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

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    {
      "resourceType" : "Observation",
      "id" : "ips-example-imaging-5",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-radiology-uv-ips"
        ]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      },
      "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"
            }
          }
        }
      ]
    }