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 2.0.0 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 Chest X-ray - PA and lateral, with additional sub-observation including numeric range - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "ips-example-imaging-5",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation ips-example-imaging-5</b></p><a name=\"ips-example-imaging-5\"> </a><a name=\"hcips-example-imaging-5\"> </a><a name=\"ips-example-imaging-5-en-US\"> </a><p><b>partOf</b>: <a href=\"ImagingStudy-TII-ImagingStudy-5-1.html\">ImagingStudy: identifier = urn:dicom:uid#DICOM Unique Id#urn:oid:2.16.840.1.113883.2.9.999.1.12345; status = available; procedureCode = SPECT Heart perfusion and wall motion at rest and W stress and W Tl-201 IV and W Tc-99m Sestamibi IV; reasonCode = </a></p><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 42272-5}\">Chest X-ray - PA and lateral</span></p><p><b>subject</b>: <a href=\"Patient-eumfh-39-07.html\">Alexander Heig  Male, DoB: 1957 ( http://trilliumbridge.eu/fhir/demos/eumfh/inject#39-07)</a></p><p><b>effective</b>: 1995-06-08</p><p><b>performer</b>: </p><ul><li><a href=\"Practitioner-eumfh-39-07.html\">Practitioner Mark Antonio </a></li><li><a href=\"Organization-TII-Organization1.html\">Organization Someplace General Hospital</a></li></ul><p><b>value</b>: FINDINGS: Normal cardiomediastinal silhouette. No focal parenchymal process. No pleural effusions. No pneumothorax. No acute osseous abnormalities. IMPRESSION: No acute cardiopulmonary findings.</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://loinc.org 38181-4}\">XR Chest Diameter.lateral</span></td><td>27.8-29.6 cm</td></tr></table></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" : "42272-5",
        "display" : "XR Chest PA and Lateral"
      }
    ],
    "text" : "Chest X-ray - PA and lateral"
  },
  "subject" : {
    🔗 "reference" : "Patient/eumfh-39-07"
  },
  "effectiveDateTime" : "1995-06-08",
  "performer" : [
    {
      🔗 "reference" : "Practitioner/eumfh-39-07"
    },
    {
      🔗 "reference" : "Organization/TII-Organization1"
    }
  ],
  "valueString" : "FINDINGS: Normal cardiomediastinal silhouette. No focal parenchymal process. No pleural effusions. No pneumothorax. No acute osseous abnormalities. IMPRESSION: No acute cardiopulmonary findings.",
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "38181-4",
            "display" : "XR Chest Diameter.lateral"
          }
        ]
      },
      "valueRange" : {
        "low" : {
          "value" : 27.8,
          "unit" : "cm",
          "system" : "http://unitsofmeasure.org",
          "code" : "cm"
        },
        "high" : {
          "value" : 29.6,
          "unit" : "cm",
          "system" : "http://unitsofmeasure.org",
          "code" : "cm"
        }
      }
    }
  ]
}