This page is part of the 電子病歷交換單張實作指引(EMR-IG) (v0.1.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: 醫療影像及報告 DiagnosticReport example - XML Representation

Raw xml | Download

<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="ImageDiagnosticReport"/>
  <meta>
    <profile
             value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/DiagnosticReport-Image"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: DiagnosticReport ImageDiagnosticReport</b></p><a name="ImageDiagnosticReport"> </a><a name="hcImageDiagnosticReport"> </a><a name="ImageDiagnosticReport-en-US"> </a><h2><span title="Codes:{https://twcore.mohw.gov.tw/ig/emr/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>胖吉 綠 (official) Male, DoB: 1987-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</td></tr><tr><td>When For</td><td>2023-08-01 17:00:14-0500</td></tr><tr><td>Reported</td><td>2022-08-30 14:35:32+0000</td></tr><tr><td>Performer</td><td> <a href="Practitioner-TWCorePractitioner.html">Practitioner 大吉 連 (official)</a></td></tr><tr><td>Identifier</td><td> <code>https://www.vghtpe.gov.tw/</code>/123456</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-ObservationImagingResult.html"><span title="Codes:{https://twcore.mohw.gov.tw/ig/emr/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>Final</td></tr></table><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://twcore.mohw.gov.tw/ig/emr/CodeSystem/ICD-10-procedurecode"/>
      <code value="BW24ZZZ"/>
      <display
               value="Computerized Tomography (CT Scan) of Chest and Abdomen"/>
    </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>