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 |
<Observation xmlns="http://hl7.org/fhir">
<id value="xray-chest-findings"/>
<meta>
<extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
<valueString value="Xray Chest Findings Example"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/instance-description">
<valueMarkdown
value="This example of a US Core Observation Clinical Result Profile illustrates its use to capture information about a patient's radiology study findings."/>
</extension>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation xray-chest-findings</b></p><a name="xray-chest-findings"> </a><a name="hcxray-chest-findings"> </a><a name="xray-chest-findings-en-US"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category imaging}">Imaging</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 18782-3}">Findings</span></p><p><b>subject</b>: <a href="Patient-example.html">Amy Shaw</a></p><p><b>encounter</b>: ER Visit</p><p><b>effective</b>: 2019-02-03 19:43:30+0000</p><p><b>performer</b>: <a href="Practitioner-practitioner-1.html">Dr Ronald Bone</a></p><p><b>value</b>: LINES AND TUBES: None.\n LUNGS AND PLEURA:\n Clear lungs. Normal pulmonary vascularity.\n No pleural effusion.\n No pneumothorax.\n HEART, MEDIASTINUM AND HILA:\n Heart is normal in size.\n Normal mediastinal and hilar contour.\n BONES AND SOFT TISSUES:\n No acute abnormality.\n</p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="imaging"/>
<display value="Imaging"/>
</coding>
<text value="Imaging"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="18782-3"/>
<display value="Radiology Study observation (narrative)"/>
</coding>
<text value="Findings"/>
</code>
<subject>🔗
<reference value="Patient/example"/>
<display value="Amy Shaw"/>
</subject>
<encounter>
<display value="ER Visit"/>
</encounter>
<effectiveDateTime value="2019-02-03T19:43:30+00:00"/>
<performer>🔗
<reference value="Practitioner/practitioner-1"/>
<display value="Dr Ronald Bone"/>
</performer>
<valueString
value="LINES AND TUBES: None.\n LUNGS AND PLEURA:\n Clear lungs. Normal pulmonary vascularity.\n No pleural effusion.\n No pneumothorax.\n HEART, MEDIASTINUM AND HILA:\n Heart is normal in size.\n Normal mediastinal and hilar contour.\n BONES AND SOFT TISSUES:\n No acute abnormality.\n"/>
</Observation>