<?xml version=“1.0” encoding=“UTF-8”?><Media xmlns=“hl7.org/fhir”>

 <id value="1.2.840.11361907579238403408700.3.0.14.19970327150033"/>

 <!-- 
   This example demonstrates how to represent an image 
   originally sourced by a DICOM acquisition device
   as a Media resource. Whether this is appropriate depends
   on the complexity of the image - the media resource only
   contains crude metadata, and plain png/jpg (typically)
   pixels. This is suitable for the bulk of simple images
   shared as summaries with consumers, but not at all suitable 
   for other kinds of images, or for internal radiology 
   reporting usage    
  -->
 <text>
   <status value="generated"/>
   <div xmlns="http://www.w3.org/1999/xhtml">
     Ultrasound Image on patient &quot;James Chalmers&quot;:<br/>
     <img alt="WADO reference to image" src="http://imaging.acme.com/wado/server?requestType=WADO&amp;contentType=application%2Fdicom&amp;studyUid=1.2.840.113619.2.21.848.34082.0.538976288.3&amp;seriesUid=1.2.840.113619.2.21.3408.700.0.757923840.3.0&amp;objectUid=1.2.840.11361907579238403408700.3.0.14.19970327150033"/>

   </div>
 </text>

 <!--  
   this is added to demonstrate the use of DICOM extensions.
   0002,0010 is the DICOM transfer syntax of the referenced image
   -->
 <extension url="http://nema.org/fhir/extensions#0002-0010">
   <valueUri value="urn:oid:1.2.840.10008.1.2.1"/>
 </extension>  

 <identifier>
   <use value="official"/>
   <type><text value="InstanceUID"/></type>
   <system value="urn:ietf:rfc:3986"/>
   <value value="urn:oid:1.2.840.11361907579238403408700.3.0.14.19970327150033"/>
 </identifier> 
 <identifier>
   <type><text value="accessionNo"/></type>
   <!--  the imaging department accession number. (they recycle numbers each year)  -->    
   <system value="http://acme-imaging.com/accession/2012"/>
   <value value="1234567"/>
</identifier>
 <identifier>
   <type><text value="studyId"/></type>
   <system value="urn:ietf:rfc:3986"/>
   <value value="urn:oid:1.2.840.113619.2.21.848.34082.0.538976288.3"/>
 </identifier>
 <identifier>
   <type><text value="seriesId"/></type>
   <system value="urn:ietf:rfc:3986"/>
   <value value="urn:oid:1.2.840.113619.2.21.3408.700.0.757923840.3.0"/>
 </identifier>  

 <type value="photo"/>

 <subtype>
   <coding>
     <system value="http://dicom.nema.org/resources/ontology/DCM"/>
     <code value="US"/>
   </coding>
 </subtype>

 <view>
   <coding>
     <system value="http://snomed.info/sct"/>
     <code value="399067008"/>
     <display value="Lateral projection"/>
   </coding>
 </view>

 <subject>
   <reference value="Patient/example"/>
 </subject>

 <device> 
   <display value="G.E. Medical Systems"/>
 </device>
 <height value="480"/>
 <width value="640"/>

 <!--  and a reference to the image data  -->
 <content>
   <contentType value="application/dicom"/>
   <!--  The actual image could be anywhere. This is a WADO example  -->
   <url value="http://imaging.acme.com/wado/server?requestType=WADO&amp;contentType=application%2Fdicom&amp;studyUid=1.2.840.113619.2.21.848.34082.0.538976288.3&amp;seriesUid=1.2.840.113619.2.21.3408.700.0.757923840.3.0&amp;objectUid=1.2.840.11361907579238403408700.3.0.14.19970327150033"/>
 </content>

</Media>