International Patient Summary Implementation Guide
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This page is part of the International Patient Summary Implementation Guide (v1.1.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Results Radiology Textual Observations (SNOMED-DICOM-LOINC) - IPS - JSON Representation

Page standards status: Trial-use Maturity Level: 2

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{
  "resourceType" : "ValueSet",
  "id" : "results-radiology-txtobs-snomed-dicom-loinc-uv-ips",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/shareablevalueset"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href=\"http://dicom.nema.org/resources/ontology/DCM\"><code>http://dicom.nema.org/resources/ontology/DCM</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://dicom.nema.org/resources/ontology/DCM.html#DCM-121065\">121065</a></td><td>Procedure Description</td><td>A description of the imaging procedure.</td></tr><tr><td><a href=\"http://dicom.nema.org/resources/ontology/DCM.html#DCM-121069\">121069</a></td><td>Previous Finding</td><td>An observation found on a prior imaging study.</td></tr><tr><td><a href=\"http://dicom.nema.org/resources/ontology/DCM.html#DCM-121071\">121071</a></td><td>Finding</td><td>An observation found on an imaging study.</td></tr><tr><td><a href=\"http://dicom.nema.org/resources/ontology/DCM.html#DCM-121073\">121073</a></td><td>Impression</td><td>An interpretation in the clinical context of the finding(s) on an imaging study.</td></tr><tr><td><a href=\"http://dicom.nema.org/resources/ontology/DCM.html#DCM-121075\">121075</a></td><td>Recommendation</td><td>A recommendation for management or investigation based on the findings and impressions of an imaging study.</td></tr><tr><td><a href=\"http://dicom.nema.org/resources/ontology/DCM.html#DCM-121077\">121077</a></td><td>Conclusion</td><td>An interpretation in the clinical context of the finding(s) on an imaging study.</td></tr><tr><td><a href=\"http://dicom.nema.org/resources/ontology/DCM.html#DCM-121110\">121110</a></td><td>Patient Presentation</td><td>Patient condition at the beginning of a healthcare encounter</td></tr><tr><td><a href=\"http://dicom.nema.org/resources/ontology/DCM.html#DCM-121111\">121111</a></td><td>Summary</td><td>Summary of a procedure, including most significant findings</td></tr></table></li><li>Include these codes as defined in <a href=\"http://loinc.org\"><code>http://loinc.org</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"https://loinc.org/11329-0/\">11329-0</a></td><td>History</td></tr><tr><td><a href=\"https://loinc.org/55115-0/\">55115-0</a></td><td>Request</td></tr></table></li><li>Include these codes as defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a> version <code>http://snomed.info/sct/900000000000207008</code><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://snomed.info/id/116224001\">116224001</a></td><td>Complication of Procedure</td></tr></table></li></ul></div>"
  },
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      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 2,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/uv/ips/ImplementationGuide/ig-uv-ips"
          }
        ]
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    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
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            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/uv/ips/ImplementationGuide/ig-uv-ips"
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  ],
  "url" : "http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-txtobs-snomed-dicom-loinc-uv-ips",
  "version" : "1.1.0",
  "name" : "ResultsRadiologyTextualObservationsSnomedDicomLoincUvIps",
  "title" : "Results Radiology Textual Observations (SNOMED-DICOM-LOINC) - IPS",
  "status" : "active",
  "experimental" : false,
  "date" : "2022-11-22T03:32:52+00:00",
  "publisher" : "Health Level Seven International - Patient Care Work Group",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/patientcare"
        }
      ]
    }
  ],
  "description" : "IPS Results Radiology Textual Observations",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "immutable" : false,
  "copyright" : "This material contains content from LOINC (http://loinc.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. The HL7 International IPS implementation guides incorporate SNOMED CT®, used by permission of the International Health Terminology Standards Development Organisation, trading as SNOMED International. SNOMED CT was originally created by the College of American Pathologists. SNOMED CT is a registered trademark of the International Health Terminology Standards Development Organisation, all rights reserved. Implementers of SNOMED CT should review [usage terms](http://www.snomed.org/snomed-ct/get-snomed-ct) or directly contact SNOMED International: info@snomed.org",
  "compose" : {
    "include" : [
      {
        "system" : "http://dicom.nema.org/resources/ontology/DCM",
        "concept" : [
          {
            "code" : "121065",
            "display" : "Procedure Description"
          },
          {
            "code" : "121069",
            "display" : "Previous Finding"
          },
          {
            "code" : "121071",
            "display" : "Finding"
          },
          {
            "code" : "121073",
            "display" : "Impression"
          },
          {
            "code" : "121075",
            "display" : "Recommendation"
          },
          {
            "code" : "121077",
            "display" : "Conclusion"
          },
          {
            "code" : "121110",
            "display" : "Patient Presentation"
          },
          {
            "code" : "121111",
            "display" : "Summary"
          }
        ]
      },
      {
        "system" : "http://loinc.org",
        "concept" : [
          {
            "code" : "11329-0",
            "display" : "History"
          },
          {
            "code" : "55115-0",
            "display" : "Request"
          }
        ]
      },
      {
        "system" : "http://snomed.info/sct",
        "version" : "http://snomed.info/sct/900000000000207008",
        "concept" : [
          {
            "code" : "116224001",
            "display" : "Complication of Procedure"
          }
        ]
      }
    ]
  }
}