International Patient Summary Implementation Guide
2.0.0 -

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

## : Observation: imaging Chest X-ray - PA and lateral, with additional sub-observation including numeric range

Page standards status: Informative

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <https://loinc.org/rdf/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Observation ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "ips-example-imaging-5"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-radiology-uv-ips"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-radiology-uv-ips>     ] )
      ] ; #
      fhir:language [ fhir:v "en"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation-results-radiology-uv-ips.html\">Observation Results - Radiology (IPS)</a></p></div><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>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:partOf ( [
    fhir:l fhir:ImagingStudy/TII-ImagingStudy-5-1 ;
    fhir:reference [ fhir:v "ImagingStudy/TII-ImagingStudy-5-1" ]
      ] ) ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
    fhir:code [ fhir:v "imaging" ] ;
    fhir:display [ fhir:v "Imaging" ]     ] )
      ] ) ; #
      fhir:code [
        ( fhir:coding [
    a loinc:42272-5 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "42272-5" ] ;
    fhir:display [ fhir:v "XR Chest PA and Lateral" ]     ] ) ;
    fhir:text [ fhir:v "Chest X-ray - PA and lateral" ]
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/eumfh-39-07 ;
    fhir:reference [ fhir:v "Patient/eumfh-39-07" ]
      ] ; #
      fhir:effective [
    a fhir:DateTime ;
    fhir:v "1995-06-08"^^xsd:date
      ] ; #
      fhir:performer ( [
    fhir:l fhir:Practitioner/eumfh-39-07 ;
    fhir:reference [ fhir:v "Practitioner/eumfh-39-07" ]
      ] [
    fhir:l fhir:Organization/TII-Organization1 ;
    fhir:reference [ fhir:v "Organization/TII-Organization1" ]
      ] ) ; #
      fhir:value [
    a fhir:String ;
    fhir:v "FINDINGS: Normal cardiomediastinal silhouette. No focal parenchymal process. No pleural effusions. No pneumothorax. No acute osseous abnormalities. IMPRESSION: No acute cardiopulmonary findings."
      ] ; #
      fhir:component ( [
    fhir:code [
          ( fhir:coding [
    a loinc:38181-4 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "38181-4" ] ;
    fhir:display [ fhir:v "XR Chest Diameter.lateral" ]       ] )     ] ;
    fhir:value [
    a fhir:Range ;
    fhir:low [
    fhir:value [ fhir:v 27.8 ] ;
    fhir:unit [ fhir:v "cm" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>         ] ;
    fhir:code [ fhir:v "cm" ]       ] ;
    fhir:high [
    fhir:value [ fhir:v 29.6 ] ;
    fhir:unit [ fhir:v "cm" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>         ] ;
    fhir:code [ fhir:v "cm" ]       ]     ]
      ] ) . #