US Core Implementation Guide, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 8.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/US-Core/ and changes regularly. See the Directory of published versions
Page standards status: Informative |
{
"resourceType" : "DiagnosticReport",
"id" : "cardiology-report",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note|8.0.0-ballot"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport cardiology-report</b></p><a name=\"cardiology-report\"> </a><a name=\"hccardiology-report\"> </a><a name=\"cardiology-report-en-US\"> </a><h2><span title=\"Codes:{http://loinc.org 45033-8}\">Cardiovascular physiologic and EKG assessment panel</span> (<span title=\"Codes:{http://loinc.org LP29708-2}\">Cardiology</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Amy V. Baxter Female, DoB: 1987-02-20 ( Medical Record Number:\u00a01032702\u00a0(use:\u00a0usual,\u00a0))</td></tr><tr><td>When For</td><td>2021-11-10 21:39:30+0000</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>When For</b></td></tr><tr><td><a href=\"Observation-qrs-dur-ekg-lead.html\"><span title=\"Codes:{http://loinc.org 44973-6}\">QRS dur {EKG lead}</span></a></td><td>60 ms<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codems = 'ms')</span></td><td>Final</td><td>2021-11-10 16:48:57-0800</td></tr><tr><td><a href=\"Observation-pulse-intensity-palpation.html\"><span title=\"Codes:{http://loinc.org 44974-4}\">Pulse intensity Palpation</span></a></td><td><span title=\"Codes:{http://loinc.org LA11841-6}\">1+</span></td><td>Final</td><td>2021-11-10 16:48:57-0800</td></tr><tr><td><a href=\"Observation-p-r-interval-ekg-lead.html\"><span title=\"Codes:{http://loinc.org 44976-9}\">P-R interval {EKG lead}</span></a></td><td>0.2 s<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codes = 's')</span></td><td>Final</td><td>2021-11-10 16:48:57-0800</td></tr><tr><td><a href=\"Observation-q-t-interval-ekg-lead.html\"><span title=\"Codes:{http://loinc.org 44975-1}\">Q-T interval {EKG lead}</span></a></td><td>0.4 s<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codes = 's')</span></td><td>Final</td><td>2021-11-10 16:48:57-0800</td></tr><tr><td><a href=\"Observation-jugular-vein-distension.html\"><span title=\"Codes:{http://loinc.org 69428-1}\">Jugular vein distension</span></a></td><td><span title=\"Codes:{http://loinc.org LA9634-2}\">Absent</span></td><td>Final</td><td>2021-11-10 16:48:57-0800</td></tr><tr><td><a href=\"Observation-heart-rate-rhythm.html\"><span title=\"Codes:{http://loinc.org 8884-9}\">Heart rate rhythm</span></a></td><td>Regular (R)</td><td>Final</td><td>2021-11-10 16:48:57-0800</td></tr><tr><td><a href=\"Observation-ekg-lead.html\"><span title=\"Codes:{http://loinc.org 44967-8}\">EKG lead</span></a></td><td>II</td><td>Final</td><td>2021-11-10 16:48:57-0800</td></tr><tr><td><a href=\"Observation-ekg-impression.html\"><span title=\"Codes:{http://loinc.org 8601-7}\">EKG impression</span></a></td><td>Normal Sinus Rhythm (NSR)</td><td>Final</td><td>2021-11-10 16:48:57-0800</td></tr><tr><td><a href=\"Observation-capillary-refill-time-nail-bed.html\"><span title=\"Codes:{http://loinc.org 44963-7}\">Capillary refill Time Nail Bed</span></a></td><td>1 s<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codes = 's')</span></td><td>Final</td><td>2021-11-10 16:48:57-0800</td></tr></table></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LP29708-2",
"display" : "Cardiology"
}
],
"text" : "Cardiology"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "45033-8",
"display" : "Cardiovascular physiologic and EKG assessment panel"
}
],
"text" : "Cardiovascular physiologic and EKG assessment panel"
},
"subject" : {
🔗 "reference" : "Patient/example"
},
"effectiveDateTime" : "2021-11-10T21:39:30.000Z",
"result" : [
{
🔗 "reference" : "Observation/qrs-dur-ekg-lead"
},
{
🔗 "reference" : "Observation/pulse-intensity-palpation"
},
{
🔗 "reference" : "Observation/p-r-interval-ekg-lead"
},
{
🔗 "reference" : "Observation/q-t-interval-ekg-lead"
},
{
🔗 "reference" : "Observation/jugular-vein-distension"
},
{
🔗 "reference" : "Observation/heart-rate-rhythm"
},
{
🔗 "reference" : "Observation/ekg-lead"
},
{
🔗 "reference" : "Observation/ekg-impression"
},
{
🔗 "reference" : "Observation/capillary-refill-time-nail-bed"
}
],
"media" : [
{
"link" : {
🔗 "reference" : "Media/ekg-strip",
"display" : "EKG Strip"
}
}
],
"presentedForm" : [
{
"contentType" : "application/pdf",
"url" : "http://example.org/pdfdownloads/cardiopanel-report-123.pdf",
"hash" : "RVFILy4uQWdNRQo="
}
]
}