International Patient Summary Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-ips/ and changes regularly. See the Directory of published versions

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: Observation: imaging CT Abdomen W contrast IV, sub-observations - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "ips-example-imaging-4",
  "text" : //  TRILLIUM II Project
		Example of imaging observation including the information of example 2 (some essential and contextual data ) plus:
	- reason For Study (example 3)
	- target region (example 3)
	- acquisition device (example 3)
	- list of evidence references (example 3)
	- reference to the report 

	Only textual results including overall result and findings
    
  {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t<p>\n\t\t\t\t<b>date</b>: 1995-06-08\n            </p>\n\t\t\t<p>\n\t\t\t\t<b>subject</b>: <a>Patient/eumfh-39-07</a>\n\t\t\t</p>\n\t\t\t<p>\n\t\t\t\t<b>CT Abdomen W contrast IV</b>\n\t\t\t</p>\n\t\t\t<p>\n\t\t\t\t<b>Procedure Description:</b>Serial imaging was obtained in the upper abdomen with the administration of oral and intravenous contrast.</p>\n\t\t\t<p>\n\t\t\t\t<b>Finding:</b>The examination demonstrates a well circumscribed 3 cm lesion present within the medial aspect of the inferior right liver lobe. Initial evaluation demonstrates lack of contrast enhancement. Subsequent imaging (not shown) demonstrated typical contrast enhancement pattern of a benign hemangioma of the liver. The remaining contrast enhancement pattern in the liver is normal. There is normal appearance of the adrenal glands, spleen, kidneys, and pancreas. There is no evidence of liver metastasis.</p>\n\t\t\t<p>\n\t\t\t\t<b>Conclusion:</b>3 cm nodule present in the inferior medial aspect of right liver lobe. Contrast enhancement pattern consistent with the diagnosis of hemangioma.\n            </p>\n\t\t</div>"
  },
  "partOf" : [
    {
      🔗 "reference" : "ImagingStudy/TII-ImagingStudy-5-1"
    }
  ],
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "imaging",
          "display" : "Imaging"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "79103-8",
        "display" : "CT Abdomen W contrast IV"
      }
    ],
    "text" : "Upper abdomen with the administration of oral and intravenous contrast (example-4)"
  },
  "subject" : //  in the profile effectiveTime is 0...1 so it can be omitted 
  {
    🔗 "reference" : "Patient/eumfh-39-07"
  },
  "effectiveDateTime" : "1995-06-08",
  "performer" : [
    {
      🔗 "reference" : "Practitioner/eumfh-39-07"
    },
    {
      🔗 "reference" : "Organization/TII-Organization1"
    }
  ],
  "valueString" : "3 cm nodule present in the inferior medial aspect of right liver lobe. Contrast enhancement pattern consistent with the diagnosis of hemangioma.",
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://dicom.nema.org/resources/ontology/DCM",
            "code" : "121065",
            "display" : "Procedure Description"
          }
        ]
      },
      "valueString" : "Serial imaging was obtained in the upper abdomen with the administration of oral and intravenous contrast."
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://dicom.nema.org/resources/ontology/DCM",
            "code" : "121071",
            "display" : "Finding"
          }
        ]
      },
      "valueString" : "The examination demonstrates a well circumscribed 3 cm lesion present within the medial aspect of the inferior right liver lobe. Initial evaluation demonstrates lack of contrast enhancement. Subsequent imaging (not shown) demonstrated typical contrast enhancement pattern of a benign hemangioma of the liver. The remaining contrast enhancement pattern in the liver is normal. There is normal appearance of the adrenal glands, spleen, kidneys, and pancreas. There is no evidence of liver metastasis."
    }
  ]
}