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

: Portable chest X-ray lung fields finding example

Page standards status: Informative

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{
  "resourceType" : "Observation",
  "id" : "cxr-finding-lung-fields",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-observation-clinical-result"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation cxr-finding-lung-fields</b></p><a name=\"cxr-finding-lung-fields\"> </a><a name=\"hccxr-finding-lung-fields\"> </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-observation-clinical-result.html\">US Quality Core Observation Clinical Result</a></p></div><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 18782-3}\">Radiology Finding: Lungs</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Example Patient</a></p><p><b>effective</b>: 2026-08-05 08:15:00-0400</p><p><b>performer</b>: <a href=\"Practitioner-example.html\">Example Practitioner</a></p><p><b>value</b>: Single view portable AP chest radiograph demonstrates clear lung fields without focal consolidation, pleural effusion, or pneumothorax. Heart size is within normal limits.</p></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "imaging",
          "display" : "Imaging"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "18782-3",
        "display" : "Radiology Study observation (narrative)"
      }
    ],
    "text" : "Radiology Finding: Lungs"
  },
  "subject" : {
    🔗 "reference" : "Patient/example",
    "display" : "Example Patient"
  },
  "effectiveDateTime" : "2026-08-05T08:15:00-04:00",
  "performer" : [
    {
      🔗 "reference" : "Practitioner/example",
      "display" : "Example Practitioner"
    }
  ],
  "valueString" : "Single view portable AP chest radiograph demonstrates clear lung fields without focal consolidation, pleural effusion, or pneumothorax. Heart size is within normal limits."
}