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FHIR IG analytics

Packagehl7.fhir.us.health-care-surveys-reporting
Resource TypeObservation
IdObservation-observation-clinical-result-xray-example.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Observation observation-clinical-result-xray-example

status: Final

category: Imaging

code: Radiology Study observation (narrative)

subject: Dominique Ledner Female, DoB: 1965-06-22 ( MRN: Alaska Driver's License#abc123 (use: usual, ))

encounter: Ambulatory Office Visit

effective: 2025-01-02

issued: 2025-01-02 10:30:00+0000

performer: Practitioner Joseph P Nichols (official)

value: LINES AND TUBES: None. LUNGS AND PLEURA: Clear lungs. Normal pulmonary vascularity. No pleural effusion. No pneumothorax. HEART, MEDIASTINUM AND HILA: Heart is normal in size. Normal mediastinal and hilar contour. BONES AND SOFT TISSUES: No acute abnormality.

Source1

{
  "resourceType": "Observation",
  "id": "observation-clinical-result-xray-example",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result|6.1.0"
    ]
  },
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "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)"
      }
    ]
  },
  "subject": {
    "reference": "Patient/patient-ledner"
  },
  "encounter": {
    "reference": "Encounter/encounter-ambulatory",
    "display": "Ambulatory Office Visit"
  },
  "effectiveDateTime": "2025-01-02",
  "issued": "2025-01-02T10:30:00Z",
  "performer": [
    {
      "reference": "Practitioner/practitioner-nichols"
    }
  ],
  "valueString": "LINES AND TUBES: None.\n LUNGS AND PLEURA:\n Clear lungs. Normal pulmonary vascularity.\n No pleural effusion.\n No pneumothorax.\n HEART, MEDIASTINUM AND HILA:\n Heart is normal in size.\n Normal mediastinal and hilar contour.\n BONES AND SOFT TISSUES:\n No acute abnormality."
}