醫療影像及報告實作指引
0.1.0 - DSTU0 ci-build

醫療影像及報告實作指引 - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: ImageDiagnosticReport - XML Representation

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<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="ImageDiagnosticReport"/>
  <meta>
    <profile
             value="https://hapi.fhir.tw/fhir/StructureDefinition/DiagnosticReport-Image"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h2><span title="Codes: {https://fhir.tw/fhir/ig/lungcancer/CodeSystem/ICD-10-procedurecode BW24ZZZ}">Computerized Tomography (CT Scan) of Chest and Abdomen</span> (<span title="Codes: {http://loinc.org LP29684-5}">Radiology</span>)</h2><table class="grid"><tr><td>Subject</td><td><b>胖吉 綠 (OFFICIAL)</b> male, DoB: 1987-01-01 ( Social Beneficiary Identifier: A123456789)</td></tr><tr><td>Reported</td><td>2022-08-30 10:35:32+0800</td></tr><tr><td>Identifier:</td><td>Medical record number: 01260526</td></tr></table><p><b>ImagingStudy Finding :</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>When For</b></td></tr><tr><td><a href="Observation-ObservationImagingResult.html"><span title="Codes: {https://fhir.tw/fhir/ig/lungcancer/CodeSystem/ICD-10-procedurecode BW24ZZZ}">Computerized Tomography (CT Scan) of Chest and Abdomen</span></a></td><td>LUNGS AND PLEURA: Clear lungs. Normal pulmonary vascularity. No pleural effusion. No pneumothorax.</td><td>2022-08-30</td></tr></table><p><b>ImagingStudy Impression :</b></p><p>No acute abnormality</p><p><b>Coded Conclusions :</b></p><ul><li><span title="Codes: {http://snomed.info/sct 3368006}">Dull chest pain</span></li></ul></div>
  </text>
  <identifier>
    <system value="https://www.vghtpe.gov.tw/"/>
    <value value="123456"/>
  </identifier>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="LP29684-5"/>
      <display value="Radiology"/>
    </coding>
  </category>
  <code>
    <coding>
      <system
              value="https://hapi.fhir.tw/fhir/CodeSystem/icd-10-pcs-2023-tw-b"/>
      <code value="B00B0ZZ"/>
      <display value="脊髓一般放射線攝影，使用高滲透壓顯影劑"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/TWCorePatient"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/TWCoreEncounter"/>
  </encounter>
  <effectiveDateTime value="2023-08-01T17:00:14-05:00"/>
  <issued value="2022-08-30T14:35:32.631Z"/>
  <performer>🔗 
    <reference value="Practitioner/TWCorePractitioner"/>
  </performer>
  <resultsInterpreter>🔗 
    <reference value="Practitioner/TWCorePractitioner"/>
  </resultsInterpreter>
  <result>🔗 
    <reference value="Observation/ObservationImagingResult"/>
  </result>
  <imagingStudy>🔗 
    <reference value="ImagingStudy/ImagingStudyBase"/>
  </imagingStudy>
  <conclusion value="No acute abnormality"/>
  <conclusionCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="3368006"/>
      <display value="Dull chest pain"/>
    </coding>
  </conclusionCode>
</DiagnosticReport>