<?xml version="1.0" encoding="UTF-8"?><ImagingStudy xmlns="http://hl7.org/fhir">
  <id value="example-xr"/>
  <meta>
    <security>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <code value="HTEST"/>
      <display value="test health data"/>
    </security>
  </meta>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml">XR Wrist 3+ Views. John Smith (MRN: 09236). Accession: W12342398. Performed: 2017-01-01.
       1 series, 2 images.</div>
  </text>
  <identifier>
    <use value="official"/>
    <system value="urn:dicom:uid"/>
    <value value="urn:oid:2.16.124.113543.6003.1154777499.30246.19789.3503430046"/>
  </identifier>
  <identifier>
    <use value="secondary"/>
    <value value="55551234"/>
    <assigner>
      <reference value="Organization/dicom-organization"/>
    </assigner>
  </identifier>
  <status value="available"/>
  <modality>
    <coding>
      <system value="http://dicom.nema.org/resources/ontology/DCM"/>
      <code value="DX"/>
    </coding>
  </modality>
  <subject>
    <reference value="Patient/dicom"/>
  </subject>
  <encounter>
    <reference value="Encounter/example"/>
  </encounter>
  <started value="2017-01-01T11:01:20+03:00"/>
  <basedOn>
    <type value="ServiceRequest"/>
    <identifier>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
          <code value="ACSN"/>
        </coding>
      </type>
      <value value="W12342398"/>
      <assigner>
        <reference value="Organization/dicom-organization"/>
      </assigner>
    </identifier>
  </basedOn>
  <basedOn>
    <reference value="ServiceRequest/example"/>
  </basedOn>
  <referrer>
    <reference value="Practitioner/example"/>
  </referrer>
  <endpoint>
    <reference value="Endpoint/example-wadors"/>
  </endpoint>
  <procedure>
    <reference value="Procedure/example"/>
  </procedure>
  <reason>
    <concept>
      <coding>
        <system value="http://www.radlex.org"/>
        <code value="RPID2589"/>
        <display value="XR Wrist 3+ Views"/>
      </coding>
      <text value="XR Wrist 3+ Views"/>
    </concept>
  </reason>
  <reason>
    <concept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="357009"/>
        <display value="Closed fracture of trapezoidal bone of wrist"/>
      </coding>
    </concept>
  </reason>
  <note>
    <text value="XR Wrist 3+ Views"/>
  </note>
  <numberOfSeries value="1"/>
  <numberOfInstances value="2"/>
  <series>
    <uid value="2.16.124.113543.6003.1154777499.30246.19789.3503430045.1"/>
    <number value="3"/>
    <modality>
      <coding>
        <system value="http://dicom.nema.org/resources/ontology/DCM"/>
        <code value="DX"/>
      </coding>
    </modality>
    <description value="XR Wrist 3+ Views"/>
    <numberOfInstances value="2"/>
    <endpoint>
      <reference value="Endpoint/example-wadors"/>
    </endpoint>
    <bodySite>
      <concept>
        <coding>
          <!--      Added body site to support duplicate checking example      -->
          <system value="http://snomed.info/sct"/>
          <code value="74670003"/>
          <display value="Wrist Joint"/>
        </coding>
      </concept>
    </bodySite>
    <started value="2011-01-01T11:01:20+03:00"/>
    <performer>
      <function>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
          <code value="PRF"/>
        </coding>
      </function>
      <actor>
        <reference value="Practitioner/example"/>
      </actor>
    </performer>
    <instance>
      <uid value="2.16.124.113543.6003.1154777499.30246.19789.3503430045.1.1"/>
      <sopClass value="urn:oid:1.2.840.10008.5.1.4.1.1.2"/>
      <number value="1"/>
      <title value="PA VIEW"/>
    </instance>
    <instance>
      <uid value="2.16.124.113543.6003.1154777499.30246.19789.3503430045.1.2"/>
      <sopClass value="urn:oid:1.2.840.10008.5.1.4.1.1.2"/>
      <number value="2"/>
      <title value="LL VIEW"/>
    </instance>
  </series>
</ImagingStudy>