Diagnosticreport-example-f201-brainct.xml

Real-world patient example (id = "f201")

<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="f201"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : f201</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Radiology <span> (Details : {SNOMED CT code '394914008' = 'Radiology - speciality', given as 'Radiology'};
           {http://hl7.org/fhir/v2/0074 code 'RAD' = 'Radiology)</span> </p> <p> <b> code</b> : CT of head-neck <span> (Details : {SNOMED CT code '429858000' = 'Computed tomography (CT) of head and neck',
           given as 'Computed tomography (CT) of head and neck'})</span> </p> <p> <b> subject</b> : <a> Roel</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> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Blijdorp MC</a> </td> </tr> </table> <p> <b> imagingStudy</b> : HEAD and NECK CT DICOM imaging study</p> <p> <b> conclusion</b> : CT brains: large tumor sphenoid/clivus.</p> <p> <b> codedDiagnosis</b> : Malignant tumor of craniopharyngeal duct <span> (Details : {SNOMED CT code '188340000' = 'Malignant tumor of craniopharyngeal duct', given
           as 'Malignant tumor of craniopharyngeal duct'})</span> </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://hl7.org/fhir/v2/0074"/> 
      <code value="RAD"/> 
    </coding> 
  </category> 
  <code> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="429858000"/> 
      <display value="Computed tomography (CT) of head and neck"/> 
    </coding> 
    <text value="CT of head-neck"/> 
  </code> 
  <subject> 
    <reference value="Patient/f201"/> 
    <display value="Roel"/> 
  </subject> 
  <effectiveDateTime value="2012-12-01T12:00:00+01:00"/> 
  <issued value="2012-12-01T12:00:00+01:00"/> 
  <performer> 
    <actor> 
      <reference value="Organization/f203"/> 
      <display value="Blijdorp MC"/> 
    </actor> 
  </performer> 
  <!--    The actual CT imagenot available -  following reference used to demonstrate the usage
   of the element   -->
  <imagingStudy> 
    <display value="HEAD and NECK CT DICOM imaging study"/> 
  </imagingStudy> 
  <conclusion value="CT brains: large tumor sphenoid/clivus."/> 
  <codedDiagnosis> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="188340000"/> 
      <display value="Malignant tumor of craniopharyngeal duct"/> 
    </coding> 
  </codedDiagnosis> 
</DiagnosticReport>