and lateral</span></p><p><b>subject</b>: <a href="Patient-eumfh-39-07.html">Alexander Heig  Male, DoB: 1957 ( http://trilliumbridge.eu/fhir/demos/eumfh/inject#39-07)</a></p><p><b>effective</b>: 1995-06-08</p><p><b>performer</b>: </p><ul><li><a href="Practitioner-eumfh-39-07.html">Practitioner Mark Antonio </a></li><li><a href="Organization-TII-Organization1.html">Organization Someplace General Hospital</a></li></ul><p><b>value</b>: FINDINGS: Normal cardiomediastinal silhouette. No focal parenchymal process. No pleural effusions. No pneumothorax. No acute osseous abnormalities. IMPRESSION: No acute cardiopulmonary findings.</p><h3>Components</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://loinc.org 38181-4}">XR Chest Diameter.lateral</span></td><td>27.8-29.6 cm</td></tr></table></div>
  </text>
  <partOf>🔗 
    <reference value="ImagingStudy/TII-ImagingStudy-5-1"/>
  </partOf>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="imaging"/>
      <display value="Imaging"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="42272-5"/>
      <display value="XR Chest PA and Lateral"/>
    </coding>
    <text value="Chest X-ray - PA and lateral"/>
  </code>
  <subject>🔗 
    <reference value="Patient/eumfh-39-07"/>
  </subject>
  <effectiveDateTime value="1995-06-08"/>
  <performer>🔗 
    <reference value="Practitioner/eumfh-39-07"/>
  </performer>
  <performer>🔗 
    <reference value="Organization/TII-Organization1"/>
  </performer>
  <valueString
               value="FINDINGS: Normal cardiomediastinal silhouette. No focal parenchymal process. No pleural effusions. No pneumothorax. No acute osseous abnormalities. IMPRESSION: No acute cardiopulmonary findings."/>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="38181-4"/>
        <display value="XR Chest Diameter.lateral"/>
      </coding>
    </code>
    <valueRange>
      <low>
        <value value="27.8"/>
        <unit value="cm"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="cm"/>
      </low>
      <high>
        <value value="29.6"/>
        <unit value="cm"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="cm"/>
      </high>
    </valueRange>
  </component>
</Observation>