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Diagnosticreport-example-ultrasound.xml

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

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Abdominal Ultrasound example (id = "ultrasound")

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

<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="ultrasound"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><h2> <span> Abdominal Ultrasound</span>  (<span> Radiology</span> ) </h2> <table> <tr> <td> Subject</td> <td> <b> Jim </b>   1974-12-25 ( Medical record number: 12345 (USUAL))</td> </tr> <tr> <td> When For</td> <td> Dec 1, 2012 12:00:00 PM</td> </tr> <tr> <td> Reported</td> <td> Dec 1, 2012 12:00:00 PM</td> </tr> </table> <p> <b> Report Details</b> </p> <p> Unremarkable study</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://terminology.hl7.org/CodeSystem/v2-0074"/> 
      <code value="RAD"/> 
    </coding> 
  </category> 
  <code> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="45036003"/> 
      <display value="Ultrasonography of abdomen"/> 
    </coding> 
    <text value="Abdominal Ultrasound"/> 
  </code> 
  <subject> 
    <reference value="Patient/example"/> 
  </subject> 
  <effectiveDateTime value="2012-12-01T12:00:00+01:00"/> 
  <issued value="2012-12-01T12:00:00+01:00"/> 
  <performer> 
    <reference value="Practitioner/example"/> 
  </performer> 
  <media> 
    <comment value="A comment about the image"/> 
    <link> 
      <reference value="DocumentReference/1.2.840.11361907579238403408700.3.1.04.19970327150033"/> 
      <display value="WADO example image"/> 
    </link> 
  </media> 
  <conclusion value="Unremarkable study"/> 
</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.