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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    <Observation xmlns="http://hl7.org/fhir">
      <id value="ips-example-imaging-5"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-radiology-uv-ips"/>
      </meta>
      <language value="en"/>
      <text>
        <status value="generated"/>
        <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>
      </text>
      <partOf>🔗
        <reference value="ImagingStudy/TII-ImagingStudy-5-1"/>
      </partOf>
      <status value="final"/>
      <category>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/observation-category"/>
          <code value="imaging"/>
          <display value="Imaging"/>
        </coding>
      </category>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="42272-5"/>
          <display value="XR Chest PA and Lateral"/>
        </coding>
        <text value="Chest X-ray - PA and lateral"/>
      </code>
      <subject>🔗
        <reference value="Patient/eumfh-39-07"/>
      </subject>
      <effectiveDateTime value="1995-06-08"/>
      <performer>🔗
        <reference value="Practitioner/eumfh-39-07"/>
      </performer>
      <performer>🔗
        <reference value="Organization/TII-Organization1"/>
      </performer>
      <valueString
                   value="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 value="http://loinc.org"/>
            <code value="38181-4"/>
            <display value="XR Chest Diameter.lateral"/>
          </coding>
        </code>
        <valueRange>
          <low>
            <value value="27.8"/>
            <unit value="cm"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="cm"/>
          </low>
          <high>
            <value value="29.6"/>
            <unit value="cm"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="cm"/>
          </high>
        </valueRange>
      </component>
    </Observation>