Diagnostic report

CT of head-neck: Computed tomography (CT) of head and neck

FinalCode: final · DiagnosticReportStatus (http://hl7.org/fhir/diagnostic-report-status)

Category: RadiologyCode: 394914008 · SNOMED CT (http://snomed.info/sct)Code: RAD · v2 DIAGNOSTIC SERVICE SECTION ID (http://terminology.hl7.org/CodeSystem/v2-0074) · meaning looked up, not in the record
Effective: 1 Dec 2012 12:00Recorded as: 2012-12-01T12:00:00+01:00
Subject: RoelRecord: Patient/f201

Performer: Blijdorp MCRecord: Organization/f203
Imaging study: HEAD and NECK CT DICOM imaging study
Conclusion: CT brains: large tumor sphenoid/clivus.
Conclusion code: Malignant tumor of craniopharyngeal ductCode: 188340000 · SNOMED CT (http://snomed.info/sct)

Summary from source

Generated Narrative with Details

id: f201

status: final

category: Radiology (Details : {SNOMED CT code '394914008' = 'Radiology - speciality', given as 'Radiology'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'RAD' = 'Radiology)

code: CT of head-neck (Details : {SNOMED CT code '429858000' = 'Computed tomography (CT) of head and neck', given as 'Computed tomography (CT) of head and neck'})

subject: Roel

effective: 01/12/2012 12:00:00 PM

issued: 01/12/2012 12:00:00 PM

performer: Blijdorp MC

imagingStudy: HEAD and NECK CT DICOM imaging study

conclusion: CT brains: large tumor sphenoid/clivus.

conclusionCode: Malignant tumor of craniopharyngeal duct (Details : {SNOMED CT code '188340000' = 'Malignant tumor of craniopharyngeal duct', given as 'Malignant tumor of craniopharyngeal duct'})