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

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

<http://hl7.org/fhir/DiagnosticReport/note-example> a fhir:DiagnosticReport ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "note-example"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-diagnosticreport-note" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-diagnosticreport-note>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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 (use: usual, period: 2001-05-06 --&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>"
  ] ;
  fhir:DiagnosticReport.status [ fhir:value "final"] ;
  fhir:DiagnosticReport.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ] ;
       fhir:Coding.code [ fhir:value "RAD" ] ;
       fhir:Coding.display [ fhir:value "Radiology" ]
     ], [
       fhir:index -1 ;
       a loinc:LP29684-5 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "LP29684-5" ] ;
       fhir:Coding.display [ fhir:value "Radiology" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Radiology" ]
  ] ;
  fhir:DiagnosticReport.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a loinc:30746-2 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "30746-2" ] ;
       fhir:Coding.display [ fhir:value "Portable XR Chest Views" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Portable XR Chest Views" ]
  ] ;
  fhir:DiagnosticReport.subject [
     fhir:link <http://hl7.org/fhir/Patient/example> ;
     fhir:Reference.reference [ fhir:value "Patient/example" ] ;
     fhir:Reference.display [ fhir:value "Example Patient" ]
  ] ;
  fhir:DiagnosticReport.effectiveDateTime [ fhir:value "2026-08-05T08:15:00-04:00"^^xsd:dateTime] ;
  fhir:DiagnosticReport.issued [ fhir:value "2026-08-05T09:00:00-04:00"^^xsd:dateTime] ;
  fhir:DiagnosticReport.performer [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/Practitioner/example> ;
     fhir:Reference.reference [ fhir:value "Practitioner/example" ] ;
     fhir:Reference.display [ fhir:value "Example Practitioner" ]
  ] ;
  fhir:DiagnosticReport.resultsInterpreter [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/Practitioner/example> ;
     fhir:Reference.reference [ fhir:value "Practitioner/example" ] ;
     fhir:Reference.display [ fhir:value "Example Practitioner" ]
  ] ;
  fhir:DiagnosticReport.result [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/Observation/cxr-finding-lung-fields> ;
     fhir:Reference.reference [ fhir:value "Observation/cxr-finding-lung-fields" ] ;
     fhir:Reference.display [ fhir:value "Radiology Finding: Lungs" ]
  ] ;
  fhir:DiagnosticReport.imagingStudy [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/ImagingStudy/portable-cxr-study> ;
     fhir:Reference.reference [ fhir:value "ImagingStudy/portable-cxr-study" ] ;
     fhir:Reference.display [ fhir:value "Portable Chest X-Ray DICOM Study" ]
  ] ;
  fhir:DiagnosticReport.conclusion [ fhir:value "Single view portable AP chest radiograph demonstrates clear lung fields without focal consolidation, pleural effusion, or pneumothorax. Heart size is within normal limits."] ;
  fhir:DiagnosticReport.conclusionCode [
     fhir:index -1 ;
     fhir:CodeableConcept.text [ fhir:value "No acute cardiopulmonary process" ]
  ] ;
  fhir:DiagnosticReport.presentedForm [
     fhir:index -1 ;
     fhir:Attachment.contentType [ fhir:value "application/xhtml+xml" ] ;
     fhir:Attachment.data [ fhir:value "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"^^xsd:base64Binary ]
  ] .

<http://hl7.org/fhir/Patient/example> a fhir:Patient .

<http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner .

<http://hl7.org/fhir/Observation/cxr-finding-lung-fields> a fhir:Observation .

<http://hl7.org/fhir/ImagingStudy/portable-cxr-study> a fhir:ImagingStudy .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/DiagnosticReport/note-example.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/DiagnosticReport/note-example.ttl> .