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Diagnosticreport-example-f201-brainct.xml
Example
DiagnosticReport/f201
(XML)
Raw
XML
(
canonical
form
+
also
see
XML
Format
Specification
)
Jump
past
Narrative
Real-world
patient
example
(id
=
"f201")
<?xml version="1.0" encoding="UTF-8"?>
(Details : {SNOMED CT code '394914008' = 'Radiology - speciality', given as 'Radiology'};
{http://terminology.hl7.org/CodeSystem/v2-0074 code 'RAD' = 'Radiology)(Details : {SNOMED CT code '429858000' = 'Computed tomography (CT) of head and neck',
given as 'Computed tomography (CT) of head and neck'})(Details : {SNOMED CT code '188340000' = 'Malignant tumor of craniopharyngeal duct', given
as 'Malignant tumor of craniopharyngeal duct'})
<!-- The actual CT imagenot available - following reference used to demonstrate the usage
of the element -->
<DiagnosticReport xmlns="http://hl7.org/fhir">
<id value="f201"/>
<text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><h2> <span title="Codes: {http://snomed.info/sct 429858000}">CT of head-neck</span> (<span title="Codes: {http://snomed.info/sct 394914008}, {http://terminology.hl7.org/CodeSystem/v2-0074
RAD}">Radiology</span> ) </h2> <table class="grid"><tr> <td> Subject</td> <td> <b> Roel(OFFICIAL)</b> male, DoB: 1960-03-13 ( BSN: 123456789 (use: OFFICIAL))</td> </tr> <tr> <td> When For</td> <td> 2012-12-01T12:00:00+01:00</td> </tr> <tr> <td> Reported</td> <td> 2012-12-01T12:00:00+01:00</td> </tr> </table> <p> <b> Report Details</b> </p> <div> <p> CT brains: large tumor sphenoid/clivus.</p>
</div> <p> <b> Coded Conclusions :</b> </p> <ul> <li> <span title="Codes: {http://snomed.info/sct 188340000}">Malignant tumor of craniopharyngeal duct</span> </li> </ul> </div> </text> <contained> <ImagingStudy> <id value="is1"/> <status value="available"/> <subject> <reference value="Patient/f201"/> </subject> <description value="HEAD and NECK CT DICOM imaging study"/> </ImagingStudy> </contained> <status value="final"/> <category> <coding> <system value="http://snomed.info/sct"/> <code value="394914008"/> <display value="Radiology"/> </coding> <coding> <system value="http://terminology.hl7.org/CodeSystem/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> <reference value="Organization/f203"/> <display value="Blijdorp MC"/> </performer>
<study> <reference value="#is1"/> </study> <conclusion value="CT brains: large tumor sphenoid/clivus."/> <conclusionCode> <coding> <system value="http://snomed.info/sct"/> <code value="188340000"/> <display value="Malignant tumor of craniopharyngeal duct"/> </coding> </conclusionCode>
</
DiagnosticReport
>
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.