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	<title>Chest X-Ray, PA and LAT View</title>
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		<patientRole>
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					<given>Richard</given>
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				<name>
					<prefix>Mrs.</prefix>
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				<name>World University Hospital</name>
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			<addr>
				<streetAddressLine>21 North Ave</streetAddressLine>
				<city>Burlington</city>
				<state>MA</state>
				<postalCode>01803</postalCode>
				<country>USA</country>
			</addr>
			<telecom value="tel:(999)555-1212" use="WP"/>
			<informationRecipient>
				<name>
					<prefix>Dr.</prefix>
					<given>Phil</given>
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				<name>
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				<name>
					<given>John</given>
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					<suffix>MD</suffix>
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		<order>
			<id extension="10523475" root="1.2.840.113619.2.62.994044785528.27"/>
			<!--  {root}.27 of accession number added based on organizational policy (not present in SR sample document because root is not specified by DICOM)-->
			<id extension="123452" root="1.2.840.113619.2.62.994044785528.28"/>
			<!--  {root}.28 of filler order number added based on organizational policy (not present in SR sample document because root is not specified by DICOM)-->
			<id extension="123451" root="1.2.840.113619.2.62.994044785528.29"/>
			<!--  {root}.29 of placer order number added based on organizational policy (not present in SR sample document because root is not specified by DICOM)-->
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		<serviceEvent classCode="ACT">
			<id root="1.2.840.113619.2.62.994044785528.114289542805"/>
			<!-- study instance UID -->
			<id extension="123453" root="1.2.840.113619.2.62.994044785528.26"/>
			<!-- {root}.26 of requested procedure ID added based on organizational policy (not present in SR sample document because root is not specified by DICOM)-->
			<effectiveTime value="20060823222400"/>
			<performer typeCode="PRF">
				<templateId root="2.16.840.1.113883.10.20.6.2.1"/>
				<assignedEntity>
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					<assignedPerson>
						<name>
							<given>Richard</given>
							<family>Blitz</family>
							<suffix>MD</suffix>
						</name>
					</assignedPerson>
				</assignedEntity>
			</performer>
		</serviceEvent>
	</documentationOf>
	<!-- transformation of a DICOM SR -->
	<relatedDocument typeCode="XFRM">
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			<id root="1.2.840.113619.2.62.994044785528.20060823.200608232232322.9"/>
			<!-- SOP Instance UID (0008,0018) of SR sample document-->
		</parentDocument>
	</relatedDocument>
	<componentOf>
		<encompassingEncounter>
			<id extension="9937012" root="1.3.6.4.1.4.1.2835.12"/>
			<effectiveTime value="20060828170821"/>
			<encounterParticipant typeCode="ATND">
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				<assignedEntity>
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					<assignedPerson>
						<name>
							<prefix>Dr.</prefix>
							<given>Phil</given>
							<family>Green</family>
						</name>
					</assignedPerson>
				</assignedEntity>
			</encounterParticipant>
		</encompassingEncounter>
	</componentOf>
	<component>
		<structuredBody>
			<component>
				<!--
**********************************************************************
                     DICOM Object Catalog Section
**********************************************************************
	-->
				<section classCode="DOCSECT" moodCode="EVN">
					<templateId root="2.16.840.1.113883.10.20.6.1.1"/>
					<code code="121181" codeSystem="1.2.840.10008.2.16.4" codeSystemName="DCM" displayName="DICOM Object Catalog"/>
					<entry>
						<!--	
**********************************************************************
                     Study
**********************************************************************
	-->
						<act classCode="ACT" moodCode="EVN">
							<id root="1.2.840.113619.2.62.994044785528.114289542805"/>
							<code code="113014" codeSystem="1.2.840.10008.2.16.4" codeSystemName="DCM" displayName="Study"/>
							<!--		 
			*****************************************************************
                      Series
                    *****************************************************************
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							<entryRelationship typeCode="COMP">
								<act classCode="ACT" moodCode="EVN">
									<id root="1.2.840.113619.2.62.994044785528.20060823223142485051"/>
									<code code="113015" codeSystem="1.2.840.10008.2.16.4" codeSystemName="DCM" displayName="Series">
										<qualifier>
											<name code="121139" codeSystem="1.2.840.10008.2.16.4" codeSystemName="DCM" displayName="Modality"> </name>
											<value code="CR" codeSystem="1.2.840.10008.2.16.4" codeSystemName="DCM" displayName="Computed Radiography"> </value>
										</qualifier>
									</code>
									<!--														 
					     *****************************************************************
                                       SopInstance UID
                                       *****************************************************************
 	-->
									<!--	2 References (chest PA and LAT) -->
									<entryRelationship typeCode="COMP">
										<observation classCode="DGIMG" moodCode="EVN">
											<id root="1.2.840.113619.2.62.994044785528.20060823.200608232232322.3"/>
											<code code="1.2.840.10008.5.1.4.1.1.1" codeSystem="1.2.840.10008.2.6.1" codeSystemName="DCMUID" displayName="Computed Radiography Image Storage">
											</code>
											<text xsi:type="ED" mediaType="application/DICOM">
												<reference value="http://www.example.org/wado?requestType=WADO&amp;studyUID=1.2.840.113619.2.62.994044785528.114289542805&amp;seriesUID=1.2.840.113619.2.62.994044785528.20060823223142485051&amp;objectUID=1.2.840.113619.2.62.994044785528.20060823.200608232232322.3&amp;contentType=application/DICOM"/>
												<!--reference to image 1 (PA) -->
											</text>
											<effectiveTime value="20060823223232"/>
										</observation>
									</entryRelationship>
									<entryRelationship typeCode="COMP">
										<observation classCode="DGIMG" moodCode="EVN">
											<id root="1.2.840.113619.2.62.994044785528.20060823.200608232231422.3"/>
											<code code="1.2.840.10008.5.1.4.1.1.1" codeSystem="1.2.840.10008.2.6.1" codeSystemName="DCMUID" displayName="Computed Radiography Image Storage">
											</code>
											<text xsi:type="ED" mediaType="application/DICOM">
												<reference value="http://www.example.org/wado?requestType=WADO&amp;studyUID=1.2.840.113619.2.62.994044785528.114289542805&amp;seriesUID=1.2.840.113619.2.62.994044785528.20060823223142485051&amp;objectUID=1.2.840.113619.2.62.994044785528.20060823.200608232231422.3&amp;contentType=application/DICOM"/>
												<!--reference to image 2 (LAT) -->
											</text>
											<effectiveTime value="20060823223142"/>
										</observation>
									</entryRelationship>
								</act>
							</entryRelationship>
						</act>
					</entry>
				</section>
				<!--							
**********************************************************************
                    End of  DICOM Object Catalog Section
**********************************************************************
	-->
			</component>
			<component>
				<!--
**********************************************************************
                  Reason for study Section 
**********************************************************************
The original DICOM SR document that is mapped does not contain a "Indications for Procedure" section. The attribute value "Reason for the Requested Procedure"  (0040,1002) within the Referenced Request Sequence (0040,A370) of the SR header has been mapped under the assumption that the header attribute value has been displayed to and included by the legal authenticator.
	-->
				<section>
					<code code="121109" codeSystem="1.2.840.10008.2.16.4" codeSystemName="DCM" displayName="Indications for Procedure"/>
					<title>Indications for Procedure</title>
					<text>Suspected lung tumor</text>
				</section>
				<!--							
**********************************************************************
                    Reason for study Section
**********************************************************************
	-->
			</component>
			<component>
				<!--
**********************************************************************
                   History Section 
**********************************************************************
	-->
				<section>
					<code code="121060" codeSystem="1.2.840.10008.2.16.4" codeSystemName="DCM" displayName="History"/>
					<title>History</title>
					<text>
						<paragraph>
							<caption>History</caption>
							<content ID="Fndng1">Sore throat.</content>
						</paragraph>
					</text>
					<entry>
						<!-- History report element (TEXT) -->
						<observation classCode="OBS" moodCode="EVN">
							<code code="121060" codeSystem="1.2.840.10008.2.16.4" codeSystemName="DCM" displayName="History">
								<originalText>
									<reference value="#Fndng1"/>
								</originalText>
							</code>
							<value xsi:type="ED" mediaType="text/plain">Sore throat.</value>
						</observation>
					</entry>
				</section>
				<!--							
**********************************************************************
                    End of History Section
**********************************************************************
	-->
			</component>
			<component>
				<!--
**********************************************************************
                     Findings Section
**********************************************************************
	-->
				<section>
					<templateId root="2.16.840.1.113883.10.20.6.1.2"/>
					<code code="121070" codeSystem="1.2.840.10008.2.16.4" codeSystemName="DCM" displayName="Findings"/>
					<title>Findings</title>
					<text>
						<paragraph>
							<caption>Finding</caption>
							<content ID="Fndng2">The cardiomediastinum is within normal limits. The trachea is midline. The previously described opacity at the medial right lung base has cleared. There are no new infiltrates. There is a new round density at the left hilus, superiorly (diameter about 45mm). A CT scan is recommended for further evaluation. The pleural spaces are clear. The visualized musculoskeletal structures and the upper abdomen are stable and unremarkable.</content>
						</paragraph>
						<paragraph>
							<caption>Diameter</caption>
							<content ID="Diam2">45mm</content>
						</paragraph>
						<paragraph>
							<caption>Source of Measurement</caption>
							<content ID="SrceOfMeas2">
								<linkHtml href="http://www.example.org/wado?requestType=WADO&amp;studyUID=1.2.840.113619.2.62.994044785528.114289542805&amp;seriesUID=1.2.840.113619.2.62.994044785528.20060823223142485051&amp;objectUID=1.2.840.113619.2.62.994044785528.20060823.200608232232322.3&amp;contentType=application/DICOM">Chest_PA
								</linkHtml>
							</content>
						</paragraph>
					</text>
					<entry>
						<observation classCode="OBS" moodCode="EVN">
							<!-- Text Observation -->
							<templateId root="2.16.840.1.113883.10.20.6.2.12"/>
							<code code="121071" codeSystem="1.2.840.10008.2.16.4" codeSystemName="DCM" displayName="Finding">
								<originalText>
									<reference value="#Fndng2"/>
								</originalText>
							</code>
							<value xsi:type="ED" mediaType="text/plain">
								The cardiomediastinum is within normal limits. The trachea is midline. The previously described opacity at the medial right lung base has cleared. There are no new infiltrates. There is a new round density at the left hilus, superiorly (diameter about 45mm). A CT scan is recommended for further evaluation. The pleural spaces are clear. The visualized musculoskeletal structures and the upper abdomen are stable and unremarkable.
							</value>
							<!-- inferred from measurement -->
							<entryRelationship typeCode="SPRT">
								<observation classCode="OBS" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.6.2.14"/>
									<code code="M-02550" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM3" displayName="Diameter">
										<originalText>
											<reference value="#Diam2"/>
										</originalText>
									</code>
									<!-- no DICOM attribute  <statusCode code="completed"/> -->
									<effectiveTime value="20060823223912"/>
									<value xsi:type="PQ" value="45" unit="mm">
										<translation code="mm" codeSystem="2.16.840.1.113883.6.8" codeSystemName="UCUM" codeSystemVersion="1.5"/>
									</value>
									<!-- inferred from image -->
									<entryRelationship typeCode="SUBJ">
										<observation classCode="DGIMG" moodCode="EVN">
											<templateId root="2.16.840.1.113883.10.20.6.2.8"/>
											<!-- (0008,1155) Referenced SOP Instance UID-->
											<id root="1.2.840.113619.2.62.994044785528.20060823.200608232232322.3"/>
											<!-- (0008,1150) Referenced SOP Class UID -->
											<code code="1.2.840.10008.5.1.4.1.1.1" codeSystem="1.2.840.10008.2.6.1" codeSystemName="DCMUID" displayName="Computed Radiography Image Storage">
											</code>
											<text mediaType="application/DICOM">
												<!--reference to CR DICOM image (PA view) -->
												<reference value="http://www.example.org/wado?requestType=WADO&amp;studyUID=1.2.840.113619.2.62.994044785528.114289542805&amp;seriesUID=1.2.840.113619.2.62.994044785528.20060823223142485051&amp;objectUID=1.2.840.113619.2.62.994044785528.20060823.200608232232322.3&amp;contentType=application/DICOM"/>
											</text>
											<effectiveTime value="20060823223232"/>
											<!-- Referenced Frames -->
											<entryRelationship typeCode="COMP">
												<observation classCode="ROIBND" moodCode="EVN">
													<templateId root="2.16.840.1.113883.10.20.6.2.10"/>
													<code code="121190" codeSystem="1.2.840.10008.2.16.4" displayName="Referenced Frames"/>
													<entryRelationship typeCode="COMP">
														<!-- Boundary Observation -->
														<observation classCode="OBS" moodCode="EVN">
															<templateId root="2.16.840.1.113883.10.20.6.2.11"/>
															<code code="113036" codeSystem="1.2.840.10008.2.16.4" displayName="Group of Frames for Display"/>
															<value xsi:type="INT" value="1"/>
														</observation>
													</entryRelationship>
												</observation>
											</entryRelationship>
											<!-- Purpose of Reference -->
											<entryRelationship typeCode="RSON">
												<observation classCode="OBS" moodCode="EVN">
													<templateId root="2.16.840.1.113883.10.20.6.2.9"/>
													<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
													<value xsi:type="CD" code="121112" codeSystem="1.2.840.10008.2.16.4" codeSystemName="DCM" displayName="Source of Measurement">
														<originalText>
															<reference value="#SrceOfMeas2"/>
														</originalText>
													</value>
												</observation>
											</entryRelationship>
										</observation>
									</entryRelationship>
								</observation>
							</entryRelationship>
						</observation>
					</entry>
				</section>
				<!--							
**********************************************************************
                    End of Findings Section
**********************************************************************
	-->
			</component>
			<component>
				<!--
**********************************************************************
                    Impressions Section 
**********************************************************************
	-->
				<section>
					<code code="121072" codeSystem="1.2.840.10008.2.16.4" codeSystemName="DCM" displayName="Impressions"/>
					<title>Impressions</title>
					<text>
						<paragraph>
							<caption>Impression</caption>
							<content ID="Fndng3">No acute cardiopulmonary process. Round density in left superior hilus, further evaluation with CT is recommended as underlying malignancy is not excluded.</content>
						</paragraph>
					</text>
					<entry>
						<!-- Impression report element (TEXT) -->
						<observation classCode="OBS" moodCode="EVN">
							<!-- Text Observation -->
							<templateId root="2.16.840.1.113883.10.20.6.2.12"/>
							<code code="121073" codeSystem="1.2.840.10008.2.16.4" codeSystemName="DCM" displayName="Impression">
								<originalText>
									<reference value="#Fndng3"/>
								</originalText>
							</code>
							<value xsi:type="ED" mediaType="text/plain">No acute cardiopulmonary process. Round density in left superior hilus, further evaluation with CT is recommended as underlying malignancy is not excluded.
</value>
						</observation>
					</entry>
				</section>
				<!--							
**********************************************************************
                    End of Impressions Section
**********************************************************************
	-->
			</component>
		</structuredBody>
	</component>
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