Release 5 Preview #1

This page is part of the FHIR Specification (v4.2.0: R5 Preview #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Documentreference-example-dicom.xml

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Raw XML (canonical form + also see XML Format Specification)

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DICOM Ultrasound Image (id = "1.2.840.11361907579238403408700.3.1.04.19970327150033")

<?xml version="1.0" encoding="UTF-8"?>

<DocumentReference xmlns="http://hl7.org/fhir">
  <id value="1.2.840.11361907579238403408700.3.1.04.19970327150033"/> 

  <!--  
    This example demonstrates how to represent an image
    originally sourced by a DICOM acquisition device
    as a DocumentReference resource. Whether this is appropriate depends
    on the complexity of the image - the DocumentReference resource only
    contains crude metadata, and plain png/jpg (typically)
    pixels. This is suitable for the bulk of simple images
    shared as summaries with consumers, but not at all suitable
    for other kinds of images, or for internal radiology
    reporting usage
    -->
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      Ultrasound Image on patient &quot;James Chalmers&quot;:<br/>  
      <img alt="WADO reference to image" src="http://imaging.acme.com/wado/server?requestType=WADO&amp;contentType=application%2Fdicom&amp;studyUi
      d=1.2.840.113619.2.21.848.34082.0.538976288.3&amp;seriesUid=1.2.840.113619.2.21.3408.700.0.757923840.
      3.0&amp;objectUid=1.2.840.11361907579238403408700.3.1.04.19970327150033"/> 

    </div> 
  </text> 

  <!--  
    this is added to demonstrate the use of DICOM extensions.
    0002,0010 is the DICOM transfer syntax of the referenced image
     -->
  <extension url="http://nema.org/fhir/extensions#0002-0010">
    <valueUri value="urn:oid:1.2.840.10008.1.2.1"/> 
  </extension> 

  <identifier> 
    <use value="official"/> 
    <type> <text value="InstanceUID"/> </type> 
    <system value="urn:dicom:uid"/> 
    <value value="urn:oid:1.2.840.11361907579238403408700.3.1.04.19970327150033"/> 
  </identifier> 
  <identifier> 
    <type> <text value="accessionNo"/> </type> 
    <!--   the imaging department accession number. (they recycle numbers each year)   -->
    <system value="http://acme-imaging.com/accession/2012"/> 
    <value value="1234567"/> 
 </identifier> 
  <identifier> 
    <type> <text value="studyId"/> </type> 
    <system value="urn:dicom:uid"/> 
    <value value="urn:oid:1.2.840.113619.2.21.848.34082.0.538976288.3"/> 
  </identifier> 
  <identifier> 
    <type> <text value="seriesId"/> </type> 
    <system value="urn:dicom:uid"/> 
    <value value="urn:oid:1.2.840.113619.2.21.3408.700.0.757923840.3.0"/> 
  </identifier> 

  <status value="current"/> 

  <subject> 
    <reference value="Patient/example"/> 
  </subject> 

  <author> 
    <display value="G.E. Medical Systems"/> 
  </author> 

  <!--   and a reference to the image data   -->
  <content> 
    <attachment> 
      <contentType value="application/dicom"/> 
      <!--   The actual image could be anywhere. This is a WADO example   -->
      <url value="http://imaging.acme.com/wado/server?requestType=WADO&amp;contentType=application%2Fdicom&amp;studyUi
      d=1.2.840.113619.2.21.848.34082.0.538976288.3&amp;seriesUid=1.2.840.113619.2.21.3408.700.0.757923840.
      3.0&amp;objectUid=1.2.840.11361907579238403408700.3.1.04.19970327150033"/> 
      <height value="480"/> 
      <width value="640"/> 
    </attachment> 
  </content> 
  <context> 
    <event> 
    <!--   modality   -->
    <coding> 
      <system value="http://dicom.nema.org/resources/ontology/DCM"/> 
      <code value="US"/> 
    </coding> 
    </event> 
    <event> 
  <!--   view   -->
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="399067008"/> 
      <display value="Lateral projection"/> 
    </coding> 
  </event> 
  </context> 
</DocumentReference> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.