US Quality Core Implementation Guide
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US Quality Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-quality-core/ and changes regularly. See the Directory of published versions

: DiagnosticReportNote example

Page standards status: Informative

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{
  "resourceType" : "DiagnosticReport",
  "id" : "note-example",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-diagnosticreport-note"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport note-example</b></p><a name=\"note-example\"> </a><a name=\"hcnote-example\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-us-quality-core-diagnosticreport-note.html\">US Quality Core DiagnosticReport Profile for Report and Note Exchange</a></p></div><h2><span title=\"Codes:{http://loinc.org 30746-2}\">Portable XR Chest Views</span> (<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 RAD}, {http://loinc.org LP29684-5}\">Radiology</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Example Patient  Male, DoB: 1974-12-25 ( Medical record number\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</td></tr><tr><td>Relevant Time</td><td>2026-08-05 08:15:00-0400</td></tr><tr><td>Reported</td><td>2026-08-05 09:00:00-0400</td></tr><tr><td>Performer</td><td> <a href=\"Practitioner-example.html\">Example Practitioner</a></td></tr><tr><td>Presented Form</td><td> application/xhtml+xml: PGh0bWwgeG1sbnM9Imh0dHA6Ly93d3cu...</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td></tr><tr><td><a href=\"Observation-cxr-finding-lung-fields.html\"><span title=\"Codes:{http://loinc.org 18782-3}\">Radiology Finding: Lungs</span></a></td><td>Single view portable AP chest radiograph demonstrates clear lung fields without focal consolidation, pleural effusion, or pneumothorax. Heart size is within normal limits.</td><td>Final</td></tr></table><p>Single view portable AP chest radiograph demonstrates clear lung fields without focal consolidation, pleural effusion, or pneumothorax. Heart size is within normal limits.</p><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:\">No acute cardiopulmonary process</span></li></ul></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code" : "RAD",
          "display" : "Radiology"
        },
        {
          "system" : "http://loinc.org",
          "code" : "LP29684-5",
          "display" : "Radiology"
        }
      ],
      "text" : "Radiology"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "30746-2",
        "display" : "Portable XR Chest Views"
      }
    ],
    "text" : "Portable XR Chest Views"
  },
  "subject" : {
    🔗 "reference" : "Patient/example",
    "display" : "Example Patient"
  },
  "effectiveDateTime" : "2026-08-05T08:15:00-04:00",
  "issued" : "2026-08-05T09:00:00-04:00",
  "performer" : [
    {
      🔗 "reference" : "Practitioner/example",
      "display" : "Example Practitioner"
    }
  ],
  "resultsInterpreter" : [
    {
      🔗 "reference" : "Practitioner/example",
      "display" : "Example Practitioner"
    }
  ],
  "result" : [
    {
      🔗 "reference" : "Observation/cxr-finding-lung-fields",
      "display" : "Radiology Finding: Lungs"
    }
  ],
  "imagingStudy" : [
    {
      🔗 "reference" : "ImagingStudy/portable-cxr-study",
      "display" : "Portable Chest X-Ray DICOM Study"
    }
  ],
  "conclusion" : "Single view portable AP chest radiograph demonstrates clear lung fields without focal consolidation, pleural effusion, or pneumothorax. Heart size is within normal limits.",
  "conclusionCode" : [
    {
      "text" : "No acute cardiopulmonary process"
    }
  ],
  "presentedForm" : [
    {
      "contentType" : "application/xhtml+xml",
      "data" : "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"
    }
  ]
}